This guide is designed to help you identify the key areas you need to focus on when clerking a surgical patient. There are several differences when compared to clerking a medical patient, namely getting a more extensive surgical past medical history, examination and assessing frailty. Your clerking needs to be succint, pertinent and clear. Presenting
In the webinar below, Dr Henry de Boer (radiology registrar) provides a structured approach to CT abdomen & pelvis interpretation, with an overview of common cases & pitfalls.
The Multiple Specialty Recruitment Assessment (MSRA) is a computer-based exam increasingly being used by many different specialties as part of core training applications. For all specialties, the MSRA score will contribute to or be the sole consideration for shortlisting candidates for limited interview slots for each specialty. Subsequently, the MSRA score will also (often) contribute
Appendicitis is a one of the most common abdominal emergencies worldwide. Your aim is to be able to diagnose it, distinguish between simple and complex cases and optimise medical management whilst your seniors decide on the timing of surgery.
The groin, also known as the inguinal region, extends from the anterior superior iliac spine (ASIS) anterolaterally, the thigh inferiorly and the pubic tubercle medially. It is an anatomical region vulnerable to surgical pathology due to a weakening of the abdominal wall occurring during embryology.
Colorectal cancer is one of the most common cancer types seen in the western world. They are adenocarcinomas arising from adenomatous polyps in the colon and rectum, with a majority seen on the left side of the colon.
In this article, we cover common benign anorectal pathologies including haemorrhoids, fissures & fistulas with a quick overview of their assessment & management. Basic anatomy Anatomical position of anus is described by a clock in the lithotomy position (lying on back with legs apart, pubic symphysis is 12 o’clock, coccyx is 6 o’clock) Internal anal
Diverticulae can occur throughout the gastrointestinal tract but are more common in the sigmoid & descending colon. Whilst frequently found, usually, it is incidental and not contributing to the presentation of the patient in front of you. In this article, we will take you through the spectrum of presentations & give an overview of the
Chronic pancreatitis is characterised by repeated pancreatic inflammation. This leads to the destruction of pancreatic tissue leading to irreversible loss of both endocrine and exocrine function and formation of calcifications, pseudocysts and fibrosis. Risk factors The most common causes of chronic pancreatitis are alcohol and smoking. It is estimated that alcohol causes up to 80%
Inflammatory bowel disease (IBD) refers to a relapsing and remitting inflammatory disorder of the gastrointestinal (GI) tract, which may be accompanied by extra-GI manifestations. What are the main types of IBD? The term IBD encompasses two types: ulcerative colitis (UC) and Crohn’s disease (CD). CD can affect any part of the GI tract, although in
