Resident Readiness General Surgery

Read Resident Readiness General Surgery Online

Authors: Debra Klamen,Brian George,Alden Harken,Debra Darosa

Tags: #Medical, #Surgery, #General, #Test Preparation & Review

BOOK: Resident Readiness General Surgery
9.23Mb size Format: txt, pdf, ePub
Notice
Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

Copyright © 2014 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a data base or retrieval system, without the prior written permission of the publisher.

ISBN: 978-0-07-177989-0
MHID:       0-07-177989-2

The material in this books also appears in the print version of this title: ISBN: 978-0-07-177319-5, MHID: 0-07-177319-3.

E-book conversion by codeMantra
Version 1.0

All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps.

McGraw-Hill Education books are available at special quantity discounts to use as premiums and sales promotions or for use in corporate training programs. To contact a representative, please visit the Contact Us pages at
www.mhprofessional.com
.

TERMS OF USE

This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill Education’s prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms.

THE WORK IS PROVIDED “AS IS.” McGraw-Hill Education AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill Education and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise.

This book is dedicated to all my friends, family, co-workers and colleagues who have enriched my life and allowed me to follow my passion. Special thanks to my husband Phil who encouraged me, and to my mom Bonnie Klamen and late father Sam Klamen who raised me to try.—Debra L. Klamen

To the surgical residents in the UCSF-East Bay Department of Surgery whose dedication to their patients and professional commitment to continued learning are an inspirational indicator of the great good health of American Surgery.—Alden H. Harken

