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NMS Surgery Casebook cover

NMS Surgery Casebook

by Bruce Jarrell, Stephen M. Kravic, Eric D. Strauch

3rd Edition

Publisher: Wolters Kluwer Health

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Surgery

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Book Details

Print ISBN9781975112387
eText ISBN9781975112370
PublisherWolters Kluwer Health
Publishing Year2021
Edition3rd Edition
LanguageEnglish
Pages512

Published by Wolters Kluwer Health, the NMS Surgery Casebook, 3rd Edition provides medical students and surgical rotation candidates with structured practice in patient management decision-making. Authored by Bruce Jarrell, Stephen M. Kravic, and Eric D. Strauch, this casebook presents a series of surgical cases that guide readers step by step through realistic clinical scenarios.

Initial chapters concentrate on essential perioperative management principles, including preoperative assessment, postoperative care, and wound healing mechanics. The text then transitions into regional surgical pathology, covering thoracic, cardiothoracic, vascular, upper and lower gastrointestinal, hepatic, pancreatic, and endocrine disorders, alongside skin conditions, hernias, breast pathology, trauma, burns, sepsis, and pediatric surgical problems.

Full-color design features and radiographic images accompany the case narratives to support clinical visual interpretation. Tailored for surgical clerkships and USMLE Step 2 review, the volume incorporates dedicated practice questions and study aids to help learners evaluate patient presentations and master critical surgical associations.

Table of Contents

  1. Chapter 1: Preoperative Care

    • • Preoperative Care Principles
    • • Case 1.1: Routine Surgery in a Healthy Patient
    • • Case 1.2: Common Risk Factors Associated with Routine Surgery
    • • Case 1.3: Common Problems in a Patient Waiting to Enter the Operating Room
    • • Case 1.4: Surgery in a Patient with Pulmonary Symptoms
    • • Case 1.5: Urgent Surgery in a Patient with Severe, Acute Pulmonary Function Problems
    • • Case 1.6: Cardiac and Neurologic Risk Associated with Surgery for Peripheral Vascular Disease
    • • Case 1.7: Surgery in a Patient with Liver Failure
    • • Case 1.8: Surgery in a Patient with Chronic Kidney Problems
    • • Case 1.9: Surgery in a Patient with Cardiac Valvular Disease
    • • Case 1.10: Endocarditis Prophylaxis in a Surgical Patient with Valvular Heart Disease
    • • Case 1.11: Surgery in a Patient with Cardiomyopathy
  2. Chapter 2: Postoperative Care

    • • Postoperative Care Principles
    • • Case 2.1: Postoperative Fluid and Electrolyte Management
    • • Case 2.2: Postoperative Acute Renal Failure
    • • Case 2.3: Postoperative Fever
    • • Case 2.4: High Fever in the Immediate Postoperative Period
    • • Case 2.5: Postoperative Cardiopulmonary Problems
    • • Case 2.6: Management of a Small Bowel Fistula
  3. Chapter 3: Wound Healing

    • • Principles of Wound Healing
    • • Case 3.1: Wound Management and Complications
    • • Case 3.2: Wound Infection
    • • Case 3.3: Wound Classification Based on Risk of Subsequent Infection
  4. Chapter 4: Thoracic and Cardiothoracic Disorders

    • • Lung Disease
    • • Case 4.1: Asymptomatic Abnormality Seen on Chest Radiography
    • • Case 4.2: Symptomatic Abnormality Seen on Chest Radiography
    • • Case 4.3: Symptomatic Abnormality Located in the Hilum on Chest Radiography
    • • Case 4.4: Lung Mass with Possible Metastases
    • • Case 4.5: Symptomatic Superior Sulcus Tumor
    • • Case 4.6: Hemoptysis and Atelectasis in a Y oung Patient
    • • Case 4.7: New-Onset Pleural Effusion without Heart Failure
    • • Case 4.8: Sudden Chest Pain and Shortness of Breath in a Y oung Patient
    • • Cardiac Disease
    • • Case 4.9: Pleural-Based Chest Pain, Fever, and Pleural Effusion
    • • Case 4.10: Progressively Increasing Substernal Chest Pain
    • • Case 4.11: Mitral Valve Disease that Requires Surgery
    • • Case 4.12: Aortic Valve Disease that Requires Surgery
    • • Case 4.13: Congestive Heart Failure with Normal Coronary Arteries
    • • Esophageal Disease
    • • Case 4.14: Recurrent Regurgitation of Undigested Food
    • • Case 4.15: Dysphagia with Weight Loss
    • • Case 4.16: Dysphagia with Esophageal Defect
    • • Case 4.17: Severe Dysphagia with Coughing
    • • Mediastinal Masses
    • • Case 4.18: Muscular Weakness and a Mediastinal Mass
  5. Chapter 5: Vascular Disorders

