Resident Readiness General Surgery

I.Introduction
1.Welcome
2.How to Read this Book
3.General Advice
4.A 28-year-old Female Incoming Surgery Resident
5.How to Write a Note—Fast!

II.Handling Patients in the ED
6.Admissions
7.A 56-year-old Female Status Post Motor Vehicle Accident
8.A 40-year-old Female With Abdominal Pain
9.A 42-year-old Man With Severe Right Upper Quadrant Pain
10.A 23-year-old Student With Periumbilical Pain That Has Migrated to Her RLQ
11.A 65-year-old Female in Severe Abdominal Pain
12.A Patient in the ER With a Blood Pressure of 60/– and a Heart Rate of 140
13.A 67-year-old Man With Mental Status Changes and a Suspected Diverticular Abscess
14.A 57-year-old Man With a Chief Complaint of Nausea and Vomiting
15.A 65-
year-old Man Status Post Surgery With a HCT of 24%
16.A 70-year-old Man With “Bad Blood”
17.A 37-year-old Man With a Painful Bulge Over His Left Forearm
18.Three Patients All Present With Issues Related toLaboratory Tests
19.A 73-year-old Man With Acute Right Lower Extremity Pain
20.A 36-year-old Woman Status Post Motor Vehicle Accident While Intoxicated
21.A 50-year-old Man Presenting With Extensive Burns
22.A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic Discomfort

III.Handling Inpatients
23.A 75-year-old Man With Postoperative Pain
24.A 72-year-old Man With Acute Confusion Postoperatively
25.You (the Intern) Are Asked to Read a Chest X-ray
26.A 65-year-old Woman in Respiratory Distress
27.A Patient Who Is Postoperative Day 2 With New-onset Chest Pain
28.A 65-year-old Woman With a New-onset Cardiac Arrhythmia
29.A 60-year-old Man in the PACU With New-onset PVCs
30.A 65-year-old Man With Bradycardia
31.A 65-year-old Man With a Pacemaker Who Needs Surgery
32.A Patient With Pulseless Electrical Activity
33.A 55-year-old Man Who May Require Perioperative ß-blockade
34.A 65-year-old Man Who Is in RespiratoryDistress 3 Days Postoperatively
35.A 68-year-old Man with Postoperative Hypotension
36.A 57-year-old Man Who Is Postoperative With aBlood Pressure of 210/95
37.A 65-year-old Female Who Is 4 Days Postoperative With Nausea, Vomiting, and a Distended Abdomen
38.A 30-year-old Woman With Postoperative Nausea and Vomiting
39.A 79-year-old Man, Postoperative Day 3,Who has Not had a Bowel Movement in 4 Days
40.A 70-year-old Postoperative Colectomy Patient Who Is Not Putting Out Much Urine
41.A 55-year-old Male With Postoperative Urinary Retention
42.A 52-year-old Female Who Is Dehydrated Postoperative Day #1
43.A 68-year-old Woman With Electrolyte Abnormalities
44.A 58-year-old Man With a Postoperative Fever
45.A 42-year-old Woman 4 Hours Postoperative With a Fever and Extreme Pain
46.A 35-year-old Man With Crohn DiseaseWho Needs Postoperative Orders
47.A 65-year-old Man With Diabetes NeedingPostoperative Orders
48.A 65-year-old Female Presenting for Preoperative Evaluation
49.A 33-year-old Woman Who Needs Postoperative Orders for DVT Prophylaxis
50.A 78-year-old Woman and a 62-year-old Man With Drains
51.A 58-year-old Woman Who had a Drain Pulled by the Resident in Error
52.A Resident Who Is Unsure About How to Remove a Chest Tube
53.A Surgical Intern in a Moral Dilemma
54.A 35-year-old Man Who Is Disruptive on the Floor

IV.Handling Patients in Clinic
55.Ambulatory Care and the Surgery Intern
56.A 55-year-old Man Who Was Struck by a Beer Truck and Needs a CT Scan
57.A 60-year-old Man With Postoperative Wound Complications
58.A 35-year-old Woman Who Needs a Lipoma Removed in Clinic
59.A 52-year-old Woman With a Suspected Congenital Coagulopathy
Bibliography
Index