CASE ILLUSTRATIONS AND DISCUSSIONS IN SURGERY FOR MEDICAL STUDENTS AND JUNIOR RESIDENTS

Benjamin I. Tabowei

Description

There are many standard text books of surgery covering variousaspects of surgery nd their sub-specialties.
The purpose of this book is to assist students especially junior onces to acquire the necessary skills in history taken, physical examination, important investigations and the management of surgical patients.
The methodology used was clinical history case demonstration and physical examination, summary of the important clinical investigations and their results, treatment offered and their outcome. Thereafter the aethopathology of the disease condition (where necessary), some modern investitagions and their likely outcome, current treatment options available, complications of the disease condition and their likely differential diagnosis were discussed in outline fashion.
Repetations in some of the topics is deliberate and inevitable. This is to give the student deep and reflective insight into the disease conditions, their mode of presentation and possible current management options available.
Some of the chapters have short vignettes which is meant to be brain teasers for both undergraduates and post graduate students preparing for the surgical medical exams such as objective structured clinical examination ((OSCE), medical viva, written examination and clinical examination.
It is hoped to serve as a fast and focused revision guide to students of surgery and would be of immense assistance to students during ward round, ground-round and tutorials. It will improve their skill in case presentation, and in answering questions clearly, precisely and in unambiquous manner during their period of apprenticeship.
It is therefore not a replacement for standard text books of surgery and will only be useful to those who have read through standard text books of surgery.
Benjamin I Tabowei.

Sujets

• Médecine
• Médecine Générale
• Medical
• Research

Informations

• Publié par: Xlibris UK
• Date de parution: 28 juin 2023
• Nombre de lectures: 0
• EAN13: 9781669890058
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

CASE ILLUSTRATIONS AND DISCUSSIONS FOR MEDICAL STUDENTS AND JUNIOR RESIDENTS








Benjamin/ Godfrey Tabowei



Copyright © 2023 by Benjamin/ Godfrey Tabowei.
ISBN:
Softcover
978-1-6698-9006-5
eBook
978-1-6698-9005-8

All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner.

Any people depicted in stock imagery provided by Getty Images are models, and such images are being used for illustrative purposes only.
Certain stock imagery © Getty Images.




Rev. date: 06/28/2023







Xlibris
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CONTENTS
Dedication
Acknowledgement
Preface
Forward

Chapter 1 Burns
Chapter 2 Blood Transfusion
Chapter 3 Ulcers
Chapter 4 Acute appendicitis
Chapter 5 Breast Cancer
Chapter 6 Goiter
Chapter 7 Colorectal Cancer
Chapter 8 Peptic Ulcer Disease
Chapter 9 Intestinal Obstruction
Chapter 10 Small Bowel Perforation
Chapter 11 Hernia
Chapter 12 Hydrocele
Chapter 13 Needle Stick Injuries ( NS I)
Chapter 14 Hand Infections
Chapter 15 Keloid And Hypertrophic Scar
Chapter 16 Sigmoid Volvulus
Chapter 17 Splenic Injuries
Chapter 18 Haemorrhoids
Chapter 19 Fibroadenoma
Chapter 20 Haemangioma
Chapter 21 Salivary Gland Tumour
Chapter 22 Lypmhoedema
Chapter 23 Genital self-mutilation (GSM)
Chapter 24 Fibrosarcoma Of The Scalp
Chapter 25 Fournier’s Gangrene
Chapter 26 Congenital Constricting Hand And Limb Band
Chapter 27 Polydactyly
Chapter 28 Covered Anus
Chapter 29 Cystic Hygroma
Chapter 30 Sacrococcygeal Teratoma
Chapter 31 Pedunculated Lipoma
Chapter 32 Benign Prostatic Hypertrophy (BPH)
Chapter 33 Urethral Stricture
Chapter 34 Head Injury
Chapter 35 Fractures
Chapter 36 Venous cutdown
Chapter 37 Epistaxis
Chapter 38 Tonsilitis
Chapter 39 Otitis Media
Chapter 40 Priapism
Chapter 41 Acute Scrotum

References
List Of Contributors
About The Book
About The Author



DEDICATION
This book is dedicated to my lovely wife-Philomena, my children-Azubuike, Williams, Godfrey, Michael, Adaeze(Deborah), Onyebuchi(Victory), Peremabowei, Ebenezer, Gold, Tamar, Eunice, my grand-children and to God almighty.