    • • Peripheral Arterial Disease
    • • Case 5.1: Brief Neurologic Event
    • • Case 5.2: Other Transient Neurologic Events
    • • Case 5.3: Asymptomatic Carotid Bruit
    • • Case 5.4: Acute Vascular Event in the Leg
    • • Case 5.5: Claudication
    • • Case 5.6: Claudication and Absence of a Femoral Pulse
    • • Case 5.7: Toe Ulceration in Peripheral Vascular Disease
    • • Case 5.8: Aortoiliac Occlusive Disease
    • • Case 5.9: Cardiac Risk in Major Vascular Reconstruction
    • • Case 5.10: Pulsatile Mass in the Abdomen
    • • Case 5.11: Ruptured Abdominal Aortic Aneurysm
    • • Case 5.12: Complications of Abdominal Aortic Replacement
    • • Case 5.13: Chronic Postprandial Abdominal Pain and Weight Loss
    • • Case 5.14: Tearing Chest and Back Pain
    • • Venous Disease
    • • Case 5.15: Postoperative Leg Swelling
    • • Case 5.16: Prevention of Deep Venous Thrombosis
    • • Case 5.17: Postoperative Shortness of Breath
    • • Case 5.18: Confounding Findings in Pulmonary Embolism
    • • Case 5.19: Recurrent Pulmonary Embolism on Anticoagulation Therapy
    • • Case 5.20: Gastrointestinal Bleeding as a Complication of Anticoagulation Therapy
    • • Case 5.21: Severe Deep Venous Thrombosis
  6. Chapter 6: Upper Gastrointestinal Tract Disorders

    • • Case 6.1: Acute Epigastric Pain
    • • Case 6.2: Acute Epigastric Pain with Regurgitation and Coughing
    • • Case 6.3: Acute Epigastric Pain with Hiatal Hernia
    • • Case 6.4: Acute Epigastric Pain with Pyloric Channel Ulcer
    • • Case 6.5: Acute Epigastric Pain with Gastric Ulcer
    • • Case 6.6: Acute Epigastric Pain with Early Gastric Cancer
    • • Case 6.7: Acute Epigastric Pain with a Rigid Abdomen
    • • Case 6.8: Upper Gastrointestinal Bleeding
    • • Case 6.9: Upper Gastrointestinal Bleeding with Esophageal Varices
    • • Case 6.10: Acute Epigastric Pain with Gastric Lymphoma
  7. Chapter 7: Pancreatic and Hepatic Disorders

    • • Common Pancreaticobiliary Disorders
    • • Case 7.1: Asymptomatic Gallstones
    • • Case 7.2: Right Upper Quadrant Pain
    • • Case 7.3: Right Upper Quadrant Pain with Gallstones and Signs of Infection
    • • Case 7.4: Right Upper Quadrant Pain with Gallstones and Jaundice
    • • Case 7.5: Right Upper Quadrant Pain in Pregnancy
    • • Case 7.6: Right Upper Quadrant Pain with Cholelithiasis and Elevated Amylase
    • • Case 7.7: Right Upper Quadrant Pain with High Fever
    • • Case 7.8: Right Upper Quadrant Pain in an Extremely Ill Older Adult
    • • Case 7.9: Right Upper Quadrant Pain, Fever, and Jaundice
    • • Case 7.10: Complications of Laparoscopic Cholecystectomy
    • • Case 7.11: Painless Jaundice
    • • Case 7.12: Painless Jaundice due to Obstruction at the Common Bile Duct Bifurcation
    • • Case 7.13: Other Biliary Tract Cancers
    • • Case 7.14: Acute Epigastric Pain with High Serum Amylase and Lipase
    • • Case 7.15: Acute Epigastric Pain in Severely Ill Patient
    • • Case 7.16: Acute Epigastric Pain with Continued Pain
    • • Common Hepatic Disorders
    • • Case 7.17: Hepatic Mass
    • • Case 7.18: Fever and Pain in the Right Upper Quadrant
  8. Chapter 8: Lower Gastrointestinal Disorders

