The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. This book provides the essential information needed to tackle OSCE stations competently and with confidence. Over 150 topics are covered at the perfect level of detail for candidates preparing for final exams. Using bulleted checklists and a succinct writing style, the authors cover the most important points to remember about the key conditions that students are likely to encounter during OSCEs, all in a brief 2 to 4 pages per condition.

Reshaping... looks at women's involvement in cosmetic surgery and raises the question of why women put themselves under the knife for operations which are painful, risky and expensive and often leave them in worse shape than before.

Preoperative imaging is increasingly being adopted for preoperative planning in plastic and reconstructive surgery. Accurate preoperative analysis can reduce the length of operations and maximize surgical design and dissection techniques. Imaging for Plastic Surgery covers the techniques, applications, and potentialities of medical imaging technology in plastic and reconstructive surgery. Presenting state-of-the-art research on evolving imaging modalities, this cutting-edge text: Provides a practical introduction to imaging modalities that can be used during preoperative planning Addresses imaging principles of the face, head, neck, breast, trunk, and extremities Identifies the strengths and weaknesses of all available imaging modalities Demonstrates the added value of imaging in different clinical scenarios Comprised of contributions from world-class experts in the field, Imaging for Plastic Surgery is an essential imaging resource for surgeons, radiologists, and patient care professionals.

This book reflects the strategies and philosophies of arguably the most famed book of army battles in the context of waging war on disease through the use of surgery. It offers principles, strategies and leadership guidelines for surgeons and healthcare practitioners.

This book contains 100 extended matching question themes, each with five stems, arranged as six practice papers lasting two hours apiece. It includes all the surgical conditions, as well as some more detailed knowledge suitable for candidates aiming towards distinction.

This book deals with heart failure in all its aspects, in- cluding chapters relating to receptor physiology and patho- physiological mechanisms, ventricular function and its assessment and the clinical aspects of heart failure in ischemic heart failure, cardiomyopathy, rheumatic heart disease and the timing of valve replacement. The pharmaco- therapy of heart failure deals with inotropic drugs, ACE in- hibitors, nitrates and calcium antagonists. Extending into the newer interventional techniques and surgical techniques the book includes chapters on balloon valvuloplasty, the po- tential use of the laser, the Jarvik artificial heart, car- diomyoplasty, left ventriculoplasty and heart and heart/lung transplantation.

This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as "on the scene", ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readily able to replicate these concepts in the face of ongoing, life-threatening hemorrhage. Written by experts in the field, Treatment of Ongoing Hemorrhage: A Practical Guide is a valuable resource for surgeons, trainees, and any physician who works within the emergency department or upon critically ill patients.

The first comprehensive overview of an emerging field, Metabolic Medicine and Surgery introduces a new paradigm in patient management that crosses existing subspecialty boundaries. This approach is necessitated by the challenges of treating patients with obesity, metabolic syndrome, cardiovascular disease and prediabetes, as well as those with maldigestion, malabsorption, malnutrition and nutritional deficiencies. This book teaches physicians and surgeons what they need to know about clinical nutrition, metabolism and the metabolic effects of bariatric surgery. It is also applicable to those in primary care, including physicians, residents, medical students, nurses and nurse practitioners, physician assistants and dietitians who are on the front lines of treating patients with obesity, diabetes and cardiovascular disease. The book is presented in four sections: 1. An Overview of Metabolic Medicine and Surgery; 2. Metabolic Syndrome, Insulin Resistance and Obesity; 3. Diseases of Undernutrition and Absorption; 4. A Nutritional Relationship to Neurological Diseases. It contains chapters from world-renowned experts who are widely published in major medical journals. The book also benefits from the contributions of clinicians with extensive experience and perspective in the field, including many who have been witness to its major developments. This book's strength lies in the cross-specialty consensus created by the collaboration of the editors and further developed by their renowned contributors. It demonstrates how medicine, surgery, therapeutics, and nutrition can be combined synergistically to impact patient outcomes. It crystallizes the efforts of a multitude of physicians and scientists trying to control the linked pandemics of obesity, type-2 diabetes and cardiovascular disease. This book helps you develop comprehensive solutions to diseases afflicting vast numbers of patients worldwide.

