Step Up to Surgery

NEW Features for this edition: - Full-color, updated interior design brings the content to you in a memorable style. - Full-color, updated figures illustrate concepts when a picture says it best.

Author: Stanley Zaslau

Publisher: Lippincott Williams & Wilkins

ISBN: 9781451187632

Category: Medical

Page: 426

View: 167

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Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Step-Up to Surgery is an effective high-yield review of general and subspecialty surgery, written specifically for medical, physician assistant, and nurse practitioner students in their surgery clerkship/rotation. Step-Up to Surgery packs clinical pearls, illustrations, and "Quick Hits" in a single, ingenious tool, tailoring each element for immediate content absorption and faster, more efficient review. This review book gives you exactly what you need to prepare for the surgery clerkship, accompanying shelf exams, and the USMLE Step 2! NEW Features for this edition: - Full-color, updated interior design brings the content to you in a memorable style. - Full-color, updated figures illustrate concepts when a picture says it best. CLASSIC Student approved features: - Complete coverage of key surgery topics ensures that you are test-ready and prepared on the wards! - Quick Hits in the margins highlight highly testable topics--just see how the sparks fly at test time! - Clinical Pearls help you "file away" clinical medicine connections for handy retrieval at test time! - Bold terms highlight key terminology for added emphasis! BONUS Material and study resources: - NEW! 100 USMLE-style questions in the book and online, so you can study anytime, anywhere!
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Step Up to Medicine

"The questions serve as a self-assessment tool, allowing students to think through clinical scenarios without answer choices influencing their thought process.

Author: Steven S. Agabegi

Publisher: Lippincott Williams & Wilkins

ISBN: 9781609133603

Category: Medical

Page: 576

View: 292

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"The questions serve as a self-assessment tool, allowing students to think through clinical scenarios without answer choices influencing their thought process. Most questions end in "what are the appropriate next steps in managing this patient?" Imagine yourself as the clinician taking care of these patients: What test(s), if any, would you order next?"--Provided by publisher.
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Endoscopic Or Surgical Step up Approach for Infected Necrotising Pancreatitis a Multicentre Randomised Trial

Background: Infected necrotising pancreatitis is a potentially lethal disease and an indication for invasive intervention. The surgical step-up approach is the standard treatment. A promising alternative is the endoscopic step-up approach.

Author:

Publisher:

ISBN: OCLC:1051807617

Category:

Page:

View: 177

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Background: Infected necrotising pancreatitis is a potentially lethal disease and an indication for invasive intervention. The surgical step-up approach is the standard treatment. A promising alternative is the endoscopic step-up approach. We compared both approaches to see whether the endoscopic step-up approach was superior to the surgical step-up approach in terms of clinical and economic outcomes. Methods: In this multicentre, randomised, superiority trial, we recruited adult patients with infected necrotising pancreatitis and an indication for invasive intervention from 19 hospitals in the Netherlands. Patients were randomly assigned to either the endoscopic or the surgical step-up approach. The endoscopic approach consisted of endoscopic ultrasound-guided transluminal drainage followed, if necessary, by endoscopic necrosectomy. The surgical approach consisted of percutaneous catheter drainage followed, if necessary, by video-assisted retroperitoneal debridement. The primary endpoint was a composite of major complications or death during 6-month follow-up. Analyses were by intention to treat. This trial is registered with the ISRCTN registry, number ISRCTN09186711. Findings: Between Sept 20, 2011, and Jan 29, 2015, we screened 418 patients with pancreatic or extrapancreatic necrosis, of which 98 patients were enrolled and randomly assigned to the endoscopic step-up approach (n=51) or the surgical step-up approach (n=47). The primary endpoint occurred in 22 (43%) of 51 patients in the endoscopy group and in 21 (45%) of 47 patients in the surgery group (risk ratio [RR] 0·97, 95% CI 0·62–1·51; p=0·88). Mortality did not differ between groups (nine [18%] patients in the endoscopy group vs six [13%] patients in the surgery group; RR 1·38, 95% CI 0·53–3·59, p=0·50), nor did any of the major complications included in the primary endpoint. Interpretation: In patients with infected necrotising pancreatitis, the endoscopic step-up approach was not superior to the surgical step-up approach in reducing major complications or death. The rate of pancreatic fistulas and length of hospital stay were lower in the endoscopy group. The outcome of this trial will probably result in a shift to the endoscopic step-up approach as treatment preference. Funding: The Dutch Digestive Disease Foundation, Fonds NutsOhra, and the Netherlands Organization for Health Research and Development.
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High yield Surgery

Up SIC Get EVERYTHING Step - Up YOU NEED in to ONE BOOK , USMLE STEP
2 to Step - Up to the Challenge of the USMLE Step 2 Clinical Knowledge Exam !
Comprehensive yet concise coverage for USMLE Step 2 CK Consistently ...

