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Edited by Janesh K Gupta
Surger y and
Surgical Specialties
Second edition
Core
Clinical
Cases
Surgery
and Surgical
Specialties
Core
Clinical
Cases in
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https://t.me/medicina_free
Edited by
Janesh K Gupta MSc MD FRCOG
Professor in Obstetrics and Gynaecology, University
of Birmingham, Birmingham Women’s Hospital,
Birmingham, UK
Janesh K Gupta is also the Editor of the Core Clinical
Cases Series.
Surgery
andSurgical
Specialties
Second edition
Core
Clinical
Cases in
https://t.me/medicina_free
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2015 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20140818
International Standard Book Number-13: 978-1-4441-7997-2 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to
publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors
or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors,
authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guid-
ance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement
to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instruc-
tions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages,
procedures or diagnoses shou ld be independently verified. The reader is strong ly urged to consult the relevant national drug formula ry and
the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book
does not indicate whet her a particular treatment is appropriate or suitable for a particular ind ividual. Ultimately it is the sole responsibility
of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors
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Contents
Contributors vii
Abbreviations ix
Chapter 1 General surgery 1
Matthew Clark, Jevan Taylor and Steven Thrush
Key concepts 4
Hernias 5
Gallstones 12
Appendicitis 19
Colon and rectal cancer 27
Surgical emergencies 35
Vascular: abdominal aortic aneurysm 39
Peripheral vascular disease (PVD) 46
Vascular: carotid 50
Venous disease 54
Breast 58
Chapter 2 Ear, nose and throat (ENT) 67
Chris Coulson and Adrian Drake-Lee
Nose: epistaxis 71
Unilateral nasal discharge 78
Nasal obstruction 84
Language delay and development 90
Adult ear disease 97
Adult bilateral deafness 103
Earache 108
The dizzy patient 114
Acute facial palsy 121
Throat 126
Difculty in swallowing 132
Hoarse voice 137
Painless neck lump 143
Chapter 3 Ophthalmology 149
Desirée Murray
Ophthalmology 150
Chapter 4 Trauma and orthopaedic surgery 179
Nicole Abdul and Terence McLoughlin
The painful hip 181
Fractures 193
Back problems 207
Chapter 5 Urology 219
Suresh Ganta
Haematuria 222
Stone disease 231
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vi Contents
Bladder outow obstruction 240
Prostate cancer and PSA 249
Incontinence 259
Neuropathic bladder 269
Upper tract obstruction and renal mass 274
Scrotal pain, testicular lumps 283
Erectile dysfunction/infertility 289
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Contributors
Nicole Abdul MBChB, BMedSci
Academic Clinical Fellow, Year 2 in Trauma and Orthopaedic Surgery,
Health Education North East, England
Matthew Clark
BHB MBChB MD FRACS
Associate Professor of Surgery, University of Auckland, Middlemore Hospital,
Counties Manukau District Health Board, Auckland, New Zealand
Chris Coulson
PhD FRCS
Queen Elizabeth Hospitals, Birmingham, United Kingdom
Adrian Drake-Lee
MMedEd PhD FRCS
Honorary Clinical Senior Lecturer, The School of Clinical and Experimental Medicine,
The Medical School, University of Birmingham, Edgbaston, Birmingham
Suresh Ganta
M Phil FRCS Urol
Consultant Urological Surgeon, Manor Hospital, Walsall, West Midlands, United Kingdom
Terence McLoughlin
BSc (hon) MBChB
Emergency Medicine Specialist, NHS Mersey Deanery, United Kingdom
Desirée Murray
FRCOphth
The University of the West Indies, Department of Clinical Surgical Sciences,
Eric Williams Medical Sciences Complex, Mount Hope, Trinidad and Tobago, West Indies
Jevan Taylor
MBBS FRCS (GenSurg)
Consultant Oncoplastic and Reconstructive Breast Surgeon, Worcestershire Acute NHS Trust,
Worcestershire, England
Steven Thrush
FRCS (GenSurg)
Consultant Breast and General Surgeon, Senior Lecturer, University of Worcester,
Worcestershire, United Kingdom
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