Exploring Essential Surgery: Compilation

A diverse collection of clinical material pertaining to common surgical conditions is not really available at any one time - we have collected such material and use .
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• Downloads PDF Exploring Essential Surgery: Abdomen Dr. Gerard Ahern Books
• Exploring Essential Surgery: Abdomen
• By Dr. Gerard Ahern

You are consulted for nonhealing ulcers and asked to evaluate the patient for peripheral arterial bypass. On exam, you find him sitting in a chair with severely edematous legs and chronic bilateral shallow, nontender medial malleolar ulcers. Though difficult to examine, dorsalis pedis and posterior tibial pulses are palpable bilaterally.

How should you explain to the patient and his medical team why arterial bypass is not indicated at this time? Despite progression of his peripheral arterial disease to ulceration, his disease is not severe enough to warrant urgent revascularization. Peripheral arterial bypass is not indicated for venous disease. Pneumonia is an absolute contraindication to anesthesia and surgery. Because his ulcers are chronic, revascularization can be performed electively following appropriate cardiopulmonary optimization. His disease is too far progressed and requires bilateral amputation.

The examination findings described in the question are consistent with venous ulcers having a typically nontender, moist, broad base over the medial malleolus associated with severe edema can be pitting or nonpitting depending on chronicity Use this site remotely Bookmark your favorite content Track your self-assessment progress and more!

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By Dr. Gerard Ahern

Maurice Brygel "Exploring Essential Surgery" or "EES" is an interactive education program rich with images, videos, graphics and pathological specimens. Gerard Ahern Anatomy is learnt not taught. The study of anatomy involves the acquisition of a large amount of basic information. The use of this basic information to draw inferences from signs and symptoms is the science of anatomy and the basis of clinical medicine.

The size of the database forming the body of basic anatomical knowledge is substantial and often leads to the pointless acquisition of irrelevant minutiae.

This program has been written to help you direct your study without getting lost in these minutiae. The key to retaining anatomical knowledge is to see it in a clinical perspective — irrelevant facts or meaningless lists and numbers do not fit this principle. Electronic aids can be very useful to the student in order to understand structures better.

But nothing can compare to delving into human tissue whether it is alive or dead. This program consists almost entirely of human bones and dissections with important structures labelled and clinical boxes present where appropriate.

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Gerard Ahern A diverse collection of clinical material pertaining to common surgical conditions is not really available at any one time - we have collected such material and use it to illustrate the diagnostic process and subsequent management. This is an interactive program using text, graphics, images and drawings to assist medical students, hospital doctors, surgeons in training, general practitioners and allied health professionals in their understanding of common and important surgical conditions.

Patients and interested lay people would also benefit from this program.

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Gerard Ahern is a clinical anatomist, general practitioner and final year medical school coordinator. Maurice Brygel is a general surgeon specialising in hernia, haemorrhoid and perianal surgery. Numerous expert anatomists and surgeons contributed to the program. They contain additional material including over videos of experts commenting on surgical conditions.

Avoiding Medical Mishaps Dr. Gerard Ahern A young doctor may not recall a great deal of the knowledge taught in undergraduate and clinical years. Normally, this is not a problem as topics can be looked up and help sought from colleagues. However, some knowledge retention is non-negotiable. This is where the clinician at any level is expected to be able to avoid the serious consequences of certain types of patient presentation. Something that seemed obvious was the imminent arrhythmias in a patient with inferior infarct. Or recognising a scaphoid fracture and the potential for avascular necrosis.

This is a good start but what is the complete list? The answers produced this list. It is not all-encompassing, as that would be too extensive — one can find dangers everywhere one looks — it is knowledge that clinicians consider vital. Gerard Ahern "Exploring Essential Surgery" or "EES" is an interactive education program rich with images, videos, graphics and pathological specimens. Head and Neck Dr.

Maurice Brygel A diverse collection of clinical material pertaining to common surgical conditions is not really available at any one time - we have collected such material and use it to illustrate the diagnostic process and subsequent management. Maurice Brygel is a general surgeon specialising in hernia , haemorrhoid and perianal surgery. Exploring Essential Embryology Dr. Gerard Ahern Embryology is the key to a full understanding of the anatomy of the human body.

It is the only way that congenital abnormalities can be understood. However, the intricate details of human development are not required by the working clinician. The selected embryology and relatively common conditions are classified by their specific systems.