In the past several years, the rapid development of sophisticated imaging modalities has made radiology the fastest growing specialty in medicine. It is important for the radiologic technologist to keep pace with technology's advancements.

The influx of freestanding outpatient facilities and the demands of insurance companies, HMOs and third party reimbursement have brought about change. Medical facilities have begun to call upon nurses, surgical technicians, and other non-radiologic personnel to assist with patient positioning during surgical procedures requiring imaging-creating a need for a concise, how-to guide to performing surgical procedures.

The Radiology Technologist's Handbook to Surgical Procedures provides a quick reference for using fluoroscopic and x-ray equipment during surgical procedures. This book includes detailed descriptions and photographs taken in actual clinical settings.

By using this manual as a foundation, the radiologic technologist will be able to master many of the operating room x-ray procedures.

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.

This well-illustrated manual provides a step-by-step guide to most of the common gynaecological surgical procedures, and will be extremely useful to medical students, newly qualified doctors and registrars, and invaluable for GPs working in rural hospitals and health care centres. Topics covered include suture materials, wound healing and small procedures to vaginal, abdominal, stress incontinence and laparoscopic procedures. It also deals with obstetrical procedures such as Caesarean section, episiotomy and cervical cerclage.

This new edition provides a clear and straightforward introduction to the scientific principles and clinical practice of working in an operating department. The book covers the basic sciences, physics, and electronics as well as clinical practice in anaesthesia, recovery, and surgery. The book also includes coverage of acid-base and electrolyte balance, cardiopulmonary resuscitation, and the management of chronic pain.New chapters covering information on research, statistics, audit, and computers. Self-assessment questions and answers in a section at the end of the book.An appendix listing abbreviations and SI units, tables of drug dosages, and recommendations from various working parties. Features a glossary of difficult and technical terms.Plentiful line diagrams and drawings throughout the text.

In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.

Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence.
This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain.
The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.

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.

CLINICAL BIOMECHANICS OF THE LOWER EXTREMITY is a comprehensive text addressing the principles of anatomic and biomechanical development and the clinical application of these principles to disease/disorder management. The emphasis of the book is on practical information applicable to the daily practice of lower extremity care. Topics covered include: the physical examination and the assessment of disorders having a biomechanical basis, casting techniques, prescription writing, orthotic trouble-shooting, splinting and shoe prescription for athletic activity.

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.

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 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 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.

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.

A 64-year-old woman has been referred to the on-call general surgical team by her GP. She has been complaining of pain in the upper part of her abdomen and generalized itching. Her daughter has also noticed a yellowish discolouration of her skin. The symptoms started a week ago and are gradually getting worse. You have been assigned her initial assessment... 100 Cases in Surgery presents 100 scenarios requiring surgical treatment commonly seen by medical students and junior doctors in the emergency department or outpatient clinic. A succinct summary of the patient's history, examination, and initial investigations-including photographs where relevant-is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to recognize important surgical conditions, and help to develop their diagnostic and management skills.

This delightful memoir is the story of a life well lived-a Hong Kong doctor who worked as a surgeon for over fifty years and who later turned his hand to his other great passion, gardening. At times amusing, at times heartbreaking, and at other times educational and instructive, Arthur van Langenburg describes real-life cases and the medical causes of illnesses, including many incredible stories of life-saving operations that will keep you riveted to your seat. Interspersing these chapters are tales from his fascinating personal life, and reflections on his journey to becoming an expert gardener. Throughout the book is woven the metaphor of the author's journey to Ithaka, as described in a moving poem of the same name that charts a path for how to live a life 'full of adventure, full of discovery'. Beautifully written in a lively, engaging style, this book is sure to win the hearts of many, as van Langenberg's sparkling personality and fascinating insight shines through on every page. Arthur van Langenberg has lived in Hong Kong all his life except for four years in Macau during World War II and two years in Britain undergoing medical training. He has practised surgery for some fifty years, first at the Faculty of Medicine, the University of Hong Kong, and then in private practice. His lifelong interest in reading and gardening has helped him morph from surgeon to gardener and writer, finding fulfilment and a simpler way of life over the years. "Arthur van Langenberg is well known among the gardeners in Hong Kong. However, they may not know how respected a surgeon he is, in particular his caring approach to patients. This book will give them a glimpse of the medical aspect of this seasoned gardener . . . The real-life stories that he has recorded are so captivating. I am sure that given Arthur's writing skill, he could turn each story into a single volume." Chow Shew Ping, Professor Emeritus, University of Hong Kong "The real-life cases at the scalpel's edge are riveting. Less dramatic but no less engaging are the episodes on what life was like when learning to master the scalpel and developing the clinical sense of when to wield it or not ... Senior colleagues will surely recognise the characters in the book, with a smile." Dr Rose Mak, Chairperson, Management Committee, Hong Kong Museum of Medical Sciences Society

