Femoral-Popliteal Bypass Grafting

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Femoral-Popliteal Bypass Grafting

Operation 35 Femoral-Popliteal Bypass Grafting Creation of vascular anastomosis and completed femoral-popliteal bypass Indications • Peripheral vascular occlusive disease (PVOD) with gangrene, ischemic ulceration, rest pain • Claudication with significant…

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Leg Swelling (Case 23)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Leg Swelling (Case 23)

Chapter 37 Leg Swelling (Case 23) Jason M. Johanning, MD Patient 1 33-year-old woman with a 2-day hx of left calf pain and swelling Patient 2 54-year-old man with a…

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Low Urine Output (Case 30)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Low Urine Output (Case 30)

Chapter 45 Low Urine Output (Case 30) Gregory Peck, DO, Umber Burhan, MD, Robert L. Benz, MD Postoperative context: A 58-year-old male with a past medical hx of coronary artery…

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Graham Patch for Perforated Ulcer

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Graham Patch for Perforated Ulcer

Operation 17 Graham Patch for Perforated Ulcer Graham patch: omentum over closure of perforated ulcer Indications • Perforated duodenal ulcer Medical Knowledge—You Need to Know • Risk factors for peptic…

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Open Inguinal Hernia Repair

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Open Inguinal Hernia Repair

Operation 9 Open Inguinal Hernia Repair Note the indirect sac in the anteromedial portion of the cord lateral to deep epigastrics (not seen in figure). A direct hernia is a…

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Tracheostomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Tracheostomy

Operation 8 Tracheostomy Steps in a tracheostomy Indications • Persistent ventilatory insufficiency • Acute airway obstruction Medical Knowledge—You Need to Know • Relationship of thyroid and cricoid cartilage to trachea…

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Introduction to Surgical Critical Care

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Introduction to Surgical Critical Care

Chapter 73 Introduction to Surgical Critical Care Thomas A. Santora, MD The ICU is an intimidating place, especially for the uninitiated. Patients in the ICU have potentially life-threatening multisystem illnesses,…

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Laparoscopic Inguinal Hernia Repair

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Laparoscopic Inguinal Hernia Repair

Operation 10 Laparoscopic Inguinal Hernia Repair Placement of mesh Indications • Bilateral inguinal hernias • Recurrent inguinal hernia • Selected unilateral inguinal hernia Medical Knowledge—You Need to Know • Anatomy…

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Abdominal Mass in a 4-Month-Old Infant (Case 50)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Abdominal Mass in a 4-Month-Old Infant (Case 50)

Chapter 69 Abdominal Mass in a 4-Month-Old Infant (Case 50) Douglas Katz, MD Differential Diagnosis Wilms’ tumor Hepatoblastoma Neuroblastoma Hirschsprung’s disease Speaking Intelligently Many children are identified as having an…

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