RSSCategory: Surgery

Day surgery procedures, Selection of patients

Day surgery procedures, Selection of patients

Day surgery procedures, Selection of patients Day surgery procedures An increasing number of procedures in all aspects of surgery are being performed as day surgery. The key features that make a procedure suitable include: low risk of major complications; predictable recovery period not requiring specialist postoperative therapy or treatment; postoperative analgesia that does not need […]

February 23, 2013 | By | Reply More
Surgery at the extremes of age : Common problems in the elderly

Surgery at the extremes of age : Common problems in the elderly

Surgery at the extremes of age : Common problems in the elderly Surgery is increasingly used in older and older patients and the range of procedures available to surgeons for both the very elderly and the very young and neonates is increasing. Minimally invasive surgery is increasingly being offered to older patients at risk from […]

February 23, 2013 | By | Reply More
Evaluation of skin and subcutaneous tissue disease

Evaluation of skin and subcutaneous tissue disease

Evaluation of skin and subcutaneous tissue disease Assessment and description of a lump Key features in the history include the following. Speed of development. Rapid increase in size is suspicious of malignancy (primary or secondary). Recent change in size suggests malignant change or infection in a previously benign lesion. Associated symptoms. Paraesthesia or weakness suggests […]

February 22, 2013 | By | Reply More
Evaluation of peripheral vascular disease : Positioning, inspection, Palpation, Investigations

Evaluation of peripheral vascular disease : Positioning, inspection, Palpation, Investigations

Evaluation of peripheral vascular disease : Positioning, inspection, Palpation, Investigations Positioning and inspection Ideally the patient should be examined in a warm environment at rest. Inspect the limb at rest in the supine position first, then elevated (passively), and finally dependent. Be sure to expose the entire limb including the foot or hand to allow […]

February 22, 2013 | By | Reply More
Evaluation of breast disease : Positioning, inspection, Palpation, Investigations

Evaluation of breast disease : Positioning, inspection, Palpation, Investigations

Evaluation of breast disease : Positioning, inspection, Palpation, Investigations Positioning and inspection Breasts are best examined semirecumbent and then sitting upright. Initially the arms are by the side, semirecumbent. After initial inspection they should be positioned ‘hands on hips’ sitting upright (initially relaxed and then with forced pressure on the hips to tense the pectoral […]

February 22, 2013 | By | Reply More
Evaluation of pelvic disease: Positioning, inspection, Palpation, Investigations

Evaluation of pelvic disease: Positioning, inspection, Palpation, Investigations

Evaluation of pelvic disease: Positioning, inspection, Palpation, Investigations Positioning and inspection Examination is performed in up to three positions: supine (for transabdominal palpation of the ‘false’ pelvis); supine with hips flexed and abducted (for vaginal and bimanual palpation, which may be performed to help assess rectal disease); and left lateral position with hips flexed (for […]

February 20, 2013 | By | Reply More
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