Х 50 Surgery : [textbook for students of higher medical educational institutions of Ministry of Health of Ukraine] / ed. Bereznyts'kyy Ya. S., Zakharash M. P., Mishalov V. G.; K. M. Amosova, Ya. S. Bereznyts'kyy, A. O. Burka et al. - 3rd ed. - Vinnytsia : Nova Knyha, 2021. - 711 p. : il. - На англ. мові. - Subject index: p. 705-711. - References in chapters. - ISBN 978-966-382-869-5 : 450.00 р. Dedicated 100th Anniversary of Dnipripetrovsk State Medical Academy to 175th Anniversary of Bogomolets National Medical University Переклад назви: Хірургія : підручник для студентів вищих мед. навч. закладів / за ред. Березницького Я. С., Захараша М. П., Мішалова В. Г.
Рубрики: ХІРУРГІЯ(АНГЛ)--Підручник Кл.слова (ненормовані): національний підручник(англ) -- підручники англійською Анотація: The textbook meets the program for preparing general practitioners in clinical surgery approved by the Ministry of Health of Ukraine. The material in the book is distributed depending on the nature of the disease and the priorities of medical care. Each theme is structured according to the principal clinical syndrome, with a precise division into chapters and due to professionally-oriented tasks of the approved branch standards. Each chapter is algorithmized that, in the judgement of the authors, should contribute to better assimilation of the material using the credit-module system. The textbook is intended for 4–6-year English-speaking students of higher medical educational institutions of III–IVth levels of accreditation, interns Contents INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 List of abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 CHAPTER 1. General principles of recognition and formation of clinical diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Principles of diagnostic thinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Nosological principle of diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Syndromic principle of diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Principles of preliminary diagnosis FORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Algorithm of preliminary diagnosis formation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 SUBSTANTIATION OF DIAGNOSTIC PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Principles of differential diagnosis performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Differential diagnosis in an examined supervised patient with “acute cholecystitis” disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 General principles and stages of clinical diagnosis formation . . . . . . . . . . . . . 24 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Test questions to Chapter 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Contents Hemorrhagic gastritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Stomach cancer complicated by bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Cancer of bowels complicated by bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Hemorrhoids complicated by bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 3.3. ACUTE INTESTINAL OBSTRUCTION (syndrome of acute intestinal obstruction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 General issues of diagnostics and treatment of acute intestinal obstruction . . . . . . . . . . . . 110 Dynamic intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Mechanical obstruction of small and large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Obturative obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Strangulation obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Мixed intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Thrombosis of mesenteric vessels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 3.4. PERITONITIS (Peritoneal syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 General issues of diagnostics and treatment of peritoneal syndrome . . . . . . . . . . . . . . . . . . 125 Peritonitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Perforation of peptic ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Perforation of small and large intestines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 3.5. ACUTE PROCTOLOGIC DISEASES (syndrome of acute pain in rectum, anal canal and perianal area) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 General issues of development and diagnostics of pain syndrome in anorectal area . . . . 143 Thrombosed hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Acute anal fissure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Acute periproctitis/acute anal abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Suppurative pilonidal sinuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Test questions to Chapter 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 CHAPTER 4. Chronic surgical diseases of gastrointestinal tract organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 4.1. Chronic obstructive disorders of esophagus (syndrome of dysphagia) . . 162 General issues of dysphagia development and its diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . 162 Esophageal achalasia (achalasia cardiae) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165 Esophageal stricture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Tumors of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Benign tumors of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Malignant tumors of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Diverticulum of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 4.2. CHRONIC DISEASES OF ESOPHAGUS CAUSED BY REFLUX OF GASTRIC CONTENTS (REFLUX AND HEARTBURN SYNDROME) . . . . . . . . . . . . . . . . . . . . . . 177 General issuess of development and diagnostics of heartburn and regurgitation of gastric contents into the esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Gastroesophageal reflux disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180 Hiatal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 4.3. CHRONIC DISEASES OF STOMACH AND PANCREATOBILIARY SYSTEM (pain syndrome in the upper part of abdominal cavity)...... 188 Peptic ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188 Contents 7 Peptic (postoperative) ulcer of anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196 Recurrent duodenal ulcer after isolated selective proximal vagotomy . . . . . . . . . . . . . . . 200 Cholelithiasis (gallstone disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 General issues of development, diagnostics and treatment of cholelithiasis . . . . . . . . . . . . 205 Chronic calculous cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Сholedocholithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 Chronic obstructive pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 Pancreatic cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216 4.4. CHRONIC OBSTRUCTION OF GASTROINTESTINAL TRACT (syndrome of chronic obstruction of gastrointestinal tract) . . . . . . . . . . . . . 219 General issues of development, diagnostics and treatment of chronic obstruction of gastrointestinal tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220 Peptic ulcer complicated by stenosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Arteriomesenteric compression of duodenum (chronic duodenal arteriomesenteric obstruction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224 Adhesive disease of abdominal cavity organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226 4.5. DISEASES OF HEPATOPANCREATOBILIARY ZONE COMPLICATED BY OBSTRUCTIVE JAUNDICE (syndrome of obstructive jaundice) . . . . . . . . . . . . . . . . . . 228 General issues of jaundice diagnosing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228 General issues of obstructive jaundice diagnostics and treatment . . . . . . . . . . . . . . . . . . . . . 231 Choledocolithiasis complicated by obstructive jaundice . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233 Tumor of extrahepatic bile ducts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 Tumor of major duodenal papilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238 Tumor of the head of pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240 Cholangitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241 4.6. CHRONIC INFLAMMATORY DISEASES Of small and large intestinES (Diarrheal-inflammatory syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 General issues of development, diagnostics and treatment of diseases with diarrheal-inflammatory syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 Ulcerative colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248 Crohn’s disease (terminal ileitis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255 4.7. PROLAPSE OF RECTUM (rectal prolapse syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . 259 General ussues of development, diagnostics and treatment of rectal prolapse syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260 Rectal prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261 Chronic hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264 4.8. Chronic proctologic diseases (Chronic pain syndrome in the area of anal canal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268 General issues of development, diagnostics and treatment of diseases, characterized by chronic pain syndrome in the area of anal canal . . . . . . . . . . . . . . . . . . . . . 268 Anal fissure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 Rectal fistulas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271 Pilonidal sinuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276 Control questions to Chapter 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277 8 CHAPTER 5. Surgical diseases of thorax and organs of thoracic cavity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contents 9 6.4. ESOPHAGEAL TRAUMA (syndrome of traumatic injury of esophagus) . . . . . 398 General issues of development, diagnostics and treatment of esophageal traumas . . . . 399 Mechanical trauma of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 Chemical burn of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409 Test questions to Chapter 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409 CHAPTER 7. Surgical diseases of arterial vessels . . . . . . . . . . . . . . . . . . . . . . . . . . . 