Browse's Introduction to the Symptoms & Signs of Surgical Disease

Description

Browse's Introduction to the Symptoms & Signs of Surgical Disease is essential reading for all medical students learning the fundamentals of history taking and patient examination, when undertaking a surgical rotation, when preparing for their surgical exams and as they transition to postgraduate studies. Maintaining the engaging and readable style so central to Sir Norman Browse's early editions, the sixth edition of this classic text retains all the features beloved by generations of students while being fully revised and updated throughout in line with current surgical practice. Key Features: Current – fully revised and updated Accessible – highly structured and consistent layout, supplemented by tables and revision panels for rapid reference in the pressured run up to qualifying exams Beautifully illustrated – packed with an unrivalled collection of colour photographs and explanatory line diagrams, refreshed for this new edition Expert editors – with a wealth of clinical and teaching experience, supported by contributors new to this edition bringing a fresh approach Companion website – visit www.routledge.com/cw/gossage for digital resources to supplement this textbook including self-assessment material, video animations and an image library Now supplemented by online resources for the complete learning and revision package, this sixth edition remains indispensable for the clinical years of undergraduate study to postgraduate surgical training and beyond. Cover Half Title Title Page Copyright Page Contents Obituary Foreword Contributors 1. History-taking and clinical examination How to take the history A detailed history of pain Clinical examination History and examination of a lump History and examination of an ulcer 2. The heart, lungs and pleura Introduction Breathlessness Pneumothorax Pleural effusion Mesothelioma Empyema Pulmonary embolism Lung cancer Heart failure Valvular disease Infective endocarditis Congenital heart disease Left atrial myxoma Cough Inhaled foreign body Pneumonia Lung abscess Bronchiectasis Chest pain Chronic stable angina Acute coronary syndromes Aortic dissection Mediastinal masses and tumours Other symptoms/signs Stridor Haemoptysis Distended neck veins Chest and cardiac trauma Chest wall abnormalities Finger clubbing Ankle swelling Cyanosis Horner’s syndrome 3. The brain, central nervous system and peripheral nerves History Neurological symptoms arising from cranial conditions Neurological symptoms arising from spinal conditions Neurological examination Head and spine Practical neurological examination Specific intracranial conditions Head injury Brain tumours Brain haemorrhage Infections of the brain Hydrocephalus Peripheral nerve injury 4. The skin and subcutaneous tissues Anatomy and function Diagnosis of skin conditions Congenital skin disorders Genetic skin disorders Non-genetic congenital skin disorders Haemangiomas/lymphangiomas Acquired dermatological conditions Conditions of the skin caused by trauma including burns Infections of the skin Pruritus Benign skin lumps Benign subcutaneous swellings Tumours of the skin appendages Premalignant skin lesions Malignant diseases of the skin Other common skin conditions sometimes seen in surgical patients The fingernails The toenails 5. Major injuries First aid The primary survey and management at the site of the event The primary survey in the emergency department The secondary survey General examination of a conscious patient The secondary survey in the unconscious patient Tertiary survey Assessment of multiple casualties 6. Bones, joints, muscles and tendons Common symptoms General plan for examining the muscles, bones and joints of a limb Examination of the muscles Examination of the bones Examination of the joints General examination of the limb Conditions of muscles Conditions of fibrous tissue Conditions of tendons and tendon sheaths Conditions of bones Fractures Bone diseases and deformities Abnormalities of bone metabolism Infections of bone Miscellaneous conditions of bone Conditions of joints Congenital/genetic disorders of bones and joints 7. Upper limb The shoulder Causes of shoulder pain The elbow joint Causes of elbow pain The hand Abnormalities and conditions of the hand Fractures and dislocations of the upper limb 8. Lower limb The hip Symptoms Plan for examination of the hip joint Conditions causing pain in the hip The knee joint Symptoms Plan for examination of the knee joint Conditions causing knee pain The foot and ankle The ankle joint The foot arches Symptoms Plan for examination of the foot and ankle Congenital and acquired conditions of the foot and ankle Fractures of the lower limb Proximal femoral fractures Dislocations of the hip Fractures of the femoral shaft Supracondylar fractures of the femur Fractures of the knee, ankle and foot 9. Spine and pelvis Symptoms of spinal disorders Assessment of spinal problems Examination of the cervical spine Common conditions of the cervical spine Examination of the thoracolumbar–sacral spine Common conditions of the thoracolumbar–sacral spine Fractures Spine and pelvis Cervical spine Thoracolumbar spine Minor fractures Sacrum and coccyx Pelvic fractures 10. The arteries, veins and lymphatics The arteries Clinical asse ssment of the arterial circu lation of the lower limb Conditions of the arteries Chronic arterial insufficiency of the lower limb Pulsatile swellings (aneurysms) Haemorrhage Transient and permanent neurological weakness, paralysis and blindness Cold, blue digits, hands and feet Large limbs Surgically correctable causes of hypertension Intestinal ischaemia The veins Clinical assessment of the venous circulation of the lower limb Lower limb venous disease The lymphatics Conditions affecting the lymph glands 11. The mouth, tongue and lips Examination of the mouth, tongue and lips Congenital orofacial abnormalities Conditions of the lips, buccal mucosa and tongue Conditions of the palate Conditions of the tonsils Conditions of the floor of the mouth Conditions of the gums (gingivae) Conditions of the jaw 12. The neck History and examination of swellings in the neck Cervical lymphadenopathy Other neck swellings The salivary glands Conditions of the submandibular salivary gland Conditions of the parotid gland The thyroid Symptoms of thyroid disease Conditions of the thyroid gland Parathyroid disease and symptoms 13. The breast History and examination of breast disease Presentation of breast disease Carcinoma of the female breast Benign breast tumours Benign breast disease Conditions of the nipple Breast abscess Pregnancy The male breast 14. The abdominal wall, hernias and the umbilicus Examination of the abdominal wall Abdominal hernia Inguinal hernia Femoral hernia Prevascular hernia Umbilical hernia Paraumbilical hernia Epigastric hernia Incisional hernia Divarication of the recti Rare abdominal hernias Conditions of the umbilicus 15. The abdomen Examination of the abdomen Abdominal pain Pathology of the acute abdomen Inflammation of a viscus Perforation of a viscus Obstruction of a viscus/intestinal obstruction Infarction of a viscus Abdominal pain caused by haemorrhage Extra-abdominal and medical conditions causing acute abdominal pain Causes of acute upper abdominal pain Acute central abdominal pain Acute lower abdominal pain Chronic abdominal pain Chronic central abdominal pain Chronic lower abdominal pain Conditions presenting with dysphagia Conditions presenting with vomiting Conditions presenting with haematemesis or melaena Conditions presenting with jaundice Conditions presenting with diarrhoea Abdominal masses A mass in the right iliac fossa A mass in the left iliac fossa A lump in the groin Abdominal distension 16. The rectum and anal canal Applied anatomy Symptoms of anorectal disease Technique for digital ano-rectal examination Sigmoidoscopy and proctoscopy Conditions presenting with rectal bleeding Conditions presenting with anal pain Conditions presenting as an anal lump with or without pain Prolapse of the rectum Conditions presenting with pruritus ani Conditions presenting with faecal incontinence 17. The kidneys, urinary tract and prostate Symptoms of renal and urinary tract disease Diseases of the urinary tract Retention of urine Conditons of the prostate gland Conditons of the urethra Trauma to the urinary tract 18. The external genitalia Examination of the male genitalia Conditions of the penis Conditions of the scrotal skin Conditions of the testes Erectile dysfunction Male infertility Conditions of the female external genitalia Intersex conditions Index