OSHA frequently requires companies to implement the type of program promoted in Cumulative Trauma Disorders, the first and only book to address both the medical and ergonomic aspects of cumulative trauma. This combination of conservative medical intervention and attention to ergonomic design of jobs creates the long-term cost control that companies are actively seeking. The book presents a down-to-earth discussion of issues facing companies as they try to implement an ergonomic program to control cumulative trauma. It examines cumulative trauma from all angles, paying particular attention to cumulative trauma disorders of the upper extremities. Specific topics addressed include CTD etiology, in-plant control programs, return-to-work concepts, ergonomic stressors and their root causes, and basic guidelines for ergonomic workstation design. Cumulative Trauma Disorders also explains many of the programmatic features included in the OSHA Ergonomic Guidelines for the Red Meat Industry, which OSHA uses as a means to structure their regulatory activities. This book discusses the rationale and value of implementing program components in the OSHA guidelines as they pertain to the production environment, presenting technical information in a clear, easy-to-read format. Cumulative Trauma Disorders is an essential book for managers of workers' compensation costs, plant nurses, safety and health technicians and managers, and ergonomic consultants.

Focusing on the essentials, McMinn's Concise Human Anatomy is a convenient, portable guide and revision aid. The clear, jargon-free text is supported by high-quality, labelled photographs of cadaver dissections and surface anatomy, radiological images captured using the latest technologies and explanatory line diagrams, all redrawn for this edition. Providing full explanations of difficult anatomical relationships, and highlighting features of clinical significance throughout, this second edition remains an invaluable guide for students of anatomy across the medical and health sciences, and a handy reference for the busy clinician.

This book contains the entire undergraduate curriculum examined at finals, from medicine to surgery and ENT to oncology. It includes facts that are tested in finals, although explanations have been kept brief to act more as an aide-memoire than to provide comprehensive descriptions of diseases.

This book provides the reader with a text that encompasses the full range of oral and maxillofacial surgery while also addressing the core competencies necessary for undergraduates and those in basic specialist training.

This book presents 100 scenarios requiring surgical treatment commonly seen by medical students and junior doctors in the emergency department. It covers summary of the patient's history, examination, and initial investigations followed by questions on the diagnosis and management of each case.

Surgeons start their career in the expectation that it will bring personal satisfaction through an unparalleled sense of achievement and professional growth. Nonetheless, a career in surgery carries with it serious challenges: surgical training is rigorous, both emotionally and physically, and demands that the surgeon adjust to unpredictability. Chronic levels of stress can affect surgical performance, the quality of family relationships, and even the nature of the doctor-patient relationship. Unmanaged stress has been shown to contribute to physical illness, emotional problems, absenteeism, poor job performance, drug abuse, and negative social attitudes. With a background in both surgery and psychological medicine, Dr Shiralkar examines the psychosocial burden of being a surgeon and offers insights into the role of intra-human factors in surgery. He reveals surgical performance from a psychological perspective and highlights the factors that cause unsatisfactory performance. He also offers solutions to rectify the problem and prevent burnout. The book will be invaluable to all those embarking on a surgical career, as well as to established surgeons in all specialties who wish to understand how to identify and manage the factors that could lead to career-limiting levels of stress.

This series, sponsored by the European Association of Neurosurgical Societies, has already become a classic. In general, one volume is published per year. The Advances section presents fields of neurosurgery and related areas in which important recent progress has been made. The Technical Standards section features detailed description of standard procedures to assist young neurosurgeons in their post-graduate training. The contributions are written by experienced clinicians and are reviewed by all members of the Editorial Board.

Written expressly for the surgical pathologist, the pathology resi-dent and the urologic surgeon, this volume describes the histopathologic appearances of diseases affecting the prostate and the seminal vesicles. The introductory chapter includes a dis-cussion on the role and limitations of immunohistochemistry and fine needle aspiration in the diagnosis of prostatic carcinoma. In the pathologic descriptions the main emphasis is placed on microscopic differential diagnosis. Many conditions are discussed including pro-static calculi, benign nodular hyperplasia, tumors of prostatic urethra, therapy-induced changes, and rare carcinomas. Many dia-grams, charts, tables and 221 photomicrographs complement the text.

This book encompasses the theoretical and practical aspects of surgical ethics, with a focus on the application of ethical standards to everyday surgical practice and the resolution of ethical conflicts in the surgical arena. It provides surgeons (both prospective and practicing) in the different surgical fields with deep, practical insights into the topic. A 21st century surgeon requires complete competence (superb clinical skills, expert surgical decision-making and outstanding performance and technical skills) as well as solid ethical values. Ethics are placed at the core of surgical professionalism, so surgeons must be not only proficient and expert but also ethically and morally reliable. Surgical decision-making can be considered as a two-step process: the "how to treat" aspect is a matter of surgical science, while "why to treat" issues are a matter of surgical ethics and are based on ethical principles. As such, every surgeon should have a moral compass to guide his or her actions, always placing the welfare and rights of the patients above their own. The book provides invaluable background and insights for solving the ethical conflicts surgeons around the globe encounter in their daily practice. Each chapter will also include features such as key point summaries in the beginning of the chapters, explanatory boxes, a glossary and suggested readings. Surgical Ethics - Principles and Practice is an authoritative work in the field designed for experienced surgeons, surgical residents, and fellows, all of whom are confronted with ethics issues and conflicts in practice.

