Surgery
✅Exam preparatory manual – Gunjan S
(OLD EDITION)
introduction to clinical surgery my aims
are to produce a systematic and
structured introduction to history
taking and clinical examination to cover
history and examination in all of the
important general surgical problems
which is sometimes missed on an
attachment to develop the skill of
interpreting patient symptoms and signs
into a diagnosis and to develop a basic
understanding of the common surgical
conditions they say that more than 80%
of the diagnosis is in history taking
and it's also your first chance to
develop a rapport with the patient so
it's important to do this well all
histories should start with the patient
demographics including name age gender
and occupation an open question should
then elicit the presenting complaint in
the patient's own words before going on
to the history of presenting complaint
this must contain the order of events
including dates if need be there are
often important closed questions to be
answered which will be covered in the
lectures that follow we must then cover
past medical history drug history
including dosages and any allergies
family history of which cancer and
cardiovascular disease are probably the
most important and lastly social history
which not only includes
habits such as smoking and alcohol but
also home circumstances mobility and any
recent travel after taking a history
examination follows and after gaining
consent washing our hands and checking
for any pain we begin by assessing the
patient as a whole and for any systemic
upset but then we focus on performing a
local examination of the system involved
in the presenting complaint this always
consist of an inspection followed by
palpation percussion and auscultation in
that order
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Surgery
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