Hunt Marshall s Clinical Problems in Surgery 3rd Edition by Julian Smith ISBN 0729585026 9780729585026

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ISBN 10: 0729585026 
ISBN 13: 9780729585026
Author: Julian Smith

Hunt Marshall s Clinical Problems in Surgery 3rd Table of contents:

FIGURE 1
Iron deficiency anaemia may be:
A: the primary presentation of an occult carcinoma of the caecum
B: a secondary problem when carcinoma of the sigmoid presents with altered bowel habit

FIGURE 2
Forms of presentation of gastrointestinal blood loss:
A: melaena from a duodenal ulcer
B: occult blood loss and anaemia from a caecal carcinoma
C: acute colonic haemorrhage from diverticular disease
D: defaecatory bleeding from haemorrhoids

FIGURE 3
Forms of presentation of duodenal ulcer:
A: haemorrhage presenting as haematemesis and melaena
B: pyloric stenosis presenting as vomiting
C: perforation presenting as an acute abdomen
Duodenal ulcer most commonly presents as chronic epigastric pain.

The problem-oriented clinical approach
1. Collect and record the database

• Take a history and examine the patient

• Record the data in a systematic manner

  • History of the presenting complaint

  • Subjective data (S)

  • Objective data (O)

2. Constructing a problem list
3. Assessment and plan
4. Progress notes
5. Discharge summary

Medical record
Discharge summary
Student case presentations

• Suggested format

• What to put on visual aids such as computer presentation packages

• Suggestions

• Example case presentation

• Format of bedside presentations

• ISBAR

Chapter 1: Integument problems
1.1 Introduction

FIGURE 1.1 Focal skin lesions
A: macule
B: papule (1), nodule (2), or plaque (3)
C: vesicle or pustule
D: wheal

The clinical history of a lump or ulcer

1. Onset and duration
   FIGURE 1.2 Types of epithelial ulceration

2. Change and progression

3. Other symptoms

4. Multiplicity

The physical examination of a lump or ulcer
TABLE 1.1 Growth pattern of some common skin nodules
Box 1.1 Characteristics of a lump on physical examination

1. Situation and depth
   … (đầy đủ các đặc điểm đến 12. Fields)

FIGURE 1.3 Testing fluctuation

1.2 Focal skin lesions

• Clearly benign lesions
  FIGURE 1.4 Focal skin lesions
  Box 1.2 Clearly benign macules and nodules in children

• Pigmented lesions

• Other lesions
  Box 1.3 Clearly benign macules and nodules in adults

Common causes of benign skin lesions

• In children

• In adults

Clinical features, diagnostic and treatment plans

• Port-wine stain

• Strawberry naevus

• Benign mole
  FIGURE 1.5 The histology of benign pigmented moles

• Other examples…

‘Suspicious’ lesions

• Causes and diagnosis

1. Basal cell carcinoma
   Box 1.4 Clinical forms of BCC
   …
   FIGURE 1.6 The ABCDE assessment for melanoma
   …
   TABLE 1.2 Malignancies and their mimics
   …
   FIGURE 1.7 Prognosis in malignant melanoma

1.3 Subcutaneous lumps

• Common causes

• Clinical features and treatment plan

1. Lipoma
   FIGURE 1.8 Lipoma and sebaceous cyst

2. Sebaceous cyst
   FIGURE 1.9 Excision of a lipoma
   FIGURE 1.10 Excision of a sebaceous cyst

3. Ganglion
   FIGURE 1.11 Ganglion on wrist
   …

1.4 Cutaneous and subcutaneous infections

• Pathology

• Clinical features

• Diagnosis and treatment plans
  Box 1.7 General principles of surgical infection treatment
  FIGURE 1.12 Incision and drainage of subcutaneous infection
  …

1.5 Lymph node swellings
FIGURE 1.13–1.16 Lymph nodes in different regions

• Common causes

• Clinical assessment

• Diagnostic and treatment plans

Chapter 2: ENT, Head and Neck problems
2.1 Introduction

• History

• Examination (Ear, Nose, Throat)
  TABLE 2.1–2.2 ENT symptoms and referred otalgia
  FIGURE 2.1 Division of lymph node groups
  …

2.2 Ear
TABLE 2.5 Components of the ear
FIGURE 2.4 Anatomy of the ear

• Conditions: Wax, otitis externa/media, hearing loss
  FIGURE 2.5a–b Otitis media complications
  FIGURE 2.6–2.8 Tests for hearing/vertigo
  TABLE 2.6–2.7 Hearing loss, tinnitus causes

2.3 Facial weakness
2.4 Nose and sinuses
FIGURE 2.9–2.10 Nasal anatomy

• Epistaxis, sinusitis, polyps
  2.5 Throat
  FIGURE 2.11–2.13 Tonsils, mononucleosis
  …

2.6 Airway emergencies and tracheostomy
FIGURE 2.14–2.15 Quinsy, tracheostomy

2.7 Snoring and obstructive apnoea
2.8 Voice, dysphonia, hoarse voice
FIGURE 2.16 The larynx
TABLE 2.10–2.11 Laryngeal anatomy and causes

2.9 Dysphagia
2.10 Congenital anomalies
FIGURE 2.17 Thyroglossal and branchial cysts

2.11 Foreign bodies

• Ear, Nose, Oropharynx, Upper airway

2.12 Head and neck cancer
2.13 Larynx
TABLE 2.12–2.20 TNM and staging tables
FIGURE 2.18 Carcinoma of tonsil

2.14 Parotid and salivary glands
2.15 Thyroid/parathyroid

• Common causes, history, examination
  FIGURE 2.19 Goitre types
  TABLE 2.21–2.27 Carcinoma classifications

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