    • • Small Intestinal Disorders
    • • Case 8.1: Crampy Abdominal Pain
    • • Case 8.2: Crampy Abdominal Pain with Partial Improvement
    • • Case 8.3: Crampy Abdominal Pain with Signs of Small Bowel Obstruction
    • • Case 8.4: Injury to the Bowel during Lysis of Adhesions
    • • Case 8.5: Crampy Abdominal Pain following Pneumonia
    • • Case 8.6: Abdominal Pain in an Older Adult
    • • Case 8.7: Abdominal Pain with Suspected Mesenteric Ischemia
    • • Inflammatory Bowel Disease
    • • Case 8.8: Crampy Abdominal Pain in Patient with Crohn Disease
    • • Case 8.9: Perianal Disease in a Patient with Crohn Disease
    • • Case 8.10: Management of Crohn Colitis
    • • Case 8.11: Complications of Long-Standing Ulcerative Colitis
    • • Case 8.12: Complications of Acute Colitis
    • • Disorders of the Colon
    • • Case 8.13: Right Lower Quadrant Pain
    • • Case 8.14: Right Lower Quadrant Pain with Dysuria and Increased WBCs
    • • Case 8.15: Worsening Right Lower Quadrant Pain
    • • Case 8.16: Right Lower Quadrant Pain with Mass on Appendix
    • • Case 8.17: Complications of a Ruptured Appendix
    • • Malignant Disorders of the Colon, Rectum, and Anus
    • • Case 8.18: Screening for Colorectal Cancer
    • • Case 8.19: Heme-Positive Stool
    • • Case 8.20: Heme-Positive Stool in Patient with Polyp
    • • Case 8.21: Heme-Positive Stool with Fatigue and Weight Loss
    • • Case 8.22: Heme-Positive Stool with Suspected Colon Cancer
    • • Case 8.23: Operative Findings in Colon Cancer
    • • Case 8.24: Complications of Postoperative Colectomy
    • • Case 8.25: Heme-Positive Stool in Patient with Rectal Adenocarcinoma
    • • Case 8.26: Heme-Positive Stool in Patient with Rectal Cancer
    • • Case 8.27: Metastasis in Colorectal Cancer
    • • Case 8.28: Heme-Positive Stool with a Hard Lesion
    • • Lower Abdominal Pain
    • • Case 8.29: Left Lower Quadrant Pain and Fever
    • • Case 8.30: Recurrence of Left Lower Quadrant Pain
    • • Case 8.31: Left Lower Quadrant Pain in a Deteriorating Patient
    • • Case 8.32: History of Left Lower Quadrant Pain with Sensation of Voided Air
    • • Lower Gastrointestinal Bleeding
    • • Case 8.33: Massive Lower Gastrointestinal Bleeding
    • • Case 8.34: Persistent Bleeding with a Massive Lower Gastrointestinal Bleed
    • • Other Benign Lower Gastrointestinal Tract Disorders
    • • Case 8.35: Syndromes of Acute Colonic Dilation and Obstruction
    • • Case 8.36: Rectal Prolapse
    • • Case 8.37: Perianal Problems
    • • Case 8.38: Persistent Perianal Drainage
    • • Case 8.39: Severe Anal Pain with Perianal Mass
    • • Case 8.40: Need for Colostomy
  9. Chapter 9: Endocrine Disorders

    • • Endocrine Disorders
    • • Case 9.1: Thyroid Nodule Found on Examination
    • • Case 9.2: Symptomatic Hypercalcemia
    • • Case 9.3: Medical Management of Acute Hypercalcemia
    • • Case 9.4: Secondary Hyperparathyroidism
    • • Case 9.5: Hyperparathyroidism and Severe Hypertension in the Same Patient
    • • Case 9.6: Acute Development of a Tender Neck Mass
    • • Case 9.7: History of Hyperparathyroidism and Intractable Duodenal Ulcers
    • • Case 9.8: Medullary Carcinoma of the Thyroid
    • • Case 9.9: Incidentally Discovered Adrenal Mass
  10. Chapter 10: Skin and Soft Tissue Disorders and Hernias

