ARE YOU READY? GET RESIDENT READY.Resident Readiness: General Surgery prepares you for success during your surgical internship. Inside is a full range of scenarios you may experience during your residency, supported by comprehension questions with detailed answer explanations and tips to help you remember. You will also learn the clinical problem-solving process so you can think quickly on your feet, especially when time is critical. With the book's step-by-stepguidance, you will gain the confidence you need to perform at your best on Day One of your residency.
BEYOND TREATING YOUR PATIENT, RESIDENT READINESS PREPARES YOU TO
Handle inpatient problems on the floor
Manage patients in the ED, including trauma
Follow up with patients in the outpatient clinics post-surgery
Triage multiple simultaneous admissions and/or consults
Dr. Debra L. Klamen is Associate Dean of Education and Curriculum as well as Professor and Chair of the Department of Medical Education at Southern Illinois University School of Medicine (Springfield, Illinois). She is also a Professor in the Department of Psychiatry at SIU.
Contributors Acknowledgments I.Introduction 1.Welcome 2.How to Read this Book 3.General Advice 4.A 28-year-old Female Incoming Surgery Resident 5.How to Write a Note-Fast! II.Handling Patients in the ED 6.Admissions 7.A 56-year-old Female Status Post Motor Vehicle Accident 8.A 40-year-old Female With Abdominal Pain 9.A 42-year-old Man With Severe Right Upper Quadrant Pain 10.A 23-year-old Student With Periumbilical Pain That Has Migrated to Her RLQ 11.A 65-year-old Female in Severe Abdominal Pain 12.A Patient in the ER With a Blood Pressure of 60/- and a Heart Rate of 140 13.A 67-year-old Man With Mental Status Changes and a Suspected Diverticular Abscess 14.A 57-year-old Man With a Chief Complaint of Nausea and Vomiting 15.A 65- year-old Man Status Post Surgery With a HCT of 24% 16.A 70-year-old Man With "Bad Blood" 17.A 37-year-old Man With a Painful Bulge Over His Left Forearm 18.Three Patients All Present With Issues Related toLaboratory Tests 19.A 73-year-old Man With Acute Right Lower Extremity Pain 20.A 36-year-old Woman Status Post Motor Vehicle Accident While Intoxicated 21.A 50-year-old Man Presenting With Extensive Burns 22.A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic Discomfort III.Handling Inpatients 23.A 75-year-old Man With Postoperative Pain 24.A 72-year-old Man With Acute Confusion Postoperatively 25.You (the Intern) Are Asked to Read a Chest X-ray 26.A 65-year-old Woman in Respiratory Distress 27.A Patient Who Is Postoperative Day 2 With New-onset Chest Pain 28.A 65-year-old Woman With a New-onset Cardiac Arrhythmia 29.A 60-year-old Man in the PACU With New-onset PVCs 30.A 65-year-old Man With Bradycardia 31.A 65-year-old Man With a Pacemaker Who Needs Surgery 32.A Patient With Pulseless Electrical Activity 33.A 55-year-old Man Who May Require Perioperative ss-blockade 34.A 65-year-old Man Who Is in RespiratoryDistress 3 Days Postoperatively 35.A 68-year-old Man with Postoperative Hypotension 36.A 57-year-old Man Who Is Postoperative With aBlood Pressure of 210/95 37.A 65-year-old Female Who Is 4 Days Postoperative With Nausea, Vomiting, and a Distended Abdomen 38.A 30-year-old Woman With Postoperative Nausea and Vomiting 39.A 79-year-old Man, Postoperative Day 3,Who has Not had a Bowel Movement in 4 Days 40.A 70-year-old Postoperative Colectomy Patient Who Is Not Putting Out Much Urine 41.A 55-year-old Male With Postoperative Urinary Retention 42.A 52-year-old Female Who Is Dehydrated Postoperative Day #1 43.A 68-year-old Woman With Electrolyte Abnormalities 44.A 58-year-old Man With a Postoperative Fever 45.A 42-year-old Woman 4 Hours Postoperative With a Fever and Extreme Pain 46.A 35-year-old Man With Crohn DiseaseWho Needs Postoperative Orders 47.A 65-year-old Man With Diabetes NeedingPostoperative Orders 48.A 65-year-old Female Presenting for Preoperative Evaluation 49.A 33-year-old Woman Who Needs Postoperative Orders for DVT Prophylaxis 50.A 78-year-old Woman and a 62-year-old Man With Drains 51.A 58-year-old Woman Who had a Drain Pulled by the Resident in Error 52.A Resident Who Is Unsure About How to Remove a Chest Tube 53.A Surgical Intern in a Moral Dilemma 54.A 35-year-old Man Who Is Disruptive on the Floor IV.Handling Patients in Clinic 55.Ambulatory Care and the Surgery Intern 56.A 55-year-old Man Who Was Struck by a Beer Truck and Needs a CT Scan 57.A 60-year-old Man With Postoperative Wound Complications 58.A 35-year-old Woman Who Needs a Lipoma Removed in Clinic 59.A 52-year-old Woman With a Suspected Congenital Coagulopathy Bibliography Index