1 Anatomische Grundlagen.- 1.1 Zahnentwicklung.- 1.2 Zahngewebe.- 1.2.1 Dentin.- 1.2.2 Schmelz.- 1.2.3 Wurzelzement.- 1.2.4 Zahnpulpa.- 1.2.5 Parodontium.- 2 Anomalien der Zahne.- 2.1 Stoerungen der Schmelzbildung.- 2.2 Stoerungen der Dentinbildung.- 2.3 Farbanomalien der Zahne.- 3 Karies.- 3.1 Schmelzkaries.- 3.1.1 Fissurenkaries.- 3.1.2 Approximalkaries.- 3.2 Dentinkaries.- 3.2.1 Dentinkaries vor Schmelzkavitat.- 3.2.2 Dentinkaries nach Schmelzkavitat.- 3.2.3 Zonen der Dentinkaries.- 3.3 Chronische Karies.- 3.4 Zementkaries.- 3.5 Strahlenkaries.- 4 Veranderungen der Pulpa.- 4.1 Regressive Veranderungen der Pulpa.- 4.2 Traumatische Veranderungen der Pulpa.- 4.3 Entzundungen der Pulpa (Pulpitis).- 4.3.1 Akute Pulpitis.- 4.3.2 Chronische Pulpitis.- 4.3.2.1 Formen der chronischen Pulpitis.- 4.3.2.2 Wurzelfullung.- 5 Parodontopathien.- 5.1 Gingivitis.- 5.1.1 Akute Gingivitis.- 5.1.1.1 Akute nekrotisierende, ulzeroese Gingivitis (Plaut-Vincent-Gingivitis).- 5.1.2 Gingivaabszess.- 5.2 Chronische Gingivitis.- 5.2.1 Chronische fibrosierende Gingivitis durch Medikamente.- 5.2.1.1 Phenytoin.- 5.2.1.2 Ciclosporin.- 5.2.1.3 Nifedipin.- 5.2.2 Hormonal beeinflusste chronische Gingivitis.- 5.3 Epulis.- 5.3.1 Epulis granulomatosa.- 5.3.2 Epulis fibromatosa (oder fibrosa, fibrase Hyperplasie).- 5.3.3 Riesenzellepulis, peripheres Riesenzellgranulom (Epulis gigantocellularis).- 5.4 Parodontitis.- 5.4.1 Apikale Parodontitis.- 5.4.1.1 Akute apikale Parodontitis.- 5.4.1.2 Periapikaler Abszess.- 5.4.1.3 Chronische apikale Parodontitis.- 6 Odontogene Zysten.- 6.1 Definition und Einteilung.- 6.2 Allgemeine Gesichtspunkte der Zystenentwicklung.- 6.3 Klinik der Zysten.- 6.4 Klassifikation.- 6.5 Entzundlich bedingte Zysten.- 6.5.1 Radikulare Zysten.- 6.5.2 Residualzysten.- 6.6 Dysontogenetische Zysten.- 6.6.1 Primordialzysten (Keratozysten).- 6.6.2 Follikulare Zysten.- 6.6.3 Durchbruchszysten (Eruptionszysten).- 6.6.4 Gingivale Zysten.- 6.6.5 Kalzifizierende odontogene Zysten.- 6.6.6 Paradentale Zysten.- 6.6.7 Glandulare odontogene Zysten.- 6.6.8 Zysten im Rahmen von Fehlbildungssyndromen.- 6.7 Nicht odontogene Kieferzysten.- 7 Odontogene Tumoren.- 7.1 Gutartige odontogene Tumoren.- 7.1.1 Ameloblastom.- 7.1.2 Odontogener plattenepithelialer Tumor.- 7.1.3 Kalzifizierender epithelialer odontogener Tumor (Pindborg-Tumor).- 7.1.4 Odontogener Klarzelltumor.- 7.1.5 Ameloblastisches Fibrom.- 7.1.6 Ameloblastisches Fibrodentinom (Dentinom und amelo-blastisches Fibroodontom).- 7.1.7 Odontoameloblastom.- 7.1.8 Adenomatoider odontogener Tumor.- 7.1.9 Kalzifizierende odontogene Zyste.- 7.1.10 Komplexes Odontom.- 7.1.11 Zusammengesetztes Odontom (Compound odontoma).- 7.1.12 Odontogenes Fibrom (Fibrom des Kiefers).- 7.1.13 Myxom (odontogenes Myxom, Myxofibrom).- 7.1.14 Gutartiges Zementoblastom (Zementoblastom, echtes Zementom).- 7.1.14.1 Echtes Zementom.- 7.1.14.2 Zemento-ossifizierendes Fibrom.- 7.2 Boesartige odontogene Tumoren.- 7.2.1 Odontogene Karzinome.- 7.2.1.1 Boesartiges Ameloblastom.- 7.2.1.2 Primares intraossares Karzinom.- 7.2.1.3 Boesartige Varianten anderer odontogener epithelialer Tumoren.- 7.2.1.4 Boesartige Tumoren in odontogenen Zysten.- 7.2.2 Odontogenes Sarkom.- 7.2.2.1 Ameloblastisches Fibrosarkom (Ameloblastisches Sarkom).- 7.2.2.2 Ameloblastisches Fibrodentinosarkom (Ameloblastisches Fibroodontosarkom).- 7.2.2.3 Odontogenes Karzinosarkom.- 8 Erkrankungen des Kieferknochens.- 8.1 Osteomyelitis.- 8.1.1 Akute, eitrige Osteomyelitis.- 8.1.2 Chronische, eitrige Osteomyelitis.- 8.1.3 Chronische, fokal-sklerosierende Osteomyelitis.- 8.1.4 Chronische, diffus-sklerosierende Osteomyelitis.- 8.1.5 Chronische Osteomyelitis mit proliferativer Periostitis.- 8.1.6 Sonderformen der Osteomyelitis.- 8.1.6.1 Mykobakterielle Osteomyelitis.- 8.1.6.2 Aktinomykotische Osteomyelitis.- 8.1.6.3 Bruchspaltosteomyelitis.- 8.1.6.4 Radioosteomyelitis.- 8.2 Osteosklerose.- 8.3 Osteomalazie.- 8.4 Hypoparathyreoidismus.- 8.5 Primarer Hyperparathyreoidismus.-

