By Makhan Lal Saha
Lengthy and brief circumstances, Surgical difficulties, X-rays, Surgical Pathology, Preoperative arrangements, Minor surgeries, tools, Operative surgical procedure & Surgical Anatomy
This moment variation brings trainees absolutely modern with the most recent advances usually surgical procedure. every one part has been totally revised and covers various issues inside each one forte. the hot variation beneficial properties an extra part on surgical anatomy and a longer part on operative surgical procedure. greater than 800 scientific photos, X-rays, diagrams and figures increase studying. color photos illustrate scientific indicators and tools for laparoscopic surgical procedure, with schematic diagrams utilized in the 1st version, now changed via images. Key issues * moment version providing fresh advances quite often surgical procedure * totally revised with addition of 2 new sections * comprises greater than 800 scientific images and diagrams * earlier version released in 2004
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Additional info for Bedside Clinics in Surgery
1: Symptoms restrict strenuous activity but is able to carryout light sedentary activities. • 2: Ambulatory but unable to carryout normal activities.. Up and about >50% waking hours. • 3: only limited self care. confined to bed for >50% of waking hours. • 4: completely confined to bed , disabled, needs assistance. So ecoG performance status is written as.. score of 0, 1, 2, 3 or 4. Karnofsky scale for performance status is as follows: • Able to carry on normal activity and to work; no special care needed (100–80).
There are two different ways for assessing the performance status: The Eastern coopeartive oncology group (Ecog) performance status is as follows: Performance scale: • 0: fully active and is able to carryout normal activities without any restriction. • 1: Symptoms restrict strenuous activity but is able to carryout light sedentary activities. • 2: Ambulatory but unable to carryout normal activities.. Up and about >50% waking hours. • 3: only limited self care. confined to bed for >50% of waking hours.
General Survey Mental state: conscious, alert, cooperative Performance status: Mention either in Karnofsky scale or ecoG scale Built facies Gait Decubitus Hydration status nutrition Anemia jaundice cyanosis clubbing edema neck veins cervical lymph node Pulse Blood pressure Respiration temperature Any obvious deformity Any pigmentation s s n a t t h /: / p p . i 2. Local Examination Mention the region that is to be examined in local examination, e. g. Local examination of abdomen Local examination of breasts Local examination of inguinoscrotal region, etc.