412 7.1. Acute disturbance of arterial circulation (syndrome of acute ischemia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413 General issues of diagnostics and treatment of acute occlusion of arterial vessels . . . . . . 413 Acute arterial occlusion of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Pulmonary embolism (PE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 7.2. Ischemic diseases of lower extremities (syndrome of chronic ischemia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422 General issues of diagnostics and treatment of obliterating arterial lesions . . . . . . . . . . . . 422 Obliterating atherosclerosis of vessels of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . 426 Obliterating endarteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431 Raynaud’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435 Peripheral angiopathy in diabetes mellitus (diabetic angiopathy) . . . . . . . . . . . . . . . . . . . 437 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441 Test questions to Chapter 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441 CHAPTER 8. Surgical diseases of veins of lower extremities . . . . . . . . . . . . . . 444 SURGICAL DISEASES OF VEINS OF LOWER EXTREMITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445 Topographic anatomy of veins of lower extremities, their physiology and methods of investigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445 8.1. Chronic venous insufficiency (syndrome of chronic venous insufficiency) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 451 General issues of diagnostics and treatment of chronic venous insufficiency... 451 Varicose vein disease of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453 Post-thrombophlebitic disease (PTD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457 8.2. Acute venous obstruction (syndrome of acute venous thrombosis) . . . 461 General issues of diagnostics and treatment of acute venous obstruction . . . . . . . . . . . . . . 461 Thrombophlebitis of superficial veins of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . 465 Thrombosis of deep veins of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 467 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469 Test questions to Chapter 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 470 CHAPTER 9. Surgical diseases of endocrine organs . . . . . . . . . . . . . . . . . . . . . . . . 472 SURGICAL DISEASES OF ENDOCRINE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473 9.1. Surgical diseases of thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473 9.1.1. Goiter without thyroid function abnormality (Syndrome of thyroid gland hypertrophy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 478 General issues of development, diagnostics and treatment of surgical diseases of the thyroid gland without disturbance of its function (euthyroid goiter) . . . . . . . . . . . . . 478 Diffuse endemic goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480 Nodular endemic goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 482 Autoimmune thyroiditis – Hashimoto’s goiter (euthyroid form) . . . . . . . . . . . . . . . . . . . . . . 483 10 9.1.2. Thyrotoxicosis (syndrome of thyrotoxicosis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 General issues of development, diagnostics and treatment of surgical thyroid diseases with signs of thyrotoxicosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 Diffuse toxic goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 488 Functional anatomy of thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490 9.1.3. Inflammatory diseases of thyroid gland (Thyroid gland inflammation syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 492 General issues of development, diagnostics and treatment of inflammatory diseases of thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 492 Acute suppurative thyroiditis and strumitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 493 Subacute thyroiditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495 9.2. Surgical diseases of parathyroid glands (hypercalcemia syndrome) . . 496 Hyperparathyroidism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497 9.3. Surgical diseases of adrenal glands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500 Itsenko – Cushing’s syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 503 Primary (hyper)aldosteronism (Conn’s syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 504 Pheochromocytoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 506 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 510 Test questions to Chapter 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 510 CHAPTER 10. breast Anomalies and diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511 BREAST ANOMALIES AND DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 512 10.1. CONGENITAL BREAST ANOMALIEs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516 Amastia (breast aplasia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516 Polymastia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517 Polythelia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517 Athelia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518 10.2. HORMONE-DEPENDENT BREAST DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518 Fibrocystic mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518 Thyroid form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 519 Ovarian form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520 Suprarenal form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520 Diffuse mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521 Nodal mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521 Cystic mastopathy (Reclus’s disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 522 Mastodynia (mastalgia, Cooper’s disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 522 Fibroadenoma of breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523 Breast cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 525 Test questions to Chapter 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 525 CHAPTER 11. surgical Purulent infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527 General issues of development, diagnostics and treatment of purulent surgical infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 528 11.1. WOUND INFECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 531 Causes and mechanism of development of wound infection . . . . . . . . . . . . . . . . . . . . . . . 531 Microbiological diagnostics of wound infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 534 Contents Contents 11 Immune response of organism to wound infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 536 Clinical diagnostics of wound infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 538 Principles of prevention and treatment of wound infection . . . . . . . . . . . . . . . . . . . . . . . . . 539 11.2. GENERALIZED INFLAMMATORY REACTIONS (sepsis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 543 General issues of development, diagnostics and treatment of generalized inflammatory reactions (sepsis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 543 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 554 Test questions to Chapter 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555 CHAPTER 12. Fundamentals of transplantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 558 General issues of transplantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 559 Social and legal aspects of transplantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560 Mental and ethical (bioethical) and legal issues of transplantology . . . . . . . . . . . . . . . . . . . . 560 Fundamentals of transplant immunology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 561 Particular issues of of vital organ transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563 Kidney transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563 Liver transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564 Heart transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565 Pancreas transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 566 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567 Test questions to Chapter 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567 CHAPTER 13. Shocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569 General issues of development, diagnostics and treatment of shocks . . . . . . . . . . . . . . . . . . 570 Hemorrhagic shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 579 Burn shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 585 Anaphylactic shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601 Test questions to Chapter 13 . . . . . . . . . . . . . . . . . . . . . . 602 Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 604 Differential diagnosis TABLES OF SURGICAL DISEASES . . . . . . . . . . . . . . . . . . . . . . . 605 Multiple-choice clinical tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 640 Answers to clinical tasks . . . . . . . . . . . . . . . . . . . . . . . . 678 cluster type Clinical tasks on surgery to prepare for problem-oriented state tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695 Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 704 Дод.точки доступу: Amosova, Kateryna M. Амосова Катерина Миколаївна Bereznyts'kyy, Yakov S. Березницький Яків Соломонович Burka, Anatoliy O. Бурка Анатолій Олексійович Getman, Vadym G. Гетьман В. Г. Khapat'ko, Georgiy Y. Хапатько Г. Ю. Khrapash, Vasil V. Храпач В. В. Kligunenko, Olena M. Клигуненко О. М. Klimenko, Volodymyr M. Клименко В. М. Korpusyenko, Igor V. Корпусенко І. В. Kutovyi, Oleksandr B. et al. Кутовий О. Б. Bereznyts'kyy, Ya. S. \ed.\ Zakharash, M. P. \ed.\ Захараш М. П. Mishalov, V. G. \ed.\ Мішалов В. Г. Примірників всього: 1 Наук.Аб. (1) Вільні: Наук.Аб. (1) |
З-14 General surgery : [textbook for students of higher educational institutions] : пер. з укр. / ed. Bereznytsky Ya. S., Zakharash M. P., Mishalov V. G., Shidlovsky V. O.; V. P. Andriushchenko, Ya. S. Bereznytsky, A. V. Verba et al. - 2nd ed. - Vinnytsia : Nova Knyha, 2020. - 327 p. : il. ; 27 cm. - Autors: p. 3. - На англ. мові. - References: p. 326-327. - ISBN 978-966-382-852-7 : 220.00 р. Переклад назви: Загальна хірургія : підручник для студентів вищих навч. закладів / за ред. Березницького Я. С., Захараша М. П., Мішалова В. Г., Шідловського В. О.