ACKNOWLEDGEMENT
I am grateful to God almighty for his love, care, guidance and protection throughout the period of writing this book.
I am deeply indebted to Prof. Olu Osinowo, Prof B B Kombo and Dr FBO Olatorogun, who piloted me through-out the period I was doing this work.
I am also grateful to my loving wife Mrs Philomena Tabowei for her understanding, care and love throughout the period.
To the resident doctors in department of surgery and students of Niger Delta University teaching hospital Okolobiri, I thank you all for assisting me during the period of writing this book.
I wish to sincerely thank my children-Medical laboratory scientists Williams, Dr. Godfrey and Dr. Michael especially for their advice, corporation and assistance in downloading materials, writing some chapters and typing the manuscript.
I must not fail to thank late Dr P Egberipuo, and late Miss B A Otuogha for awakening the hidden talent of writing a book in me. Without them, the enthusiasm, zeal and eargeness of doing great work such as this will not there.
My sincere thanks are due to my brothers and friends- Chief Dr Ogaranya Tabowei, Your worship Bar. Chukwudi Tabowei Esq, Clifford Tabowei, Emmanuel Orivri and Boulouere Akah who have endured me and encouraged me through out the the period of writing this book.
May God bless you all abundantly.



PREFACE
There are many standard text books covering various aspect of the principles and practice of surgery and their sub-specialties.
The purpose of this book is to assist students both undergraduates and junior residents who are preparing for both the written, and oral examination to reverse easily, clearly and quickly.
It will help the student in recapitulation and remembering salient points after reading a standard text book of surgery and will serve as a revision guide for both undergraduate and junior resident doctors.
The cases presented in this book were those actually seen and managed by the author in his years of practice as a general surgeon in a semi-urban hospital in the Niger Delta region, where resources both materially and finanacially were not readily available to evaluate patient fully and comprehensibly. The doctor had to take decision based on his experience and had to dwell with patients who are ignorant and difficult to manage.
It is therefore not a replacement for standard text book of surgery which are already in circulation.
It is my hope that the users of this book will find it useful in gathering the silaint point in history taken which will assist them in passing examination in both the objective structured clinical examination (OSCE), multiple choice questions (MCQs) and will improve their spectrum in essay writing and clinical examination.
I welcome useful, valuable, constructive criticism and suggestions that would improve subsequent edition of this book.
God bless you all.
B. I. Tabowei.



FORWARD
With great pleasure I introduce the first edition of ‘Case Illustrations and Discussions for Undergraduates’ in Surgery, for medical students and junior residents.
This book, no doubt centres on our deep culture of medical education for the above- mentioned targets amongst others.
This maiden edition has 41 chapters laced with interesting case illustrations and discussions in our environment. Some chapters have short vignettes which are also brain teasers for both undergraduates and post graduate students preparing for the surgical medical exams such as objective structured clinical examination ((OSCE), medical viva etc.
Excitingly, some areas dealt with minimal access surgery or laparoscopic surgery as an approach to its management. This relatively ‘new’ area of minimal invasive surgery coincidentally, is my core areas of focus and one of my skill sets. A few personal inputs came in handy. The scope also covers General Surgery sub-specialties like Trauma, Urological Surgery, Pediatrics Surgery, Plastic and Hands Surgery, Trauma, and Vascular surgery. Evidence based medicine has been incorporated into each chapters.
History taking and focused examinations were copiously exhibited which will be of immense benefits, especially to the medical students. Regrettably, the lack of advance imaging such as CT or MRI in our resource constrained environment, has denied us the opportunity to enrich your knowledge and attendant input in this beautiful piece of work. Nonetheless, it’s my firm belief, that subsequent editions will have these inputs in no distant time.
The author, Dr. Benjamin I. Tabowei, is a brilliant General Surgeon and administrator per excellence, who has held several administrative positions in the past. I had the privilege to have worked under both him and Dr. Uriel Dambo, as a junior Medical Officer immediately after my National Youth Service in 2004 at the then General Hospital (now Niger Delta University Teaching Hospital), Okolobiri, where I learnt a lot of surgical trade from them and the surgical unit. I am aware that a lot of other doctors have also passed through his tutelage.
He is therefore eminently qualified to write this book having being very active in this business of surgical practice and medical education in the past three decades.
I extend my gratitude to my teachers, medical elders, colleagues, registrars and students who contributed in one way or the other to the emergence of this book. I do hope that this Case Illustration and Discussions for Undergraduate in Surgery would be utilized for its desired purpose.
Riemann J. Biowe. MBBS, MMed Surg (Wits), FCSSA



CHAPTER 1
Burns
Case 1.1
B.O is a 36 year old house wife who was rushed to our facility with a two hour history of chest and abdominal pain, difficulty in breathing, and cough.
She was cooking with a stove in her kitchen which exploded and sprayed kerosene on her body while she was attempting to top the kerosene on the burning stove.
Her entire clothes had caught fire and she ran out of the kitchen, feel on the ground, rolled a few times before the fire was finally extinguished by her neighbours and relations using water soaked with some detergent.
The flames must have lasted over a minute on her body before it was estinquished and was rescued by neighbours and well wishers.
She now was having sharp and burning pains all over her body especially on her face, abdomen and anterior chest wall. Pain was aggravated by breathing, slight movement and cough.
She was now having tightness on her chest and difficulty with breathing and had developed cough which was unproductive of sputum. She feels weak, nauseated but had not vomiting.
She was not feeling thirsty but had not passed urine since the incident took place.
She admitted to have being an asthmatic patient on treatment (salbutamol inhaler and sometimes prednisolone tablets). Attack was usually precipitated by