Author: Raminder Nirula

Publisher: Lippincott Williams & Wilkins

ISBN: 0781776562

Category: Medical

Page: 149

View: 752

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This excellent USMLE Step 2 or 3 review book extracts only the most important information regarding general surgery, including vascular, thoracic, and endocrine surgery. Presented in a concise, uncluttered outline format, High-Yield™ Surgery is illustration- and table-intensive. The book enables students to get the maximum relevance and performance from intensely focused study.
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Difficult Decisions in Hepatobiliary and Pancreatic Surgery

A step-up approach that aims at control of infection source rather than complete
removal of infected necrosis has been proposed. In the PANTER trial (minimally
invasive step up approach vs. maximal necrosectomy in patients with acute ...

Author: J. Michael Millis

Publisher: Springer

ISBN: 9783319273655

Category: Medical

Page: 695

View: 418

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This book is part of a series covering surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.
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Unqualified Doctors Performing Cosmetic Surgery

... who had switched, most often from emergency medicine, general surgery or
ear, nose and throat medicine. The committee recommended that state medical
boards step up efforts to regulate who should be allowed to perform plastic
surgery.

Author: United States. Congress. House. Committee on Small Business. Subcommittee on Regulation, Business Opportunities, and Energy

Publisher:

ISBN: PSU:000015621887

Category: Adversising

Page:

View: 521

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The Philadelphia University Journal of Medicine and Surgery

... properlythe patient will trip over slight obstacles , or in ascending steps will be
found unable to place the foot of the affected limb upon the next step , but will
step up with the sound limb , then briug the debilitated one up and so to the top .

Author:

Publisher:

ISBN: HARVARD:32044102970209

Category:

Page:

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The Retrospect of Practical Medicine and Surgery

Thus fallaciously guided , the student of biology , instead of being led step by
step up a gradual ascent from the study of physiological to that of pathological
processes , is inade to spring over a wide gulf into a new and strange land . The
truth ...

Author:

Publisher:

ISBN: IOWA:31858040465308

Category: Medicine

Page:

View: 497

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The Retrospect of Practical Medicine and Surgery

Thus fallaciously guided , the student of biology , instead of being led step by
step up a gradual ascent from the study of physiological to that of pathological
processes , is made to spring over a wide gulf into a new and strange land . The
truth ...

Author: William Braithwaite

Publisher:

ISBN: CHI:78911681

Category: Medicine

Page:

View: 268

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Orthopedic Surgery in the European Theater of Operations

Some had received thorough surgical care on the far shore and were
immediately transportable . Others arrived wearing their original field ... The pace
in the transit hospitals then began to step up . The 110th Station Hospital
received 1 , 000 ...

Author: United States. Army Medical Service

Publisher:

ISBN: STANFORD:24503163179

Category: Orthopedic surgery

Page: 397

View: 170

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Journal of Orificial Surgery

For this , as well as for other advances in surgery , the world and the profession
owe everlasting gratitude to the ... Case 1 . Helen B. , age 4 years , anemic ,
scrawny , irritable , nervous , lifeless ; indigestion , and inability to step up a step
or run ...

Author:

Publisher:

ISBN: CHI:103517976

Category:

Page:

View: 651

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Journal of Orificial Surgery

For this , as well as for other advances in surgery , the world and the profession
owe everlasting gratitude to the ... Case 1. Helen B. , age 4 years , anemic ,
scrawny , irritable , nervous , lifeless ; indigestion , and inability to step up a step
or run ...

Author: Edwin Hartley Pratt

Publisher:

ISBN: UOM:39015069800400

Category: Surgery, Orificial

Page:

View: 208

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The Science and Art of Surgery

This important step of the operation , like all the others , requires to be
deliberately and carefully done ( Fig . ... -Position of Hand in using Civiale's
Lithotrite . suddenly and forcibly screwing up the instrument , but the screw
should be gradually ...

Author: John Eric Erichsen

Publisher:

ISBN: GENT:900000191424

Category:

Page:

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Step Up to USMLE Step 2

... History (prior DVT or PE), Hypomobility (fracture, prolonged travel, surgery,
obesity), Hypovolemia (dehydration), Hypercoagulability (cancer, smoking),
Hormones (pregnancy, oral contraceptive pill [OCP] use), and
Hyperhomocysteinemia.