Cutaneous Cryosurgery is an invaluable practical guide for the management of benign, premalignant, and malignant skin lesions. The book provides practitioners with all the information needed to add cryosurgery to their surgical repertoire. For practitioners already using cryosurgery, many pearls are provided to expand the use of cryosurgery for new indications along with helpful tips for the use of cutting-edge cryosurgical equipment. This new edition of an established reference uses an evidence-based approach, including a chapter reviewing the evidence for using cryosurgery to treat viral warts, actinic keratosis, and basal cell carcinoma. It also discusses patient consent, aftercare, side effects, and complications. In addition, the book reviews other low-temperature systems used for therapeutic tissue destruction. With nearly 300 clinical color photographs, the book is an outstanding resource for dermatologists, family physicians, other primary care physicians, nurse practitioners, physician assistants, podiatrists, plastic surgeons, head and neck surgeons, and oculoplastic surgeons alike.

Highly Commended, BMA Medical Book Awards 2015 An Introduction to Oral and Maxillofacial Surgery encompasses the full range of oral and maxillofacial surgery. It also addresses the necessary core competencies for undergraduates and those pursuing basic specialist training. The second edition now includes international perspectives. In the UK, oral and maxillofacial surgery is a unique discipline-the ninth of ten currently recognized surgical specialties-and trainees usually start from a dental qualification before gaining a medical one. In contrast, in Germany practitioners often start from a medical base and then obtain a dental degree while in North America they start from a dental base and may or may not become dually qualified. The book's initial chapters cater to all approaches of initial training and crucially bring them together in the specialist surgical sections. In chapters where the UK, US, and German perspectives are distinctly different, a section at the end has been added offering a specific perspective. However, where there is general consensus the international views have been integrated into the main body of text. At the end of each chapter, where appropriate, readers will find relevant references and recommendations for further reading. This book can also be considered a definitive and consistently reliable source of information for those following the UK's Intercollegiate Surgical Curriculum.

