GENERAL SURGERY

Environmental Injuries

May 5, 2017 by in GENERAL SURGERY Comments Off on Environmental Injuries

Figure 33-1. Heat sensor – nasal pit. (Photo courtesy of Ronny Stewart, MD.) Snakes are easily identifiable reptiles, marked anatomically by the large number (greater than 120) of precloacal vertebral…

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Cutaneous Neoplasms

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Figure 107-1. Examples of skin lesions. A: Giant congenital nevus. B: Lentigo maligna (Hutchinson freckle). C: Melanoma arising in a lentigo maligna (lentigo maligna melanoma). D: Superficial spreading melanoma. E:…

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Adrenal Gland

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Figure 77-1. A: Arterial (dark shaded) and venous (light shaded) anatomy of the adrenal glands. B: Schematic showing outer adrenal cortex (light shaded) and inner adrenal medulla (dark shaded). The…

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Hepatic Transplantation

May 5, 2017 by in GENERAL SURGERY Comments Off on Hepatic Transplantation

2 How is it possible to properly select patients and properly time transplantation so that the benefit of transplantation is assured? In 2002, the Organ Procurement and Transplantation Network began…

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Surgical Infections

May 5, 2017 by in GENERAL SURGERY Comments Off on Surgical Infections

Source Control 4 Source control is defined as any physical intervention to remove or eliminate a focus of invasive infection (drainage, debridement, and device removal) and to restore optimal anatomic…

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Neoplasms of the Endocrine Pancreas

May 5, 2017 by in GENERAL SURGERY Comments Off on Neoplasms of the Endocrine Pancreas

Well-differentiated PENs can also be classified as functional or nonfunctional based on the presence or absence of an associated clinically recognizable syndrome (Table 56-2). These syndromes are the result of…

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Upper Extremity Arterial Disease

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Figure 90-1. Manifestations of upper extremity ischemia. Splinter hemorraghes in the nails arising from a proximal embolic source (A). Gangrene affecting the tip of the third finger (B). Advanced, severe…

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Inflammation

May 5, 2017 by in GENERAL SURGERY Comments Off on Inflammation

Figure 7-1. Leukocyte recruitment. 1. Circulating leukocytes express integrins in a low-affinity conformation. 2. Exposure to activated endothelium leads to rolling, which is mediated by L-selectin and P-selectin on the…

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Gastric Neoplasms

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Figure 47-1. Worldwide geographic variability in gastric cancer incidence. (From Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11…

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Critical Care

May 5, 2017 by in GENERAL SURGERY Comments Off on Critical Care

Bundles The process of bundling evidence-based care practices allows ICUs to keep up with regulatory changes and practice the most up to date critical care practices. Unlike checklists, ICU care…

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