Common Surgical Diseases: An Algorithmic Approach to Problem Solving

329 Pages·2015·14.16 MB·English

by  Theodore J. Saclarides

Theodore J. Saclarides
Jonathan A. Myers
Keith W. Millikan
Common
Editors
Surgical
Diseases
An Algorithmic Approach to Problem Solving
Third Edition
123
Common Surgical Diseases
Third Edition

Common Surgical Diseases

An Algorithmic Approach to Problem Solving
Third Edition
Edited by
Theodore J. Saclarides
Professor of Surgery, Head
Division of Colon and Rectal Surgery
Loyola University Medical Center
Maywood, IL, USA
Jonathan A. Myers
Department of General Surgery
Rush University Medical Center
Chicago, IL, USA
Keith W. Millikan
Department of General Surgery
Rush University Medical Center
Chicago, IL, USA
Editors
Theodore J. Saclarides Jonathan A. Myers
Division of Colon and Rectal Surgery Department of General Surgery
Loyola University Medical Center Rush University Medical Center
Maywood , IL , USA Chicago , IL , USA
Keith W. Millikan
Department of General Surgery
Rush University Medical Center
Chicago , IL , USA
ISBN 978-1-4939-1564-4 ISBN 978-1-4939-1565-1 (eBook)
DOI 10.1007/978-1-4939-1565-1
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2014948462
© Springer New York 2015
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I dedicate this work to Elena for her support and understanding and my children Kathryn (Kashi), Eddie (mi hijo), Stephanie
(Weph), Constantine (Deno), Alexandra (Zaz), and Theodora (Dofro). My unconditional love goes to my granddaughter
Salome who, like the myrrh bearing women, inspires an understanding of the totality of our existence, a faith that should
remain steadfast, and a life that is eternal.
Theodore J. Saclarides
T his book is dedicated to my wife, Beth, for her love and support and to our children, Jack and Megan, for their spirit and enthusiasm.
Jonathan A. Myers
T o my daughter Samantha, who I hope can use this book as an aid for caring for patients as she pursues a career in medicine.
Keith W. Millikan

Pref ace
W ritten by leaders in the fi eld, Common Surgical Diseases: abdominal wall defects, hyperglycemia, necrotizing soft
An Algorithmic Approach to Problem Solving provides surgi- tissue infections, and SIRS/sepsis.
cal residents and house staff with a current, concise and algo- Following the success of the fi rst two editions, this revi-
rithmic approach to frequently encountered clinical sion provides an excellent quick reference and is an absolute
challenges. More than 90 chapters detail every common sur- essential for practicing surgeons, surgical house staff, and for
gical disease in the form of a succinct text coupled with a medical students in their surgical clerkship.
step-by-step algorithm. Each chapter walks the reader
Theodore J. Saclarides
through the evaluation, diagnosis, treatment, and follow-u p
Maywood, IL, USA
of the most common surgical problems.
Jonathan A. Myers
Thoroughly updated and revised, the third edition includes
Chicago, IL, USA
new chapters on DVT prophylaxis, access for hemodialysis,
Keith W. Millikan
adrenal incidentaloma, esophageal cancer, pancreatic cancer,
Chicago, IL, USA
genetic predisposition to colorectal cancer and breast cancer,
vii

Contents
Preface ................................................................................................................................................................................ vii
Contributors ....................................................................................................................................................................... xv
Part I General Preoperative Considerations
1 Cardiac Clearance for Noncardiac Surgery ............................................................................................................... 3
Ryan C. Knoper and Daniel Valentino
2 Preoperative Evaluation of Bleeding ......................................................................................................................... 7
Lisa N. Boggio
3 Managing Patient’s Medications (Diabetes, Beta Blockers, NSAIDs, Anticoagulants) ............................................ 11
Shobha L. Rao
4 The Carotid Bruit ....................................................................................................................................................... 17
Erin Farlow
5 DVT Prophylaxis ....................................................................................................................................................... 19
Neha Shah Sheng
Part II Trauma
6 Initial Trauma Assessment and Resuscitation ............................................................................................................ 25
Frederic Starr
7 Head Trauma .............................................................................................................................................................. 29
David Straus
8 Management of the Diffi cult Airway ......................................................................................................................... 33
Phillip S. LoSavio
9 Penetrating Neck Trauma ........................................................................................................................................... 37
Jennifer Rickard
10 Penetrating Chest Trauma .......................................................................................................................................... 41
James L. Lubawski Jr.
ix