Highly Commended, BMA Medical Book Awards 2015 In 2008, Paul Farmer and Jim Yong Kim described global surgery as the "neglected stepchild" of healthcare, and now leaders from around the world are working to redefine it as a human right through the Lancet Commission on Global Surgery. In order to help advance global surgery and anesthesia as a public health intervention, providers require a practical, hands-on manual to train and educate them to provide safe and effective surgery and anesthesia in resource-limited settings. In an effort to respond to that need, over 140 clinicians from high-, low-, and middle-income countries collaborated to create the Global Surgery and Anesthesia Manual: Providing Care in Resource-Limited Settings. This guide provides in-depth instruction on epidemiology and ethics surrounding surgical services, and on anesthesia, perioperative care, trauma surgery, and non-trauma surgery. With contributions from a group of culturally and academically diverse clinicians, each chapter is enriched by at least one commentary from a surgeon or anesthesia provider in a low- or middle-income country (LMIC) who shares first-hand perspectives on the realities and complexities of providing surgical care in these settings with limited resources. The book will serve as a core reference for surgeons and anesthesiologists at all levels interested in global surgery. It will assist those working in LMICs who are confronted with surgical problems that they are not routinely exposed to in their traditional practice. Filled with expert guidance, decision-making algorithms, and treatment options, it will also serve as an invaluable text for trainees in LMICs as it covers the majority of surgical disease processes that would be encountered in such settings.

Robotic surgery has already created a paradigm shift in medical surgical procedures and will continue to expand to all surgical and microsurgical interventions. There is no doubt that in doing so robotic surgical systems, such as the da Vinci surgical system, will become smarter and more sophisticated with the integration, implementation, and synergy of new smart multifunctional material systems that will make surgical tools and equipment more functional in biomimetic sensing and actuation incorporating haptic/tactile feedback to surgeons in connection with kinesthetic interaction with organs during robotic surgery. This book is the first textbook in robotic surgery to discuss the integration of smart multifunctional soft and biomimetic materials with robotic end effectors to provide haptic and tactile feedback to surgeons during robotic surgery. It is also the first textbook in robotic surgery that comes with a solutions manual, which makes it useful as a supplement to faculty members teaching many different programs and courses such as robotics, medical devices, surgical interventions, and many more. This book can be adapted by professors to teach graduate students and researchers, to enable them to further employ their creativity and knowledge, and to undergraduates to enable them to get an excellent grasp of this exciting field. It is also useful for individuals interested in the field for self-study. The background required for this book is college-level mathematics, matrix analysis, geometry, and medical/surgical terminologies.

Peritoneal dissemination is a common route of cancer metastasis. The benefit of administering chemotherapy directly into the peritoneal cavity is supported by preclinical and pharmacokinetic data. In comparison to intravenous (IV) treatment, intraperitoneal (IP) administration results in a several-fold increase in drug concentration within the abdominal cavity. There is now growing evidence from clinical studies showing a survival advantage for IP chemotherapy in various tumor typies, including ovarian, gastric and colorectal cancer. However, while the use of IP chemotherapy is slowly gaining acceptance, it is not universal, largely due to the greater toxicity associated with this approach. Moreover, efficacy of IP chemotherapy is limited by poor distribution within the abdominal cavity and by poor tissue penetration. A new way of IP chemotherapy is the application of cytotoxics in form of a pressurized aerosol into the abdominal of thoracic cavity. Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is applied through laparoscopic access using two balloon trocars in an operating room equipped with laminar air-flow. In a first step,a normothermic capnoperitoneum is established with a pressure of 12 mmHg. A cytotoxic solution (about 10% of a normal systemic dose) is nebulized with a micropump into the abdominal cavity, and maintained for 30 min. The aerosol is then removed through a closed suction system. Applying an aerosol in the peritoneal cavity allows a homogeneous distribution of the chemotherapeutic agent within the abdomen. Furthermore, an artificial pressure gradient is generated that overcomes tumoral interstitial fluid pressure, an obstacle in cancer therapy. This results in a higher local drug concentration compared to conventional IP or IV chemotherapy. At the same time the plasma concentration of the chemotherapeutic agent remains low. In first clinical studies with limited number of patients in ovarian, gastric and colorectal cancer, as well as peritoneal mesothelioma, PIPAC has obtained encouraging tumor response rates and survival, with a low-side effects profile. Larger clinical trials are currently ongoing to examine if these data can be reproduced and extrapolated to other situations.

To Pee or Not to Pee? provides women with the information they need to reduce and stop their bladder leak for good. Shelia Craig Whiteman PT DPT, CLT is a pelvic health physical therapist who has successfully treated hundreds of women with urinary incontinence. Within To Pee or Not to Pee?, she helps women discover the tools needed to stop leaking and start living life again without worry or embarrassment of leaking in public. In To Pee or Not to Pee?, women learn: How to identify their type of urinary incontinence to personalize their program for success How to find and effectively strengthen their pelvic muscles The right exercises to do to stop their type of leakage Simple lifestyle changes to help produce big results How to stop bladder leaks for good