Author: Jonathan P. Van Kleunen

Publisher: Lippincott Williams & Wilkins

ISBN: 9781451163599

Category: Medical

Page: 352

View: 984

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This Step-Up Series volume is a high-yield, systems-based, outline-format review of commonly tested USMLE Step 2 material, including internal medicine subspecialties, required clerkship specialties, and important topics in medical practice. The user-friendly format, with numerous tables, illustrations, and flow charts, allows quick review of a vast body of facts. "Quick Hit" marginalia highlight facts likely to be tested. "Next Step" marginalia indicate what the clinician must do next after making a diagnosis. A full-color section illustrates classic presentations of dermatologic and other disorders. This edition includes additional Quick Hits, mnemonics, new illustrations, expanded coverage of ARDS, a new table on breast malignancy variants, and updated vaccination schedules.
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Lectures on Orthopedic Surgery and Diseases of the Joints

... additionally sustained by iron bars bolted under the soles , and extending up
on either side of the leg to the knee , and then securely fastened around the leg
with strong leathern straps . The patient had discovered that she could not stand
at ...

Author: Lewis Albert Sayre

Publisher:

ISBN: CHI:086267436

Category: Joints

Page: 476

View: 744

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The remarks of Dr. Valentine Mott upon orthopedic surgery in his 'Travels in the East and in Europe' are quoted fully on pp. 6-8. -- H.W. Orr.
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Lectures on Orthopedic Surgery and diseases of the joints Illustrated etc

... additionally sustained by iron bars bolted under the soles , and extending up
on either side of the leg to the knee , and then securely fastened around the leg
with strong leathern straps . The patient had discovered that she could not stand
at ...

Author: Lewis A. SAYRE

Publisher:

ISBN: BL:A0022020256

Category:

Page:

View: 909

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The Boston Medical and Surgical Journal

or , at all erents , this phase of it , is not described in the common works on
surgery , although a thesis in French , one ... is saved from a threatened fall by
being suddenly caught by the wrist , or it is listed over a gutter , or made to step
up by a ...

Author:

Publisher:

ISBN: HARVARD:HC3XFL

Category: Medicine

Page:

View: 911

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Boston Medical and Surgical Journal

or , at all events , this phase of it , is not described in the common works on
surgery , although a thesis in French , one ... is saved from a threatened fall by
being suddenly caught by the wrist , or it is listed over a gutter , or made to step
up by a ...

Author:

Publisher:

ISBN: BSB:BSB10085142

Category:

Page:

View: 460

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Modern Management of Benign and Malignant Pancreatic Disease An Issue of Gastroenterology Clinics E Book

Horvath and co-workers5 recently reported on a phase 2 single-arm multicenter
study of VARD. Forty patients with infected pancreatic necrosis were evaluated
with the step-up approach; of these, 31 patients required surgery. VARD was ...

Author: Jacques Van Dam

Publisher: Elsevier Health Sciences

ISBN: 9781455742806

Category: Medical

Page: 960

View: 655

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Dr. Van Dam is an internationally recognized leader in gastroenterology and has been a leader in advances in intervedntional endoscopy. He brings this expertise to the topic of management of benign and malignant pancreatic disease and has selected top experts in the field to provide state-of-the-art clinical information to gastroenterologists. The modern management treatise of each article addresses current diagnostics as well as medical management. Seven articles are devoted to pancreatic cancer and span medical management, surgial mangament, radiologic imaging, endoscopic diagnosis, palliation, and screening. Other important topics addressed are pancreatic transplantation, pancreatic cystic neoplasms, acute and chronic pancreatitis, and autoimmune pancreatitis.
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Advances in Surgery E Book

Under the step-up protocol, patients initially undergo percutaneous or
endoscopic drainage to control sepsis, which is ... who underwent initial
percutaneous drainage as part of planned step-up did not require surgical
intervention [110].

Author: John L. Cameron

Publisher: Elsevier Health Sciences

ISBN: 9780323087278

Category: Medical

Page: 424

View: 965

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Each year, Elsevier’s Advances in Surgery reviews the latest techniques, data, and evidence in general surgery. A distinguished editorial board, led by Dr. John L. Cameron of Johns Hopkins, identifies current areas of major progress and controversy, and invites specialists from around the world to contribute comprehensive, detailed reviews on these topics.
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