For Autumn.—Brian C. George

CONTENTS

Contributors
Acknowledgments
I. Introduction
1. Welcome
(
Brian C. George, MD, Alden H. Harken, MD, and Debra A. DaRosa, PhD
)
2. How to Read this Book
(
Brian C. George, MD, Alden H. Harken, MD, and Debra A. DaRosa, PhD
)
3. General Advice
(
Brian C. George, MD and Alden H. Harken, MD
)
4. A 28-year-old Female Incoming Surgery Resident
(
Amanda V. Hayman, MD, MPH
)
5. How to Write a Note—Fast!
(
Teresa S. Kim, MD
)
II. Handling Patients in the ED
6. Admissions
(
Anthony Visioni, MD and Roy Phitayakorn, MD, MHPE (MEd)
)
7. A 56-year-old Female Status Post Motor Vehicle Accident
(
Ashley Hardy, MD and Marie Crandall, MD, MPH
)
8. A 40-year-old Female With Abdominal Pain
(
Aisha Shaheen, MD, MHA and Marie Crandall, MD, MPH
)
9. A 42-year-old Man With Severe Right Upper Quadrant Pain
(
Brian C. George, MD
)
10. A 23-year-old Student With Periumbilical Pain That Has Migrated to Her RLQ
(
Brian C. George, MD and Alden H. Harken, MD
)
11. A 65-year-old Female in Severe Abdominal Pain
(
Aisha Shaheen, MD, MHA and Marie Crandall, MD, MPH
)
12. A Patient in the ER With a Blood Pressure of 60/– and a Heart Rate of 140
(
Alden H. Harken, MD and Brian C. George, MD
)
13. A 67-year-old Man With Mental Status Changes and a Suspected Diverticular Abscess
(
Alexander T. Hawkins, MD, MPH
)
14. A 57-year-old Man With a Chief Complaint of Nausea and Vomiting
(
Alexander T. Hawkins, MD, MPH
)
15. A 65-year-old Man Status Post Surgery With a HCT of 24%
(
Alden H. Harken, MD and Brian C. George, MD
)
16. A 70-year-old Man With “Bad Blood”
(
Emily Miraflor, MD, Louise Y. Yeung, MD, Brian C. George, MD, and Alden H. Harken, MD
)
17. A 37-year-old Man With a Painful Bulge Over His Left Forearm
(
Eric N. Feins, MD
)
18. Three Patients All Present With Issues Related to Laboratory Tests
(
Abigail K. Tarbox, MD and Mamta Swaroop, MD, FACS
)
19. A 73-year-old Man With Acute Right Lower Extremity Pain
(
Joel T. Adler, MD and Virendra I. Patel, MD, MPH
)
20. A 36-year-old Woman Status Post Motor Vehicle Accident While Intoxicated
(
Shamim H. Nejad, MD and Nadia Quijije, MD
)
21. A 50-year-old Man Presenting With Extensive Burns
(
Jeremy Goverman, MD, FACS and Shawn P. Fagan, MD, FACS
)
22. A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic Discomfort
(
Michael F. McGee, MD and Brian C. George, MD
)
III. Handling Inpatients
23. A 75-year-old Man With Postoperative Pain
(
Ezra N. Teitelbaum, MD
)
24. A 72-year-old Man With Acute Confusion Postoperatively
(
Shamim H. Nejad, MD and Justin B. Smith, MD
)
25. You (the Intern) Are Asked to Read a Chest X-ray
(
Alexander T. Hawkins, MD, MPH and Amy Robin Deipolyi, MD, PhD
)
26. A 65-year-old Woman in Respiratory Distress
(
Alden H. Harken, MD and Brian C. George, MD
)
27. A Patient Who Is Postoperative Day 2 With New-onset Chest Pain
(
Alden H. Harken, MD and Brian C. George, MD
)
28. A 65-year-old Woman With a New-onset Cardiac Arrhythmia
(
Alden H. Harken, MD
)
29. A 60-year-old Man in the PACU With New-onset PVCs
(
Alden H. Harken, MD
)
30. A 65-year-old Man With Bradycardia
(
Alden H. Harken, MD and Brian C. George, MD
)
31. A 65-year-old Man With a Pacemaker Who Needs Surgery
(
Alden H. Harken, MD and Brian C. George, MD
)
32. A Patient With Pulseless Electrical Activity
(
Alden H. Harken, MD and Brian C. George, MD
)
33. A 55-year-old Man Who May Require Perioperative β-blockade
(
Alden H. Harken, MD and Brian C. George, MD
)
34. A 65-year-old Man Who Is in Respiratory Distress 3 Days Postoperatively
(
Jahan Mohebali, MD
)
35. A 68-year-old Man With Postoperative Hypotension
(
Allan B. Peetz, MD and Marie Crandall, MD, MPH
)
36. A 57-year-old Man Who Is Postoperative With a Blood Pressure of 210/95
(
Eric N. Feins, MD
)
37. A 65-year-old Female Who Is 4 Days Postoperative With Nausea, Vomiting, and a Distended Abdomen
(
Ashley Hardy, MD and Marie Crandall, MD, MPH
)
38. A 30-year-old Woman With Postoperative Nausea and Vomiting
(
Abigail K. Tarbox, MD and Mamta Swaroop, MD, FACS
)
39. A 79-year-old Man, Postoperative Day 3, Who has Not had a Bowel Movement in 4 Days
(
Anne-Marie Boller, MD and Joel M. Sternbach, MD, MBA
)
40. A 70-year-old Postoperative Colectomy Patient Who Is Not Putting Out Much Urine
(
Brian C. George, MD and Alden H. Harken, MD
)
41. A 55-year-old Male With Postoperative Urinary Retention
(
Selma Marie Siddiqui, MD and Marie Crandall, MD, MPH
)
42. A 52-year-old Female Who Is Dehydrated Postoperative Day #1
(
Aisha Shaheen, MD, MHA and Marie Crandall, MD, MPH
)
43. A 68-year-old Woman With Electrolyte Abnormalities
(
Molly A. Wasserman, MD and Mamta Swaroop, MD, FACS
)
44. A 58-year-old Man With a Postoperative Fever
(
Jahan Mohebali, MD
)
45. A 42-year-old Woman 4 Hours Postoperative With a Fever and Extreme Pain
(
Michael W. Wandling, MD and Mamta Swaroop, MD, FACS
)
46. A 35-year-old Man With Crohn Disease Who Needs Postoperative Orders
(
Roy Phitayakorn, MD, MHPE (MEd)
)
47. A 65-year-old Man With Diabetes Needing Postoperative Orders
(
Roy Phitayakorn, MD, MHPE (MEd)
)

Other books

His to Claim by Alice Cain
The Baddest Ass (Billy Lafitte #3) by Smith, Anthony Neil
Natural Born Daddy by Sherryl Woods
Cosmic Sex by Karen Kelley
Dark Love by M. D. Bowden
Love and Secrets by Brennan, Mary