Рубрики: ХІРУРГІЯ(англ)--Підручник Кл.слова (ненормовані): підручники англійською Анотація: The contents of the textbook correspond with curriculum for the general practitioner training in connection to the general surgery main topics, that is approved by the Ministry of Health of Ukraine. The textbook contains the main terminological, diagnostic and medical principles of providing medical care to patients with main, socialy significant surgical diseases, along with the questions of surgical care organization, examination and supervision of surgical patients. Well-structured information in the textbook with clearly highlighted main sections of the topic is given according to the professionally-oriented tasks approved by industry standards. Each section of the topic is presented in an algorithmic form, which in authors’ opinion, should facilitate a better understanding of materialby students while using credit-module teaching system. Preface from the editors ................ 7 Part 1. Fundamentals oF surgical care organization 1.1. general principles of surgical care organization ..................... 9 General issues of the terminology and medical care organization........................ 9 Outpatient surgical care ..............10 Inpatient surgical care ...............10 General issues, terminology and periods of surgical treatment ........................10 Preoperative period ................12 Intraoperative period ................13 Postoperative period .................14 1.2. surgical patient care ...............19 General principles of patient care .............19 General patient care ..................20 Techniques of medication administration .......26 Postinjection complications ............31 Application of the simplest treatment procedures ..32 Specialized care of operated patients ............38 Surgeries on the thorax and thoracic organs ....38 Surgeries on the abdominal cavity and abdominal organs ...................39 Urological surgeries ................40 Proctological surgeries ................41 Care of critically ill and agonizing patients......41 1.3. desmurgy ......................43 Desmurgy: dressings, bandages, materials and techniques of making .................43 Classification of bandages .............43 Roller bandage and its elements. Rules for bandaging ......................44 Techniques of applying roller bandages, triangular, four-tailed, adhesive and tubular elastic bandages ..45 1.4. asepsis and antisepsis ..............65 General information and terminology ..........65 Basics of modern asepsis .................65 The main channels of infection and its prophylaxis ....65 Airborne droplet infection and its prophylaxis ....65 Contact infection and sterilization ...........67 General principles of sterilization ...........67 Physical methods of sterilization ............67 Chemical methods of sterilization ..........69 Selected issues of sterilization ...........69 Implantation infection and its prophylaxis .....73 Endogenous infection and its prophylaxis ......74 Hospital acquired infection and its prophylaxis .....75 The problem of HIV-infection and other transmissible infections in surgery .........75 The sequence of actions to be followed by medical staff in case of medical accidents ............76 Basics and types of modern antisepsis ..........77 Mechanical antisepsis ...............77 Physical antisepsis ...................78 Chemical antisepsis .................79 Biological antisepsis ................80 Classical principles of rational antibiotic therapy ..80 1.5. general issues of pain, anesthetic management, intensive care of medical emergencies, cardiopulmonary and cerebral resuscitation ....81 Terminology used in anesthesiology and intensive care ..81 Essential ideas of pain in surgical practice .........83 Pain control: terminology and general issues ......83 Methods of anesthesia .................84 Local anesthesia ....................84 Some peripheral blocks with local anesthetics....87 Intercostal nerve block ................87 Procaine retromammary block .............87 Procaine short block ..................88 Intrapelvic block according to Shkolnyk – Selivanov..88 Postoperative pain and the main principles of its elimination ........................88 General information on pain associated with operative interventions, its mechanisms and the principles of pain control depending on the type and extent of an operative intervention .......88 General principles of intensive therapy .........93 General issues of diagnosis and intensive care of acute respiratory failure .....................95 General issues of diagnosis and intensive care of acute cardiovascular collapse and shocks ............ 100 Hypovolemic shock and blood loss .......... 102 Terminal states and patho physio logy of dying and clinical death ..................... 105 Preagony ...................... 105 Terminal pause .................... 106 Agony ...................... 106 Types of death ...................... 107 Clinical death .................... 107 Biological death .................. 108 A complex of cardiopulmonary and cerebral resuscitation ..................... 108 First stage of resuscitation (Basic life support (BLS)) .............. 109 The second stage of resuscitation (Advanced cardiac life support (ACLS)) ....... 112 test questions for part 1 ................ 116 Part 2. general issues oF surgical Pathology 2.1. terminology, diagnosis and treatment of hemorrhages .................. 121 General issues of hemorrhage and principles of its classification...................... 121 Clinical presentations of acute and chronic hemorrhage ................... 123 Arrest of bleeding (hemostasis) ............ 125 2.2. Wounds and wound process ........... 129 General concepts of wounds and wound process ..... 129 Types of wound healing and phases of wound process ....................... 132 Principles of wound treatment .......... 136 Treatment of surgical wounds ........... 136 Treatment of newly infected wounds ......... 137 Treatment of purulent wounds .......... 139 2.3. combat surgical trauma (prehospital care) .... 141 2.4. thermal, chemical and cold injuries ....... 151 Terminology of thermal and chemical injuries ..... 151 Thermal burns .................. 151 Burn disease ................... 156 Local treatment of burn wounds ......... 159 Peculiarities of patient care in treatment of burns .... 161 The main methods of rehabilitation of patients with burns ...................... 161 Chemical burns ................... 162 Cold injury ...................... 164 2.5. necroses, fistulas, ulcers ............. 169 Necrosis (local death of tissues) .............. 169 Gangrene ..................... 171 Fistulas ....................... 173 Ulcers .......................... 175 2.6. Fundamentals of clinical oncology....... 178 Terminology and classification of neoplasms ...... 178 General symptomatology and diagnostics of neoplasms 180 Principles of tumors treatment .............. 184 Prophylaxis and early diagnostics of tumors ........ 186 test questions for part 2 ................ 188 Part 3. clinical transFusiology 3.1. general issues of transfusion medicine ...... 193 3.2. immunological fundamentals of blood transfusion ...................... 194 Concept of group antigens and blood antibodies ..... 194 3.3. the abo blood group system .......... 196 The ABO blood groups ................ 196 Determination of the ABO blood types ...... 197 Blood typing with the help of monoclonal antibodies ...................... 197 Determination of blood group by the cross method (double reaction) .................. 197 3.4. the rhesus-antigen system .......... 199 The Rh antigen system: ................. 199 Determination of Rh blood group by using monoclonal antibodies (colyclones) .................. 199 Errors in the ABO and Rh blood typing .......... 200 3.5. methods of transfusion of blood components and products .............. 201 3.6. technique of transfusion of blood components and products .............. 203 3.7. modern approaches to blood transfusion therapy ........................ 207 Classification of transfusion mediums ........... 207 Blood components ................... 207 Blood-derived medicinal products ............ 209 3.8. complications of transfusion therapy ...... 211 3.9. Blood donation ................ 215 3.10. legal aspects of blood transfusions ....... 216 Legal aspects of hemotransfusions ........ 216 test questions for Part 3 ................ 219 Part 4. surgical inFection General issues of the development, diagnosis and treatment of inflammatory and purulent diseases ... 221 4.1. Purulent diseases of the skin and subcutaneous tissues ............... 223 Purulent diseases of the skin and subcutaneous fat (furuncle, carbuncle, abscess)............... 223 Phlegmon ........................ 226 Hidradenitis ....................... 228 Erysipelas ........................ 229 Erysipeloid ....................... 231 4.2. inflammatory diseases of lymphatic vessels and nodes ................. 232 Lymphangitis .................... 232 Lymphadenitis ..................... 233 4.3. infections of the hand ............... 235 Felon (whitlow) (purulent processes of the fingers)... 236 Purulent diseases of the hand .............. 242 4.4. inflammatory diseases of the glandular organs ....................... 245 Mastitis ......................... 245 Lactational mastitis ................. 245 Parotitis ......................... 247 4.5. Purulent diseases of bones and joints ...... 249 General issues of the development, diagnosis and treatment of osteomyelitis .............. 249 Hematogenous osteomyelitis ............ 251 Posttraumatic osteomyelitis ............ 253 Purulent disease of the joints ............. 254 Acute purulent arthritis ............... 254 Acute bursal abscess ............... 256 4.6. anaerobic infection ................ 258 Clostridial surgical infection (gas gangrene) ........ 