Category: General Surgery

Stomas

The word stoma comes from Greek to mean “an opening”. There are many types which are formed for a variety of reasons, but here we will focus on diversions of the urinary or gastrointestinal tract to the abdominal wall. These can be temporary or permanent and their purpose is predominantly the diversion of waste products.

Read More »

Abdominal X-rays

The advantages of AXRs are far less radiation to patients & that they’re logistically easy to organise out of hours. Unlike CTs they do not need to be discussed with the on-call radiologist but they aren’t reported as quickly therefore it is crucial you can interpret them. The most common indication for an AXR is

Read More »

Diarrhoea

Diarrhoea is a very common complaint and may be the reason for a patient’s admission, or develop as a new problem during an inpatient stay. Diarrhoea related to inflammation of the stomach and small bowel is termed gastroenteritis, whilst inflammation of the large bowel is colitis. However, these are umbrella terms that describe syndromes, not

Read More »

Pre & Post Operative Care

As a junior doctor, you will frequently look after patients prior to and after their operation. You may be asked to clerk patients who are admitted to hospital the night before their operations. Here are some things to consider during your clerking & whilst you’re considering pre & post-operative issues. Pre-Operative Clerking Pre-Operative Considerations Post-Operative

Read More »

Gallstone Disease

Patients regularly present under the acute take with gallstone disease. The aim of this article is to supplement the surgical webinar series session on gallstone disease that can be found on this website. The key learning points are to understand the background of gallstone disease, appreciate how they can present, and understand key concepts for

Read More »

Pancreatitis

Pancreatitis is a condition characterised by the inflammation of the pancreas. These patients are usually managed conservatively. Your aim is to try to find out the underlying cause, optimise managing them conservatively whilst observing for complications. Signs and symptoms: Upper abdominal pain (usually described as radiating to the back) Pain that gets worse after eating

Read More »

PR Bleeding

The first thing when called is to identify whether the bleeding is truly a lower GI bleed or whether it is an Upper GI Bleed as the management differs. Both can quickly become emergencies so seek senior advice. When the nurse first calls you Check the observations & their trend (urgent review for haemodynamic instability) If

Read More »

Bowel Obstruction

Bowel obstruction is a common reason for admission or complication of patients under the surgical team, but doctors don’t frequently get that much exposure to it in medical school. It is a condition in which the normal passage of intestinal products is impaired. It can affect both large and small bowel. Bowel obstruction can be

Read More »

Nausea & Vomiting

You will frequently get calls regarding nausea & vomiting: many patients present with it or develop it because of their diagnosis or treatment. You must consider anything concerning that could be causing it and give appropriate treatment for the underlying cause, correct any electrolyte disturbances & dehydration due to it in addition to antiemetics. Certain

Read More »

Abdominal Pain

When you are on call, you will often get a bleep about a patient with abdominal pain. Abdominal pain can be a bit of a minefield and it is easy to get bogged down with all the possibilities. The key is to be systematic and take a clear history and thorough examination so that you

Read More »

Follow us

Favourites

Our Newsletter

Trending Now

Doctor's Pay Calculator 2024
We’ve created a pay calculator to help you better understand your salary, how much tax you’ll...
Paracetamol Overdose
Paracetamol overdose is a common presentation in A&E and so you may often find yourself looking after...
Prepare for FY1 Guide by Specialty
This amazing guide was created by so many amazing doctors like yourself helping each other. It is a...
Audits & Quality Improvement Projects (QIPs)
Audits & QIPs are a way to identify issues, drive changes and assess the effects they have. It is...
e-Portfolio
Your e-Portfolio is an online tool to gather and store evidence of progression throughout your time as...
Applying to Anaesthetics
Anaesthetics is a very hands-on specialty. Day-to-day work will have a mix of practical procedures and...
Understanding the MSRA
The Multiple Specialty Recruitment Assessment (MSRA) is a computer-based exam increasingly being used...

Sign up for our awesome resources

Join over 40,000 users who have signed up for our free weekly webinars, referral cheat sheet & other exclusive content!