Resident Readiness General Surgery

Dr. Debra L. Klamen is Associate Dean of Education and Curriculum as well as Professor and Chair of the Department of Medical Education at Southern Illinois University School of Medicine (Springfield, Illinois). She is also a Professor in the Department of Psychiatry at SIU.

• ContributorsAcknowledgments I.Introduction1.Welcome 2.How to Read this Book 3.General Advice 4.A 28-year-old Female Incoming Surgery Resident5.How to Write a Note—Fast!II.Handling Patients in the ED 6.Admissions 7.A 56-year-old Female Status Post Motor Vehicle Accident8.A 40-year-old Female With Abdominal Pain9.A 42-year-old Man With Severe Right Upper Quadrant Pain10.A 23-year-old Student With Periumbilical Pain That Has Migrated to Her RLQ 11.A 65-year-old Female in Severe Abdominal Pain12.A Patient in the ER With a Blood Pressure of 60/– and a Heart Rate of 14013.A 67-year-old Man With Mental Status Changes and a Suspected Diverticular Abscess14.A 57-year-old Man With a Chief Complaint of Nausea and Vomiting 15.A 65-year-old Man Status Post Surgery With a HCT of 24%16.A 70-year-old Man With “Bad Blood”17.A 37-year-old Man With a Painful Bulge Over His Left Forearm18.Three Patients All Present With Issues Related toLaboratory Tests19.A 73-year-old Man With Acute Right Lower Extremity Pain20.A 36-year-old Woman Status Post Motor Vehicle Accident While Intoxicated 21.A 50-year-old Man Presenting With Extensive Burns22.A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic Discomfort III.Handling Inpatients 23.A 75-year-old Man With Postoperative Pain 24.A 72-year-old Man With Acute Confusion Postoperatively25.You (the Intern) Are Asked to Read a Chest X-ray 26.A 65-year-old Woman in Respiratory Distress27.A Patient Who Is Postoperative Day 2 With New-onset Chest Pain28.A 65-year-old Woman With a New-onset Cardiac Arrhythmia29.A 60-year-old Man in the PACU With New-onset PVCs30.A 65-year-old Man With Bradycardia 31.A 65-year-old Man With a Pacemaker Who Needs Surgery32.A Patient With Pulseless Electrical Activity33.A 55-year-old Man Who May Require Perioperative β-blockade34.A 65-year-old Man Who Is in RespiratoryDistress 3 Days Postoperatively35.A 68-year-old Man with Postoperative Hypotension36.A 57-year-old Man Who Is Postoperative With aBlood Pressure of 210/95 37.A 65-year-old Female Who Is 4 Days Postoperative With Nausea, Vomiting, and a Distended Abdomen38.A 30-year-old Woman With Postoperative Nausea and Vomiting39.A 79-year-old Man, Postoperative Day 3,Who has Not had a Bowel Movement in 4 Days40.A 70-year-old Postoperative Colectomy Patient Who Is Not Putting Out Much Urine 41.A 55-year-old Male With Postoperative Urinary Retention42.A 52-year-old Female Who Is Dehydrated Postoperative Day #143.A 68-year-old Woman With Electrolyte Abnormalities44.A 58-year-old Man With a Postoperative Fever 45.A 42-year-old Woman 4 Hours Postoperative With a Fever and Extreme Pain 46.A 35-year-old Man With Crohn DiseaseWho Needs Postoperative Orders 47.A 65-year-old Man With Diabetes NeedingPostoperative Orders 48.A 65-year-old Female Presenting for Preoperative Evaluation49.A 33-year-old Woman Who Needs Postoperative Orders for DVT Prophylaxis 50.A 78-year-old Woman and a 62-year-old Man With Drains51.A 58-year-old Woman Who had a Drain Pulled by the Resident in Error52.A Resident Who Is Unsure About How to Remove a Chest Tube53.A Surgical Intern in a Moral Dilemma54.A 35-year-old Man Who Is Disruptive on the FloorIV.Handling Patients in Clinic 55.Ambulatory Care and the Surgery Intern56.A 55-year-old Man Who Was Struck by a Beer Truck and Needs a CT Scan 57.A 60-year-old Man With Postoperative Wound Complications58.A 35-year-old Woman Who Needs a Lipoma Removed in Clinic59.A 52-year-old Woman With a Suspected Congenital CoagulopathyBibliography Index