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Surgery: Diagnosis and Management, 4th Edition

Nigel Rawlinson (Editor), Derek Alderson (Editor)
ISBN: 978-1-4051-2921-3
712 pages
November 2008, Wiley-Blackwell
Surgery: Diagnosis and Management, 4th Edition (1405129212) cover image
Surgery: Diagnosis and Management is a concise pocket-sized book for use in the day-to-day management of surgical patients.

This highly respected, popular guide (previously Dunn’s Surgical Diagnosis and Management) is perfect for on-the-ward reference. This 4th edition has been fully updated. It is particularly valued for its consistent structure in conveying practical information. It also provides a comprehensive foundation for those contemplating a surgical career.

It is divided into two parts. Part one (Chapters 1-2) introduces general surgical assessment, ward care, and the principles of surgical practice. Part two (Chapters 3-15) deals with specific surgical conditions and for each includes:

  • A brief description of the condition, to enable clinical understanding
  • the typical 'pattern' of symptoms and signs at presentation
  • the steps needed to prove the diagnosis
  • the general, operative and post operative management

This new 4th edition will prove to be invaluable for the busy junior surgical trainee and clinical medical student.

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Preface to the fourth edition.

Preface to the first edition.


Layout of this book.

1 The daily management of patients in surgical wards.

1.1 Admitting the surgical patient.

1.2 Preparing the patient for operation.

1.3 The management of patients with pre-existing medical diseases.

1.4 The operation and afterwards.

1.5 Postoperative complications: presenting symptoms.

1.6 Gastrointestinal and respiratory complications.

1.7 Cardiovascular complications.

1.8 Urinary complications.

1.9 Infections, abscesses and fistulae.

1.10 Laparoscopic and endoscopic surgery.

1.11 The junior surgical trainee’s role in the intensive care unit.

2 Prescriptions and other tasks.

2.1 Management of intravenous fluids.

2.2 Prescribing drugs for surgical patients.

2.3 Sutures, staples and drains.

2.4 Relatives, discharge, death and documents.

3 Head and neck surgery.

3.1 Lumps in the head and neck.

3.2 Cervical lymphadenopathy.

3.3 Conditions of the mouth.

3.4 Conditions of the tongue.

4 Endocrine surgery.

4.1 Swellings of the thyroid gland.

4.2 Parathyroids.

4.3 Adrenal and benign pancreatic tumours.

5 Breast surgery.

5.1 Breast lumps and benign breast conditions.

5.2 Carcinoma of the breast.

5.3 Conditions of the male breast.

6 Chest surgery.

6.1 Chest drainage and thoracotomy.

7 Upper gastrointestinal and small bowel surgery.

7.1 Oesophageal problems.

7.2 Stomach and duodenum.

7.3 Central abdominal pain.

8 Hepatobiliary, pancreatic and splenic surgery.

8.1 Hepatobiliary disease.

8.2 Pancreas and spleen.

9 Colorectal surgery and perianal pain.

9.1 Colorectal surgery.

9.2 Perianal pain.

10 Hernias.

10.1 Hernias and other groin lumps.

10.2 Other hernias.

11 Urinary tract surgery.

11.1 Disorders of the upper urinary tract.

11.2 Conditions of the lower urinary tract.

11.3 Male genitalia.

12 Vascular surgery.

12.1 Assessment of chronic ischaemia of the leg.

12.2 Management of the ischaemic limb.

12.3 Aneurysms, acute ischaemia and arteriovenous fistulae.

12.4 Other arterial conditions.

12.5 Venous disorders.

12.6 Lymphoedema.

13 Skin surgery.

13.1 Benign lesions of the skin.

13.2 Pigmented naevi and malignant skin conditions.

13.3 Skin infections and hyperhidrosis.

14 Surgery of children.

14.1 Surgical conditions of neonates.

14.2 Surgical conditions of children.

14.3 General management of the paediatric patient environment.

15 The management of trauma.

15.1 Dealing with a major accident.

15.2 Head injuries.

15.3 Chest and abdominal injury.

15.4 Spinal and pelvic injuries.

15.5 Trauma to the skin and limbs.


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Edited by Nigel Rawlinson, Consultant in Emergency Medicine and Associate Clinical Director, Bristol Royal Infirmary, and Derek Alderson, Barling Professor of Surgery, University of Birmingham
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  • A practical, concise pocketbook reference guide, designed for the busy house surgeon and final year medical student for use in the surgical care setting
  • Part one (Chapters 1-2) introduces general surgical assessment, ward care, and the principles of surgical practice.
  • Part two (Chapters 3-15) deals with specific surgical conditions
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"Rawlinson and Alderson have produced a welcome and very readable revision to one of the best-selling general surgical textbooks." (Annals of The Royal College of Surgeons, July 2010)

"A respected, popular guide (previously Dunn's Surgical Diagnosis and Management) intended for on-the-ward reference. Fully updated, it will appeal to the busy surgical trainee." (Times Higher Education Supplement, May 2008)

Reviews of the previous edition

"In summary, this practically based book fills a gap in surgical textbooks that many will have been looking for. I thoroughly recommend it." (Guy’s Gazette)

"British undergraduates are not avid readers of heavy medical texts and desire the essential facts in a succinct and readily digestible form. They will therefore welcome this book, which just fits into a white coat pocket and covers both the diagnosis and treatment of surgical patients." (BMJ)

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