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.

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

This gold standard text has kept its readers abreast of rapid advancements in reproductive medicine and surgery since 1983. Continuing this tradition, this fifth edition has been fully updated and revised to provide clear, didactic advice on best practice for a variety of clinical situations faced by practitioners across many specialties - including urologists, gynecologists, reproductive endocrinologists, medical endocrinologists and many in internal medicine and family practice who see men with suboptimal fertility and reproductive problems. Completely restructured to include pedagogical features such as easily accessible key concepts that cement understanding and real-world use. Covering everything from foundations of anatomy and embryology, through clinical evaluation, diagnostic approaches, treatment and fertility care in context within the healthcare system and society, thrilling advances and future directions are also included. This new edition is an essential reference for all who are working in this young and rapidly evolving field.

Mind Over Bladder is a trusted and informative guidebook for bladder control, written with respect and humor by a nationally known urogynecologist, revised and expanded for the 21st century woman. Urinary Incontinence plagues millions of women worldwide, vastly more women than men. The reasons for this are many, including we have children, go through menopause and our anatomy is pretty different. Since these issues affect approximately 30-40% or greater of all women, can include issues with prolapsing organs (bladder, uterus, rectum) and can limit a woman's freedom and ability to live a full and active life, an actual guidebook seemed not only necessary but overdue. Mind Over Bladder answers this need. Informative, respectful and written with humor by a leading urogynecologist, Mind Over Bladder asks and answers the question of "What is incontinence and what can I do about it?". This unique approach begins at the beginning takes women through basic bladder and pelvic plumbing to getting a diagnosis and formulating a treatment plan. Mind Over Bladder arms women with information and practical solutions to help lead better, drier and happier lives.

Surgery remains a challenge for young learners. Perhaps the most difficult of all surgeries are those done on the liver, biliary tree and pancreas. These organs are difficult to expose, difficult to operate and the patients are often difficult to recover. There are significant consequences for any missteps on what is a narrow pathway to a successful outcome. The skills needed to master surgery on these organs are hard to acquire. The volume of information presented to students is enormous and complex to parse. HPB textbooks contain a large amount of information from various authors but are often poorly coordinated. Surgical manuals contain significant anatomic details and descriptions but have difficulty transferring key concepts. Experienced surgeons are often oblivious to their skills and communicate poorly to their students regarding the things they do or understand that make them wise. This book tries to capture this wisdom. The topics in this book are most applicable to hepatobiliary and pancreatic surgeons but really extend to all general surgeons. Anyone who operates in the abdomen must have a basic understanding of these dominant organs; general surgery trainees and staff are an additional focus of this book. The skills needed for a modern surgeon to succeed are much broader than the scalpel tip. Section I, HPB Surgical Craft, imparts important lessons on the laws of human interactions and cognitive aspects of surgery. Sections on the anatomy and operations on the liver, pancreas and bile ducts are presented. The expanded gallbladder section and pancreatitis chapters are of particular importance to general surgery residents. This book has been written in a readable and entertaining style, with many fun historical and contemporary quotes dotted throughout. The Wise Scalpel is an attempt to impart knowledge and understanding to students and practicing surgeons at all levels. The book focuses on tips, traps and underlying truths about the diseases of these organs and their surgical treatment. While this book will not supplant the struggle needed to move from novice to expert surgeon, hopefully it will quicken the process and help avoid some of the dangers and frustrations along the way.

Unique case-based format facilitates understanding of difficult clinical scenarios Focuses on tips and tricks to help prevent common mistakes Key pictures show a range of colorectal pediatric situations

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.