Summary

• Description:

  Surgery I is one of the most practical courses in the programme, and these notes — the largest in the series at 502 paragraphs — give you everything from first principles to emergency management. The introduction covers surgical types and terminology, the metabolic stress response to injury (HPA axis, catabolic and anabolic phases), surgical clerkship (history, examination, investigations), and how medical conditions such as diabetes, hypertension, and anticoagulation affect surgical risk. Orthopaedics and traumatology covers the Look-Feel-Move examination framework, fracture classification (by skin integrity and pattern — transverse, oblique, spiral, comminuted, greenstick), the four stages of fracture healing with a diagram, the three Rs of management (reduction, retention, rehabilitation), a detailed complications table covering immediate, early, and late complications, compartment syndrome with the six Ps and emergency fasciotomy, paediatric fractures and their pitfalls, and joint injuries. Pre- and post-operative care covers ASA classification, specific preparation for anticoagulated and diabetic patients, the WHO surgical safety checklist, all three types of anaesthesia (GA, regional, local — with safe dosing limits for local anaesthetics), airway management adjuncts, and a post-operative complications table. Soft tissue conditions include the pathophysiology of burns (Jackson's zones, depth classification, Rule of Nines, Parkland formula, stepwise management), soft tissue infections (cellulitis, abscess, necrotising fasciitis, gas gangrene — all with emergency management), ulcer classification, and dry, wet, and gas gangrene. Chest conditions cover the Deadly Six, rib fractures, flail chest, tension pneumothorax (clinical diagnosis and needle decompression), haemothorax, cardiac tamponade (Beck's triad, pericardiocentesis), surgical emphysema, and breast conditions (fibroadenoma, mastitis, breast cancer with triple assessment). A complete surgical reference for Year 2.

• File Size:

  1.11 MB
• Length:

  22 pages
• Category:

  KMTC Notes
• Posted By:

  Caleb_Peter

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