258 Nonclostridial anaerobic surgical infection ....... 261 4.7. specific surgical infection ............. 263 Tetanus ......................... 263 Anthrax ......................... 266 Diphtheria of wounds ................. 267 test questions for Part 4 ................ 269 Part 5. general issues oF Patient examination 5.1. the sequence and methodology of examination of a surgical patient .......... 273 Patient’s complaints ................. 273 Characteristics of pain by location ......... 274 Vomiting ....................... 275 Hiccup ........................ 276 Heartburn .................... 276 Dysphagia .................... 276 Eructation .................... 277 Regurgitaion ..................... 277 Disturbance of the large bowel emptying ....... 277 Urination disorders.................. 277 Menstrual disorders ............... 277 General weakness ................. 277 Vertigo ....................... 278 History of the present illness .............. 278 Patient’s life history .................. 278 Evaluation of patient’s general condition ........ 279 5.2. technique of physical examination of a patient ...................... 281 Skin and visible mucous membranes .......... 281 Lymph nodes ..................... 281 Muscular system and osteoarticular apparatus ..... 281 Head and face ...................... 282 Neck ......................... 282 Thorax ........................ 283 Respiratory organs ................... 283 Cardiovascular system .................. 283 Abdomen...................... 284 Digestive apparatus ................ 284 Rectum and perianal region .............. 285 Urinary system ..................... 285 Nervous system and psychic state ............ 286 Assessment of local status ............... 287 5.3. supplementary methods of patient examination ...................... 288 Laboratory methods of examination .......... 288 Instrumental methods of examination ......... 288 Endoscopic methods of examination ....... 288 Ultrasound methods of examination ....... 293 Roentgenological and radiological methods of examination .................... 294 5.4. documentation of patient’s condition ..... 298 test questions for Part 5 ................ 299 Control tests ..................... 301 References ...................... 326 Дод.точки доступу: Andriushchenko, V. P. Андрющенко, Віктор Петрович Bereznytsky, Yakov S. Березницький, Яків Соломонович Verba, A. V. Верба, Андрій В'ячеславович Ganzhiy, V. V. Ганжий, В. В. Horobchuk, O. O. Горобчук, О. О. Dronov, O. I. Дронов, О. І. Zheliba, M. D. Желіба, Микола Дмитрович Zarutskyi, Ya. L. Заруцький, Я. Л. Zakharash, M. P. Захараш, Михайло Петрович Kobelyatskyi, Y. Y. Кобеляцький, Ю. Ю. Kovalska, I. O. Ковальська, Інна Олександрівна Lihonenko, O. V. Лігоненко, Олексій Вікторович Chorna, I. A. Чорна, Ірина Олексіївна та ін. Bereznytsky, Ya. S. \ed.\ Zakharash, M. P. \ed.\ Захараш, М. П. Mishalov, V. G. \ed.\ Мішалов, Володимир Григорович Shidlovsky, V. O. \ed.\ Шідловський, Віктор Олександрович Примірників всього: 1 Наук.Аб. (1) Вільні: Наук.Аб. (1) |
Т 65 Traumatology and Orthopedics : Manual [for the students of higher education esteblishments - medical universities, institutes and academies] / ed. O. A. Buryanov ; Y. V. Polyachenko, O. A. Buryanov, Y.T. Skliarenko et al. - 2nd ed., revised. - K. : Medicine Publishing, 2017. - 215 p. - На англ. мові. - Бібліогр. в підрозд. - Бібліогр.: с. 203-215. - ISBN 978-617-505-584-7 : 182.00 грн Переклад назви: Травматологія та ортопедія: посібник / за ред. О. А. Бур'янова
Рубрики: Травматологія--Навчальний посібник Ортопедія--Навчальний посібник Кл.слова (ненормовані): навчальні посібники Анотація: CONTENТS Traumatology and Orthopedics Syllabus........4Unit 1. Methods of Inspecting Orthopedics and TraumatologyPatients................6Unit 2. Congenital Myogenic Torticollis. Congenital Clubfoot. 16 Unit 3. Dysplasia of Hip Joint. Congenital Hip Dislocation . 24Unit 4. Degenerative-Dystrophic Joints Diseases...... 32Unit 5. Inflammatory Diseases of Joints (Arthritises)... 43Unit 6. Flaccid and Spastic Paralyses.......... 66Unit 7. Congenital and Acquired Diseases of Spine .... 75Unit 8. Foot Diseases............. 86Unit 9. Modern Principles of Amputations and MedicalAspects of Prosthetics .......... 93Unit 10. Out-Patient Reception..........107Unit 11. Fractures of Clavicle, Shoulder Blade, ProximalEnd of Humeral Bone. Shoulder Dislocation.....115Unit 12. Fractures of Humeral Bone Diaphysis and ElbowJoint Region. Forearm Dislocations.......124Unit 13. Forearm Fractures............132Unit 14. Hand Injuries and Diseases..........140Unit 15. Femoral Fracture...........148Unit 16. Knee Joint Damages and Shin Fractures.....156Unit 17. Ankle Joint and Foot Damages ........165Unit 18. Pelvic Bones Injuries............174Unit 19. Spine Injuries.............182Unit 20. Multiple Fracture and Combined Injury......190The List of Obligatory Practical Skills in Traumatologyand Orthopedics for Students of Medical Facultiesof the 4th Year of Studying..........200A Scheme of a Reviewing Medical History ........201Answers to Final Tests.............202The List of Recommended Literature.........203 Дод.точки доступу: Polyachenko, Yuriy Volodymyrovych Поляченко Юрій Володимирович Buryanov, Olexandr Anatoliyovych Бур'янов Олександр Анатолійович Skliarenko, Yevhen Tymofiyivych Скляренко Євген Тимофійович Voloshyn, O. I. Zadnichenko, M. O. Kvasha, V. P. Kravchuk, V. I. Hrek, V. P. Omelchenko, T. M. Pshenychnyi, T. Y. Sobolevskyi, Y. L. Samusenko, I. V. Buryanov, Olexandr Anatoliyovych \ed.\ Примірників всього: 1 Наук.Аб. (1) Вільні: Наук.Аб. (1) |
З-14 General surgery : [textbook for students of higher educational institutions] : пер. з укр. / ed. Bereznytsky Ya. S., Zakharash M. P., Mishalov V. G., Shidlovsky V. O.; Andriushchenko V. P., Ya. S. Bereznytsky, A. V. Verba et al. - Vinnytsia : Nova Knyha, 2019. - 327 p. : il. ; 27 cm. - Autors: p. 3. - На англ. мові. - References: p. 326-327. - ISBN 978-966-382-775-9 : 550.00 грн Переклад назви: Загальна хірургія : підручник для студентів вищих навч. закладів / за ред. Березницького Я. С., Захараша М. П., Мішалова В. Г., Шідловського В. О.
Рубрики: ХІРУРГІЯ(англ)--Підручник Кл.слова (ненормовані): підручники Анотація: The contents of the textbook correspond with curriculum for the general practitioner training in connection to the general surgery main topics, that is approved by the Ministry of Health of Ukraine. The textbook contains the main terminological, diagnostic and medical principles of providing medical care to patients with main, socialy significant surgical diseases, along with the questions of surgical care organization, examination and supervision of surgical patients. Well-structured information in the textbook with clearly highlighted main sections of the topic is given according to the professionally-oriented tasks approved by industry standards. Each section of the topic is presented in an algorithmic form, which in authors’ opinion, should facilitate a better understanding of materialby students while using credit-module teaching system. This textbook is intended for the 3rd year students of higher medical universities, III–IV levels of accreditation Preface from the editors ................ 7 Part 1. Fundamentals oF surgical care organization 1.1. general principles of surgical care organization ..................... 9 General issues of the terminology and medical care organization........................ 9 Outpatient surgical care ..............10 Inpatient surgical care ...............10 General issues, terminology and periods of surgical treatment ........................10 Preoperative period ................12 Intraoperative period ................13 Postoperative period .................14 1.2. surgical patient care ...............19 General principles of patient care .............19 General patient care ..................20 Techniques of medication administration .......26 Postinjection complications ............31 Application of the simplest treatment procedures ..32 Specialized care of operated patients ............38 Surgeries on the thorax and thoracic organs ....38 Surgeries on the abdominal cavity and abdominal organs ...................39 Urological surgeries ................40 Proctological surgeries ................41 Care of critically ill and agonizing patients......41 1.3. desmurgy ......................43 Desmurgy: dressings, bandages, materials and techniques of making .................43 Classification of bandages .............43 Roller bandage and its elements. Rules for bandaging ......................44 Techniques of applying roller bandages, triangular, four-tailed, adhesive and tubular elastic bandages ..45 1.4. asepsis and antisepsis ..............65 General information and terminology ..........65 Basics of modern asepsis .................65 The main channels of infection and its prophylaxis ....65 Airborne droplet infection and its prophylaxis ....65 Contact infection and sterilization ...........67 General principles of sterilization ...........67 Physical methods of sterilization ............67 Chemical methods of sterilization ..........69 Selected issues of sterilization ...........69 Implantation infection and its prophylaxis .....73 Endogenous infection and its prophylaxis ......74 Hospital acquired infection and its prophylaxis .....75 The problem of HIV-infection and other transmissible infections in surgery .........75 The sequence of actions to be followed by medical staff in case of medical accidents ............76 Basics and types of modern antisepsis ..........77 Mechanical antisepsis ...............77 Physical antisepsis ...................78 Chemical antisepsis .................79 Biological antisepsis ................80 Classical principles of rational antibiotic therapy ..80 1.5. general issues of pain, anesthetic management, intensive care of medical emergencies, cardiopulmonary and cerebral resuscitation ....81 Terminology used in anesthesiology and intensive care ..81 Essential ideas of pain in surgical practice .........83 Pain control: terminology and general issues ......83 Methods of anesthesia .................84 Local anesthesia ....................84 Some peripheral blocks with local anesthetics....87 Intercostal nerve block ................87 Procaine retromammary block .............87 Procaine short block ..................88 Intrapelvic block according to Shkolnyk – Selivanov..88 Postoperative pain and the main principles of its elimination ........................88 General information on pain associated with operative interventions, its mechanisms and the principles of pain control depending on the type and extent of an operative intervention .......88 General principles of intensive therapy .........93 General issues of diagnosis and intensive care of acute respiratory failure .....................95 General issues of diagnosis and intensive care of acute cardiovascular collapse and shocks ............ 