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Dr Sriram Bhat, Additional Professor of Surgery, KMC, Mangalore is a very popular teacher and I have known him for more than three decades. He has always been interested in teaching and his emphasis was on the fundamentals of good clinical examination. At a time when imaging and other methods of investigations are becoming popular than methodical and a well-executed clinical examination, a well-written book SRB’s Clinical Methods in Surgery is most welcome. Dr Bhat has tried to emphasize a very systemic examination so that one could arrive at a working diagnosis at the end of a good history and physical examination. The value of this book has been enhanced by a very large number of highly illustrative pictorial descriptions. Unfortunately, the number and the variety of patients in many teaching hospitals across the country are unfavourable as far as undergraduates and postgraduates are concerned. I am sure this book will find a place in the armamentarium of all the students.

Dr Bhat is already the author of a popular textbook SRB’s Manual of Surgery. I have no hesitation to

believe that this book SRB’s Clinical Methods in Surgery will be equally popular. Dr Bhat needs to write a book on operative surgery to complete that trilogy needed for medical students.

Professor Emeritus

It was my long time dream to bring out a good surgical clinical book for undergraduates, postgraduates and practicing surgeons. Even though I have written surgical manual for students of MBBS, Dental and Nursing category, I had an aspiration to write an adequate suf ficient clinical book which can cover all category of students who need to learn clinical surgery properly. I have covered every aspect of clinical surgery with good illustrations in all chapters. This contains methods of basic clinical surgery for medical students. Clinical approaches, clinical analysis and clinical diagnosis with differential diagnosis are discussed in each chapter. However, therapeutic aspects, controversies and recent advances are not a part of this book. Students who want to learn in detail in these aspects are requested to refer to my textbook SRB’s Manual of Surgery, 3rd edition or any other surgical books of their choice. I have taken enough care to discuss different clinical methods and signs. I have also referred standard clinical books and surgery books prior to writing this book. Many methods and signs which are old are well accepted but still many methods are controversial. But whatever given in this are commonly followed one; individual opinions and controversies not highlighted here.

I hope this book will be useful for all those who are keen to learn clinical surgery. I sincerely appreciate everyone who has helped me. I thank Jaypee Brothers Medical Publishers, New

Delhi for their support to bring out this book.

Any constructive criticisms are most welcome.

I always remember my senior teachers, Professor CR Ballal and Professor Suresh Kamath for their constant

help.

Our senior faculty in the department, Dr Professor K Prakash Rao who is a guide and encourager to

everybody will be remembered as a special person by me always.

Surgical unit heads in our college Dr BM Nayak, Dr Anand Kni MCh, Dr Jayaram Shenoy , Dr Jayaprakash

Dr K Akbar; Dr Keshava Prasad; Dr Kishore Reddy; Dr Achaleshwar Dayal; Dr Raghav Pandey; Dr Rupen Shah; Dr Ashwin Mallya; Dr Praveen; Dr Ashok Hegde; Dr Rajesh Ballal; Dr Devidas Shetty; Dr Venkatesh Sanjeeva; Dr Sunil; Dr Shanbogh; Dr Harish Nayak; Dr Subraya Kamath; Dr V enkatesh Shanbogh; Dr Shubanshu; Dr Chaithanya; Dr Nandakishore; Dr Shrishail; and Dr Sampath for their help in various aspects.

I sincerely appreciate Dr Raghavendra Bhat and Dr Ravichandra, Consultants in Radiology Department,

could not have been possible. My beloved daughter Ananya helped me in drawing diagrams artistically. I enjoy her love and affection towards me.

I thank all my postgraduate students of Surgery Department (especially Dr Abhishek, Dr Ranjit, Dr Laxman,

Words are not sufficient to remember all my patients who are the main material for the book. I pray