    • • Malignant Melanoma
    • • Case 10.1: Evaluation of a Skin Lesion
    • • Case 10.2: Diagnosis of Malignant Melanoma in a Skin Lesion
    • • Case 10.3: Malignant Melanoma with a Palpable Lymph Node
    • • Case 10.4: Malignant Melanoma with Distant Metastasis
    • • Case 10.5: Malignant Melanoma on the Cheek
    • • Case 10.6: Malignant Melanomas in Other Areas
    • • Case 10.7: Small Bowel Obstruction and History of Malignant Melanoma
    • • Sarcoma
    • • Case 10.8: Sarcoma of the Lower Extremity
    • • Case 10.9: Metastatic Sarcoma to the Lung
    • • Hernias and Related Conditions
    • • Case 10.10: Pain in the Groin
    • • Case 10.11: Inguinal Hernia
    • • Case 10.12: Additional Hernia-Related Problems
    • • Case 10.13: Ventral Hernia
  11. Chapter 11: Breast Disorders

    • • Case 11.1: Screening for Breast Cancer
    • • Case 11.2: Evaluation of a Mammographic Abnormality
    • • Case 11.3: Evaluation of Mammographic Microcalcifications
    • • Case 11.4: Biopsy Results in Lesions Visible on Mammography
    • • Case 11.5: Palpable Breast Mass
    • • Case 11.6: “Lumpy” Breasts
    • • Case 11.7: Breast Mass in a Y oung Woman
    • • Case 11.8: Nipple Discharge
    • • Case 11.9: Staging and Prognosis in Infiltrating Ductal Carcinoma
    • • Case 11.10: Select Clinical Factors that Affect Prognosis
    • • Case 11.11: Nipple Lesion
    • • Case 11.12: Surgical Management of Breast Cancer
    • • Case 11.13: Treatment Options for Stage I and II Breast Cancer
    • • Case 11.14: Breast Reconstruction
    • • Case 11.15: Medical Management of Breast Cancer
    • • Case 11.16: Treatment of Stage III and IV Breast Cancer
    • • Case 11.17: Breast Mass with Cellulitis and Edema
    • • Case 11.18: Events that Occur Later in Patients with Breast Cancer
    • • Case 11.19: Breast Problems in Pregnancy and the Peripartum Period
    • • Case 11.20: Breast Cancer in Patients of Advanced Age and Decreased Function
    • • Case 11.21: Breast Mass in a Man
    • • Case 11.22: Gynecomastia
  12. Chapter 12: Trauma, Burns, and Sepsis

    • • Case 12.1: Primary and Secondary Assessment of Injuries
    • • Case 12.2: Initial Airway Management
    • • Case 12.3: Initial Pulmonary Management
    • • Case 12.4: Pneumothorax in a Patient with Hypotension
    • • Case 12.5: Hypotension and Neck Vein Distention with Normal Breath Sounds
    • • Case 12.6: Hypotension with Normal Breath Sounds and No Neck Vein Distention
    • • Case 12.7: Initial Cervical Spine Management
    • • Case 12.8: Initial Assessment of Thoracic Injury
    • • Case 12.9: Indistinct or Widened Mediastinum
    • • Case 12.10: Initial Abdominal Assessment Based on the Mechanism of Injury
    • • Case 12.11: Initial Assessment of Abdominal Injury
    • • Case 12.12: Abdominal Injuries Visible on CT Scan
    • • Case 12.13: Operative Findings with Abdominal Trauma
    • • Case 12.14: Initial Neurologic Injury Assessment and Management
    • • Case 12.15: Other Neurologic Problems
    • • Case 12.16: Continuing Hemorrhage
    • • Case 12.17: Postoperative Problems in Trauma Patients
    • • Case 12.18: Traumatic Arteriovenous Fistula
    • • Case 12.19: Continuing Pulmonary Problems
    • • Case 12.20: Respiratory Distress
    • • Case 12.21: Stab Wound to the Neck
    • • Case 12.22: Other Injuries to the Neck
    • • Case 12.23: B ur n
    • • Case 12.24: Total Parenteral Nutrition
  13. Chapter 13: Pediatric Surgical Disorders

    • • Case 13.1: Acute Respiratory Distress
    • • Case 13.2: Respiratory Distress with Oral Intake
    • • Case 13.3: Bilious Emesis
    • • Case 13.4: Imperforate Anus
    • • Case 13.5: Vomiting in a 2-Week-Old Infant
    • • Case 13.6: Abdominal Wall Defects
    • • Case 13.7: Abdominal Pain in a 7-Month-Old Child

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