By David W. McFadden, Stanley Zaslau
This new addition to the Step-Up sequence is a high-yield research reduction for surgical procedure clerkships and USMLE Step 2 and a very good reference for universal questions bobbing up in the course of rotations or within the working room. The e-book covers the entire significant issues at the surgical procedure rotation and extra high-yield subject matters for USMLE Step 2. The effortless, hugely visible layout positive aspects over one hundred fifty illustrations and diverse tables. "Quick Hit" margin notes spotlight very important evidence more likely to be validated. Over a hundred and twenty "Next Step Questions" and "Shelf Questions" supply first-class chance for evaluation.
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Extra info for Step-Up to Surgery (Step-Up Series)
Sample text
Short-chain fatty acids are the primary energy source for colonocytes. IV. Enteral Nutrition A. General principles 1. Nutrition via the enteral route is preferred over the parenteral route. 2. ” This barrier prevents the translocation of bacteria and bacterial toxins across the gut into the host portal venous circulation. 3. Maintenance of the gut mucosal barrier requires (a) normal perfusion, (b) an intact epithelium, and (c) normal mucosal immune mechanisms. 4. Luminal contact of food prevents intestinal mucosal atrophy and stimulates intestinal production of immunoglobulin A (IgA).
The skin incision extends along each anterior axillary line, connecting cephalad at the infraclavicular midline and caudally at the subcostal midline. 3. Extremity compartment syndrome a. If compartment pressure is greater than 30 mm Hg, perform a fasciotomy. b. Suspect extremity compartment syndrome if pain is out of proportion, pain is present with passive movement, or an ischemia time greater than 6 hours. 4. Rhabdomyolysis a. Rhabdomyolysis may be caused by myoglobinuria, resulting in acute tubular necrosis.
CXR, which may show elevated hemidiaphragm, air–fluid level above the diaphragm, nasogastric (NG) tube in chest, displacement of mediastinum to right (Fig. 2-3). 5. Treatment a. Acute (1) Approach through laparotomy as there are a high incidence of associated injuries. (2) Blunt injuries. With a large defect, try primary repair with horizontal mattress sutures. Mesh may be needed. b. Chronic (1) Approach through chest E. Pancreas injuries 1. Often associated with direct blow to epigastrium. 2. Signs and symptoms include severe abdominal pain, peritonitis, nausea, vomiting, elevated pancreatic isoenzymes.