100 Hypovolemic shock and blood loss .......... 102 Terminal states and patho physio logy of dying and clinical death ..................... 105 Preagony ...................... 105 Terminal pause .................... 106 Agony ...................... 106 Types of death ...................... 107 Clinical death .................... 107 Biological death .................. 108 A complex of cardiopulmonary and cerebral resuscitation ..................... 108 First stage of resuscitation (Basic life support (BLS)) .............. 109 The second stage of resuscitation (Advanced cardiac life support (ACLS)) ....... 112 test questions for part 1 ................ 116 Part 2. general issues oF surgical Pathology 2.1. terminology, diagnosis and treatment of hemorrhages .................. 121 General issues of hemorrhage and principles of its classification...................... 121 Clinical presentations of acute and chronic hemorrhage ................... 123 Arrest of bleeding (hemostasis) ............ 125 2.2. Wounds and wound process ........... 129 General concepts of wounds and wound process ..... 129 Types of wound healing and phases of wound process ....................... 132 Principles of wound treatment .......... 136 Treatment of surgical wounds ........... 136 Treatment of newly infected wounds ......... 137 Treatment of purulent wounds .......... 139 2.3. combat surgical trauma (prehospital care) .... 141 2.4. thermal, chemical and cold injuries ....... 151 Terminology of thermal and chemical injuries ..... 151 Thermal burns .................. 151 Burn disease ................... 156 Local treatment of burn wounds ......... 159 Peculiarities of patient care in treatment of burns .... 161 The main methods of rehabilitation of patients with burns ...................... 161 Chemical burns ................... 162 Cold injury ...................... 164 2.5. necroses, fistulas, ulcers ............. 169 Necrosis (local death of tissues) .............. 169 Gangrene ..................... 171 Fistulas ....................... 173 Ulcers .......................... 175 2.6. Fundamentals of clinical oncology....... 178 Terminology and classification of neoplasms ...... 178 General symptomatology and diagnostics of neoplasms 180 Principles of tumors treatment .............. 184 Prophylaxis and early diagnostics of tumors ........ 186 test questions for part 2 ................ 188 Part 3. clinical transFusiology 3.1. general issues of transfusion medicine ...... 193 3.2. immunological fundamentals of blood transfusion ...................... 194 Concept of group antigens and blood antibodies ..... 194 3.3. the abo blood group system .......... 196 The ABO blood groups ................ 196 Determination of the ABO blood types ...... 197 Blood typing with the help of monoclonal antibodies ...................... 197 Determination of blood group by the cross method (double reaction) .................. 197 3.4. the rhesus-antigen system .......... 199 The Rh antigen system: ................. 199 Determination of Rh blood group by using monoclonal antibodies (colyclones) .................. 199 Errors in the ABO and Rh blood typing .......... 200 3.5. methods of transfusion of blood components and products .............. 201 3.6. technique of transfusion of blood components and products .............. 203 3.7. modern approaches to blood transfusion therapy ........................ 207 Classification of transfusion mediums ........... 207 Blood components ................... 207 Blood-derived medicinal products ............ 209 3.8. complications of transfusion therapy ...... 211 3.9. Blood donation ................ 215 3.10. legal aspects of blood transfusions ....... 216 Legal aspects of hemotransfusions ........ 216 test questions for Part 3 ................ 219 Part 4. surgical inFection General issues of the development, diagnosis and treatment of inflammatory and purulent diseases ... 221 4.1. Purulent diseases of the skin and subcutaneous tissues ............... 223 Purulent diseases of the skin and subcutaneous fat (furuncle, carbuncle, abscess)............... 223 Phlegmon ........................ 226 Hidradenitis ....................... 228 Erysipelas ........................ 229 Erysipeloid ....................... 231 4.2. inflammatory diseases of lymphatic vessels and nodes ................. 232 Lymphangitis .................... 232 Lymphadenitis ..................... 233 4.3. infections of the hand ............... 235 Felon (whitlow) (purulent processes of the fingers)... 236 Purulent diseases of the hand .............. 242 4.4. inflammatory diseases of the glandular organs ....................... 245 Mastitis ......................... 245 Lactational mastitis ................. 245 Parotitis ......................... 247 4.5. Purulent diseases of bones and joints ...... 249 General issues of the development, diagnosis and treatment of osteomyelitis .............. 249 Hematogenous osteomyelitis ............ 251 Posttraumatic osteomyelitis ............ 253 Purulent disease of the joints ............. 254 Acute purulent arthritis ............... 254 Acute bursal abscess ............... 256 4.6. anaerobic infection ................ 258 Clostridial surgical infection (gas gangrene) ........ 258 Nonclostridial anaerobic surgical infection ....... 261 4.7. specific surgical infection ............. 263 Tetanus ......................... 263 Anthrax ......................... 266 Diphtheria of wounds ................. 267 test questions for Part 4 ................ 269 Part 5. general issues oF Patient examination 5.1. the sequence and methodology of examination of a surgical patient .......... 273 Patient’s complaints ................. 273 Characteristics of pain by location ......... 274 Vomiting ....................... 275 Hiccup ........................ 276 Heartburn .................... 276 Dysphagia .................... 276 Eructation .................... 277 Regurgitaion ..................... 277 Disturbance of the large bowel emptying ....... 277 Urination disorders.................. 277 Menstrual disorders ............... 277 General weakness ................. 277 Vertigo ....................... 278 History of the present illness .............. 278 Patient’s life history .................. 278 Evaluation of patient’s general condition ........ 279 5.2. technique of physical examination of a patient ...................... 281 Skin and visible mucous membranes .......... 281 Lymph nodes ..................... 281 Muscular system and osteoarticular apparatus ..... 281 Head and face ...................... 282 Neck ......................... 282 Thorax ........................ 283 Respiratory organs ................... 283 Cardiovascular system .................. 283 Abdomen...................... 284 Digestive apparatus ................ 284 Rectum and perianal region .............. 285 Urinary system ..................... 285 Nervous system and psychic state ............ 286 Assessment of local status ............... 287 5.3. supplementary methods of patient examination ...................... 288 Laboratory methods of examination .......... 288 Instrumental methods of examination ......... 288 Endoscopic methods of examination ....... 288 Ultrasound methods of examination ....... 293 Roentgenological and radiological methods of examination .................... 294 5.4. documentation of patient’s condition ..... 298 test questions for Part 5 ................ 299 Control tests ..................... 301 References ...................... 326 Дод.точки доступу: Andriushchenko, V. P. Андрющенко, Віктор Петрович Bereznytsky, Yakov S. Березницький, Яків Соломонович Verba, A. V. Верба, Андрій В'ячеславович Ganzhiy, V. V. Ганжий, В. В. Horobchuk, O. O. Горобчук, О. О. Dronov, O. I. Дронов, О. І. Zheliba, M. D. Желіба, Микола Дмитрович Zarutskyi, Ya. L. Заруцький, Я. Л. Zakharash, M. P. Захараш, Михайло Петрович Kobelyatskyi, Y. Y. Кобеляцький, Ю. Ю. Kovalska, I. O. Ковальська, Інна Олександрівна Lihonenko, O. V. Лігоненко, Олексій Вікторович Chorna, I. A. Чорна, Ірина Олексіївна та ін. Bereznytsky, Ya. S. \ed.\ Zakharash, M. P. \ed.\ Захараш, М. П. Mishalov, V. G. \ed.\ Мішалов, Володимир Григорович Shidlovsky, V. O. \ed.\ Шідловський, Віктор Олександрович Примірників всього: 100 ЧЗ (1), Наук.Аб. (3), Гурт.4 (1), Уч.Аб. (95) Вільні: ЧЗ (1), Наук.Аб. (3), Гурт.4 (1), Уч.Аб. (95) |
Х 50 Surgery : [textbook for students of higher medical educational institutions of Ministry of Health of Ukraine] / ed. Bereznyts'kyy Ya. S., Zakharash M. P., Mishalov V. G.; K. M. Amosova, Ya. S. Bereznyts'kyy, A. O. Burka et al. - 2nd ed. - Vinnytsia : Nova Knyha, 2018. - 711 p. : il. - На англ. мові. - Subject index: p. 705-711. - References in chapters. - ISBN 978-966-382-714-8 : 450.00 грн Переклад назви: Хірургія : підручник для студентів вищих мед. навч. закладів / за ред. Березницького Я. С., Захараша М. П., Мішалова В. Г.
