Samples of some of the book presentations
* A 62 years old white female patient 10 years s/p cholecystectomy presents to the ER with RUQ abdominal pain , 101 fever and jaundice. You are called to see the patient , what do you do ?....What tests do you order..No Gastroenterologist is available to do ERCP...What do you do..? During surgery you find....etc. All answers are clearly and accurately described.
* After a tough right hemicolectomy for cecal CA in the OR during which you had to transfuse the patient two units of packed red cells , the RR nurse calls you at home to inform you that the patient's BP dropped to 85/50 and he has very little urine output and not responding to the fluid challenge ordered by the resident MD on call , what do you do ? what kind of questions do you ask on the phone and what orders do you give ? ..When you arrive to the RR .. what do you check for..? After ruling out the common causes like hypovolumia , respiratory troubles , Cardiac events...etc. what do you think is going on with the patient ? How do you treat blood transfusion incompatibility reaction...?
* A 16 years old boy with a lump in the upper inner aspect of his thight...noticed after a football game..what do you do..what kind of biopsy..how do you resect..what postOp treatment do you recommend...?
* During a laporotomy on a car accident patient..you find a large retroperitoneal hematoma behind the second portion of the duodenum..what do you do..?
* A large soft tissue lump in the inner upper aspect of the thight of a 16 years old boy (Sarcoma)
* A dark itchy nevus on the back of an actress (Melanoma)
* Gunshot wound in the mid thight
* Pelvic fracture with rectal bleeding
*A large pancreatic cyst and ascites in a shocky patient in the ER....etc.
All the above presentations -and hundreds of others- are discussed in length and a step by step scenarios are answered accurately based on the most solid and updated references available .
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