As a junior doctor starting a surgery or urology rotation, you are expected to take charge of referrals from – and give specialist advice to – A&E, GPs and other specialties. Often you will have had very limited surgical experience and only an off-site registrar for support. This pocket-sized book provides a quick, reliable reference guide for the initial management of the common surgical referrals, with guidance as to what complaints require admission and which can be sent home for outpatient or GP follow-up. It will help relieve the stressful experience of being on-call, alleviating some of the anxiety and making shifts more bearable.
Preface
Abbreviations
Contributors
PART I. ABDOMINAL EXAMINATION
1. Abdominal examination and surgical scars
Jason Hol-Ming Wong
2. Stomas
Ian Robertson
PART II. GASTROINTESTINAL (GI) TRACT
3. Lower gastrointestinal bleeding
Elizabeth Yang
4. Bowel obstruction
Bibek Das
5. Acute diverticulitis
Christopher F. Brewer, Alexander E. J. Trevatt and Richard Boulton
6. Management of colorectal cancer
Oliver J. Smith
7. Perianal disease
Prashant Singh
8. Upper gastrointestinal emergencies
Suroosh Madanipour
9. Acute appendicitis
Amelia Davidson
10. Hernias
Jason Hol-Ming Wong
11. Bowel perforation
Tom Pampiglione
12. Acute mesenteric ischaemia
Urpinder S. Grewal
PART III. ABDOMINAL VISCERA
13. Gallstone disease
Amelia Davidson
14. Acute pancreatitis
Robert Adams and Christopher Limb
15. Hepatobiliary and pancreatic emergencies
Thomas Clifford
16. Endocrine surgery
Ross M. Warner and Richard Boulton
17. Vascular emergencies
Stevan Jordan
PART IV. POST-OPERATIVE COMPLICATIONS
18. Wound infections and dehiscence
Deniz Hassan
19. Management of an anastomotic leak
Ross M. Warner
PART V. TRAUMA
20. Trauma principles
Stevan Jordan
21. Burns
Stevan Jordan
22. Head injuries
Humza T. Osmani
PART VI. SKIN VII
23. Necrotising fasciitis and Fournier’s gangrene
Alexander Martin
24. Breast lump assessment
Jason Hol-Ming Wong
PART VII. UROLOGICAL DISORDERS
25. Testicular lumps
Davoud Khodatars and Sarah Y. W. Tang
26. Genitourinary malignancies
Davoud Khodatars and Sarah Y. W. Tang
27. Urinary calculus disease
Christopher Bastianpillai
28. Catheter management
Tom Bracewell, Thomas Maggs, David Manson-Bahr, and Sarah Y. W. Tang
29. Benign prostatic hyperplasia
Sarah Y. W. Tang
30. Haematuria
Christopher Bastianpillai
31. Urinary retention
Christopher Bastianpillai
32. Testicular torsion
Amelia Davidson
33. Obstructive uropathy
Rohit Srinivasan
Index
Alexander Trevatt is a Foundation Year 2 doctor currently working in general surgery at Barnet Hospital, Royal Free NHS London Trust. Richard Boulton is a General Surgery Specialist Registrar, currently working at Barnet Hospital, Royal Free NHS London Trust. Daren Francis is a Consultant General and Colorectal Surgeon, currently working at Barnet Hospital, Royal Free NHS London Trust.