Рубрики: ХИРУРГИЯ(англ)--Підручник Кл.слова (ненормовані): національний підручник(англ) Анотація: The textbook meets the program for preparing general practitioners in clinical surgery approved by the Ministry of Health of Ukraine. The material in the book is distributed depending on the nature of the disease and the priorities of medical care. Each theme is structured according to the principal clinical syndrome, with a precise division into chapters and due to professionally-oriented tasks of the approved branch standards. Each chapter is algorithmized that, in the judgement of the authors, should contribute to better assimilation of the material using the credit-module system. The textbook is intended for 4–6-year English-speaking students of higher medical educational institutions of III–IVth levels of accreditation, interns Contents INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 List of abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 CHAPTER 1. General principles of recognition and formation of clinical diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Principles of diagnostic thinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Nosological principle of diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Syndromic principle of diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Principles of preliminary diagnosis FORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Algorithm of preliminary diagnosis formation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 SUBSTANTIATION OF DIAGNOSTIC PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Principles of differential diagnosis performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Differential diagnosis in an examined supervised patient with “acute cholecystitis” disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 General principles and stages of clinical diagnosis formation . . . . . . . . . . . . . 24 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Test questions to Chapter 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Contents Hemorrhagic gastritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Stomach cancer complicated by bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Cancer of bowels complicated by bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Hemorrhoids complicated by bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 3.3. ACUTE INTESTINAL OBSTRUCTION (syndrome of acute intestinal obstruction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 General issues of diagnostics and treatment of acute intestinal obstruction . . . . . . . . . . . . 110 Dynamic intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Mechanical obstruction of small and large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Obturative obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Strangulation obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Мixed intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Thrombosis of mesenteric vessels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 3.4. PERITONITIS (Peritoneal syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 General issues of diagnostics and treatment of peritoneal syndrome . . . . . . . . . . . . . . . . . . 125 Peritonitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Perforation of peptic ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Perforation of small and large intestines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 3.5. ACUTE PROCTOLOGIC DISEASES (syndrome of acute pain in rectum, anal canal and perianal area) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 General issues of development and diagnostics of pain syndrome in anorectal area . . . . 143 Thrombosed hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Acute anal fissure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Acute periproctitis/acute anal abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Suppurative pilonidal sinuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Test questions to Chapter 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 CHAPTER 4. Chronic surgical diseases of gastrointestinal tract organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 4.1. Chronic obstructive disorders of esophagus (syndrome of dysphagia) . . 162 General issues of dysphagia development and its diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . 162 Esophageal achalasia (achalasia cardiae) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165 Esophageal stricture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Tumors of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Benign tumors of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Malignant tumors of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Diverticulum of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 4.2. CHRONIC DISEASES OF ESOPHAGUS CAUSED BY REFLUX OF GASTRIC CONTENTS (REFLUX AND HEARTBURN SYNDROME) . . . . . . . . . . . . . . . . . . . . . . 177 General issuess of development and diagnostics of heartburn and regurgitation of gastric contents into the esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Gastroesophageal reflux disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180 Hiatal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 4.3. CHRONIC DISEASES OF STOMACH AND PANCREATOBILIARY SYSTEM (pain syndrome in the upper part of abdominal cavity)...... 188 Peptic ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188 Contents 7 Peptic (postoperative) ulcer of anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196 Recurrent duodenal ulcer after isolated selective proximal vagotomy . . . . . . . . . . . . . . . 200 Cholelithiasis (gallstone disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 General issues of development, diagnostics and treatment of cholelithiasis . . . . . . . . . . . . 205 Chronic calculous cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Сholedocholithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 Chronic obstructive pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 Pancreatic cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216 4.4. CHRONIC OBSTRUCTION OF GASTROINTESTINAL TRACT (syndrome of chronic obstruction of gastrointestinal tract) . . . . . . . . . . . . . 219 General issues of development, diagnostics and treatment of chronic obstruction of gastrointestinal tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220 Peptic ulcer complicated by stenosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Arteriomesenteric compression of duodenum (chronic duodenal arteriomesenteric obstruction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224 Adhesive disease of abdominal cavity organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226 4.5. DISEASES OF HEPATOPANCREATOBILIARY ZONE COMPLICATED BY OBSTRUCTIVE JAUNDICE (syndrome of obstructive jaundice) . . . . . . . . . . . . . . . . . . 228 General issues of jaundice diagnosing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228 General issues of obstructive jaundice diagnostics and treatment . . . . . . . . . . . . . . . . . . . . . 231 Choledocolithiasis complicated by obstructive jaundice . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233 Tumor of extrahepatic bile ducts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 Tumor of major duodenal papilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238 Tumor of the head of pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240 Cholangitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241 4.6. CHRONIC INFLAMMATORY DISEASES Of small and large intestinES (Diarrheal-inflammatory syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 General issues of development, diagnostics and treatment of diseases with diarrheal-inflammatory syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 Ulcerative colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248 Crohn’s disease (terminal ileitis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255 4.7. PROLAPSE OF RECTUM (rectal prolapse syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . 259 General ussues of development, diagnostics and treatment of rectal prolapse syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260 Rectal prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261 Chronic hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264 4.8. Chronic proctologic diseases (Chronic pain syndrome in the area of anal canal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268 General issues of development, diagnostics and treatment of diseases, characterized by chronic pain syndrome in the area of anal canal . . . . . . . . . . . . . . . . . . . . . 268 Anal fissure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 Rectal fistulas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271 Pilonidal sinuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276 Control questions to Chapter 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277 8 CHAPTER 5. Surgical diseases of thorax and organs of thoracic cavity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contents 9 6.4. ESOPHAGEAL TRAUMA (syndrome of traumatic injury of esophagus) . . . . . 398 General issues of development, diagnostics and treatment of esophageal traumas . . . . 399 Mechanical trauma of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 Chemical burn of esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409 Test questions to Chapter 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409 CHAPTER 7. Surgical diseases of arterial vessels . . . . . . . . . . . . . . . . . . . . . . . . . . . 412 7.1. Acute disturbance of arterial circulation (syndrome of acute ischemia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413 General issues of diagnostics and treatment of acute occlusion of arterial vessels . . . . . . 413 Acute arterial occlusion of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Pulmonary embolism (PE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 7.2. Ischemic diseases of lower extremities (syndrome of chronic ischemia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422 General issues of diagnostics and treatment of obliterating arterial lesions . . . . . . . . . . . . 422 Obliterating atherosclerosis of vessels of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . 426 Obliterating endarteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431 Raynaud’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435 Peripheral angiopathy in diabetes mellitus (diabetic angiopathy) . . . . . . . . . . . . . . . . . . . 437 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441 Test questions to Chapter 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441 CHAPTER 8. Surgical diseases of veins of lower extremities . . . . . . . . . . . . . . 444 SURGICAL DISEASES OF VEINS OF LOWER EXTREMITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445 Topographic anatomy of veins of lower extremities, their physiology and methods of investigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445 8.1. Chronic venous insufficiency (syndrome of chronic venous insufficiency) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 451 General issues of diagnostics and treatment of chronic venous insufficiency... 451 Varicose vein disease of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453 Post-thrombophlebitic disease (PTD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457 8.2. Acute venous obstruction (syndrome of acute venous thrombosis) . . . 461 General issues of diagnostics and treatment of acute venous obstruction . . . . . . . . . . . . . . 461 Thrombophlebitis of superficial veins of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . 465 Thrombosis of deep veins of lower extremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 467 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469 Test questions to Chapter 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 470 CHAPTER 9. Surgical diseases of endocrine organs . . . . . . . . . . . . . . . . . . . . . . . . 472 SURGICAL DISEASES OF ENDOCRINE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473 9.1. Surgical diseases of thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473 9.1.1. Goiter without thyroid function abnormality (Syndrome of thyroid gland hypertrophy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 478 General issues of development, diagnostics and treatment of surgical diseases of the thyroid gland without disturbance of its function (euthyroid goiter) . . . . . . . . . . . . . 478 Diffuse endemic goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480 Nodular endemic goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 482 Autoimmune thyroiditis – Hashimoto’s goiter (euthyroid form) . . . . . . . . . . . . . . . . . . . . . . 483 10 9.1.2. Thyrotoxicosis (syndrome of thyrotoxicosis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 General issues of development, diagnostics and treatment of surgical thyroid diseases with signs of thyrotoxicosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 Diffuse toxic goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 488 Functional anatomy of thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490 9.1.3. Inflammatory diseases of thyroid gland (Thyroid gland inflammation syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 492 General issues of development, diagnostics and treatment of inflammatory diseases of thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 492 Acute suppurative thyroiditis and strumitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 493 Subacute thyroiditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495 9.2. Surgical diseases of parathyroid glands (hypercalcemia syndrome) . . 496 Hyperparathyroidism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497 9.3. Surgical diseases of adrenal glands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500 Itsenko – Cushing’s syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 503 Primary (hyper)aldosteronism (Conn’s syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 504 Pheochromocytoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 506 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 510 Test questions to Chapter 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 510 CHAPTER 10. breast Anomalies and diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511 BREAST ANOMALIES AND DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 512 10.1. CONGENITAL BREAST ANOMALIEs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516 Amastia (breast aplasia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516 Polymastia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517 Polythelia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517 Athelia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518 10.2. HORMONE-DEPENDENT BREAST DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518 Fibrocystic mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518 Thyroid form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 519 Ovarian form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520 Suprarenal form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520 Diffuse mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521 Nodal mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521 Cystic mastopathy (Reclus’s disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 522 Mastodynia (mastalgia, Cooper’s disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 522 Fibroadenoma of breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523 Breast cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 525 Test questions to Chapter 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 525 CHAPTER 11. surgical Purulent infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527 General issues of development, diagnostics and treatment of purulent surgical infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 528 11.1. WOUND INFECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 531 Causes and mechanism of development of wound infection . . . . . . . . . . . . . . . . . . . . . . . 531 Microbiological diagnostics of wound infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 534 Contents Contents 11 Immune response of organism to wound infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 536 Clinical diagnostics of wound infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 538 Principles of prevention and treatment of wound infection . . . . . . . . . . . . . . . . . . . . . . . . . 539 11.2. GENERALIZED INFLAMMATORY REACTIONS (sepsis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 543 General issues of development, diagnostics and treatment of generalized inflammatory reactions (sepsis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 543 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 554 Test questions to Chapter 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555 CHAPTER 12. Fundamentals of transplantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 558 General issues of transplantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 559 Social and legal aspects of transplantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560 Mental and ethical (bioethical) and legal issues of transplantology . . . . . . . . . . . . . . . . . . . . 560 Fundamentals of transplant immunology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 561 Particular issues of of vital organ transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563 Kidney transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563 Liver transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564 Heart transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565 Pancreas transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 566 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567 Test questions to Chapter 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567 CHAPTER 13. Shocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569 General issues of development, diagnostics and treatment of shocks . . . . . . . . . . . . . . . . . . 570 Hemorrhagic shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 579 Burn shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 585 Anaphylactic shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601 Test questions to Chapter 13 . . . . . . . . . . . . . . . . . . . . . . 602 Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 604 Differential diagnosis TABLES OF SURGICAL DISEASES . . . . . . . . . . . . . . . . . . . . . . . 605 Multiple-choice clinical tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 640 Answers to clinical tasks . . . . . . . . . . . . . . . . . . . . . . . . 678 cluster type Clinical tasks on surgery to prepare for problem-oriented state tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695 Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Дод.точки доступу: Amosova, Kateryna M. Амосова Катерина Миколаївна Bereznyts'kyy, Yakov S. Березницький Яків Соломонович Burka, Anatoliy O. Бурка Анатолій Олексійович Getman, Vadym G. Гетьман В. Г. Khapat'ko, Georgiy Y. Хапатько Г. Ю. Khrapash, Vasil V. Храпач В. В. Kligunenko, Olena M. Клигуненко О. М. Klimenko, Volodymyr M. Клименко В. М. Korpusyenko, Igor V. Корпусенко І. В. Kutovyi, Oleksandr B. et al. Кутовий О. Б. Bereznyts'kyy, Ya. S. \ed.\ Zakharash, M. P. \ed.\ Захараш М. П. Mishalov, V. G. \ed.\ Мішалов В. Г. Примірників всього: 122 Уч.Аб. (122) Вільні: Уч.Аб. (122) |
У 75 USMLE. Step 2 CK. 2018. Surgery : lecture notes / ed.: C. Pestano, A. Farooqui, M. N. Hill. - New York : Kaplan Medical, 2017. - vi, 247 p. : il. ; 28 cm. - На англ. мові. - Index: p. 239-247. - ISBN 978-1-5062-2822-8 : 2090.00 грн USMLE-United States Medical Licensing Examination. СK-Clinical Knowledge Переклад назви: USMLE (Медичний ліцензійний іспит Сполучених Штатів). Крок 2 КЗ (Клінічні знання). 2018. Хірургія: конспекти лекцій / ред.: К. Пестана, А. Фарукі, М. Нолан
Рубрики: ХІРУРГІЯ(АНГЛ)--Навчальний посібник Кл.слова (ненормовані): навчальні посібники(англ) Анотація: UP-TO-DATE Updated annuaIly by Kaplan's all-star faculty INTEGRATED Packed with bridges between specialties and basic science TRUSTED Used by thousands of students each year to ace the exam Table of Contents Part I. Surgery Chapter 1. Trauma. Chapter 2. Orthopedics.............. 19 Chapter 3. Pre-Op and Post-Op Care ...........35 Chapter 4. General Surgery............. 45 Chapter 5. Pediatric Surgery............. 65 Chapter 6. Cardiothoracic Surgery .......... 71 Chapter 7. Vascular Surgery............. 75 Chapter 8.Skin Surgery ............. 79 Chapter 9. Ophthalmology.............. 81 Chapter 10.Otolaryngology (ENT) ..........83 Chapter 11. Neurosurgery ............ 87 Chapter 12. Urology ............. 91 Chapter 13. Organ Transplantation .......... 95 Part II. Surgical Vignettes Chapter 1. Trauma.............. 99 Chapter 2. Orthopedics............. 131 Chapter 3. Pre-Op and Post-Op Care .......... 149 Chapter 4. General Surgery............ 163 Chapter 5. Pediatric Surgery............ 195 Chapter6.CardiothoracicSurgery .........201 Chapter 7. Vascular Surgery............ 207 Chapter 8. Skin Surgery ............ 209 Chapter 9. Ophthalmology............. 211 Chapter 10. Otolaryngology (EIMT) ............ 215 Chapter 11. Neurosurgery ............. 221 Chapter 12. Urology ...............229 Chapter 13. Organ Transplantation............ 237 Index............... .239 Дод.точки доступу: Pestano, Carlos \ed.\ Farooqui, Adil \ed.\ Hill, Mark Nolan \ed.\ James, Ted A. \contributor.\ Примірників всього: 10 Наук.Аб. (9), ЧЗ (1) Вільні: Наук.Аб. (9), ЧЗ (1) |
Х 50 Surgery : [textbook for students of higher medical educational institutions of Ministry of Health of Ukraine] / ed. Bereznyts'kyy Ya. S., Zakharash M. P., Mishalov V. G.; K. M. Amosova, Ya. S. Bereznyts'kyy, A. O. Burka et al. - Vinnytsia : Nova Knyha, 2016. - 711 p. : il. - На англ. мові. - ISBN 978-966-382-598-4 : 280.00 грн Переклад назви: Хірургія : підручник для студентів вищих мед. навч. закладів / за ред. Березницького Я. С., Захараша М. П., Мішалова В. Г.
Рубрики: ХИРУРГИЯ(англ)--Підручник Кл.слова (ненормовані): НАЦІОНАЛЬНИЙ ПІДРУЧНИК(англ) Анотація: Підручник відповідає програмі, яка затверджена МОЗ України, з підготовки лікаря загальної практики з питань клініческої хірургії. Матеріал у підручнику розподілено залежно від характеру захворювання та пріоритетів надання медичної допомоги. Кожну тему викладено структуровано залежно від основного клінічного синдрому, з чітким розподілом основних розділів і відповідно до професійно-орієнтованих завдань затверджених галузевих стандартів. Кожний розділ теми подано в алгоритмізованому вигляді, що, на думку авторів, має сприяти кращому засвоєнню матеріалу при використанні кредитно-модульної системи навчання. Підручник розраховано на студентів 4-6 курсів вищих навчальних закладів медичного профілю III і IV рівнів акредитації, лікарів-інтернів Дод.точки доступу: Amosova, Kateryna M. Амосова Катерина Миколаївна Bereznyts'kyy, Yakov S. Березницький Яків Соломонович Burka, Anatoliy O. Бурка Анатолій Олексійович Getman, Vadym G. Гетьман В. Г. Khapat'ko, Georgiy Y. Хапатько Г. Ю. Khrapash, Vasil V. Храпач В. В. Kligunenko, Olena M. Клигуненко О. М. Klimenko, Volodymyr M. Клименко В. М. Korpusyenko, Igor V. Корпусенко І. В. Kutovyi, Oleksandr B. et al. Кутовий О. Б. Bereznyts'kyy, Ya. S. \ed.\ Zakharash, M. P. \ed.\ Захараш М. П. Mishalov, V. G. \ed.\ Мішалов В. Г. Примірників всього: 118 Наук.Аб. (3), ЧЗ (1), Гурт.4 (1), Уч.Аб. (113) Вільні: Наук.Аб. (3), ЧЗ (1), Гурт.4 (1), Уч.Аб. (113) |
К 20 Kapustyanskiy, D. General surgery : workbook for self-study training for the II-III year students stomatological faculty / D. Kapustyanskiy, S. Malik, A. Chelishvily ; Ukrainian Medical Stomatological Akademy. Chair of surgery № 3. - Poltava : [s. n.], 2013. - 228 p. ; 21 cm. - На англ. мові. - Бібліогр.: с. 227. - 500 прим.. - 030.00 грн На обкл. авт. не вказ. Переклад назви: Загальна хірургія: навчальний посібник для самостійної роботи англомовних студентів II-III курсу навчання стоматологічного факультету / Д.В. Капустянський, С.В. Малик, А.Л. Челішвілі ; УМСА, Каф. хірургії № 3
Рубрики: ХИРУРГИЯ(англ)--Навчальний посібник Дод.точки доступу: Malik, S. Малик С.В. Chelishvily, A. Челішвілі А.Л. Капустянський Д.В. Ukrainian Medical Stomatological Akademy. Chair of surgery № 3 Примірників всього: 5 Наук.Аб. (4), ЧЗ (1) Вільні: Наук.Аб. (4), ЧЗ (1) |
Л 63 Lyssenko, R. Short Practice of Surgery : Manual for self-preparatory work of students / R. Lyssenko, D. Kapustyanskiy ; Ukrainian Medical Stomatological Academy, Chair of surgery diseases = Короткий практикум з хірургії : навчальний посібник для самостійної роботи англомовних студентів / Р. Б. Лисенко, Д. В. Капустянський ; УМСА, Кафедра хірургічних хвороб. - Poltava : [S.l.], 2010. - 296 p. - На англ. мові. - Literature: p. 295. - 075.00 грн
Рубрики: Хирургия(англ)--Навчальний посібник(англ) Дод.точки доступу: Kapustyanskiy, D. Капустянський Д. В. Лисенко Р. Б. Ukrainian Medical Stomatological Academy. Chair of surgery diseases Примірників всього: 25 ЧЗ (1), Наук.Аб. (10), Гурт.4 (1), Уч.Аб. (13) Вільні: ЧЗ (1), Наук.Аб. (10), Гурт.4 (1), Уч.Аб. (13) |
К 96 Kushnir, R. Ya. Lectures of General Surgery for foreign students of IInd and IIIrd years of medical faculty : [Educational manual for students of higher medical educational establishments of the IVth accreditation level who are mastering the educational disciрline in English] / R. Ya. Kushnir ; Ternopil state medical universitu. - Ternopil : Ukrmedknyha, 2005. - 318 p. : il. - На англ. мові. - Бібліогр.: с. 299. - ISBN 966-673-042-1 : 030.90 грн Переклад назви: Лекції з загальної хірургії для інозем. студентів 2-3 курсу медичного факультету: навч. посібник / Р. Кушнір
Рубрики: Хірургія(англ)--Навчальний посібник Кл.слова (ненормовані): навчальний посібник Дод.точки доступу: Кушнір Р. Ternopil state medical university after I. Y. Horbachevsky Примірників всього: 49 ЧЗ (1), Уч.Аб. (27), Наук.Аб. (20), Гурт.4 (1) Вільні: ЧЗ (1), Уч.Аб. (27), Наук.Аб. (20), Гурт.4 (1) |
Ш 84 Hospital surgeri : [text-book for the studens of senior courses of the medical schools of III-IV accrediting level] / M. M. Bagirov, A. D. Bedeniuk, I. S. Vardynets et al.; ed.: L. Kovalchuk, V. Sayenko, G. Knyshov, M. Nychytailo. - Translation by ukr. - Ternopil : Ukrmedknyha, 2004. - 471 p. : il. - На англ. мові. - Бібліогр.: с. 468-471. - ISBN 966-7364-02-X : 055.00 грн, 034.00 грн, 073.00 грн Переклад назви: Шпитальна хірургія / за ред. Л. Я. Ковальчука та ін.
Рубрики: Хірургія госпітальна(англ) Кл.слова (ненормовані): підручник англ. мовою Дод.точки доступу: Bagirov, M. M. Багіров, М. М. Bedeniuk, A. D. Беденюк, А. Д. Vardynets, I. S. Вардинець, І. С. Veligotsky, M. M. Venger, I. K. Венгер, І. К. Grubnyk, V. V. Грубник, В. В. Gusak, O. M. Гусак, О. М. Deykalo, I. M. Дейкало, І. М. Dziubanovsky, I. Y. Дзюбановський, І. Ю. Dryzhak, V. I. and ets. Дрижак, В. І. Kovalchuk, L. \ed.\ Ковальчук, Л. Sayenko, V. \ed.\ Саєнко, В. Knyshov, G. \ed.\ Книшов, Г. Nychytailo, M. \ed.\ Ничитайло, М. Примірників всього: 42 ЧЗ (1), Уч.Аб. (35), Наук.Аб. (6) Вільні: ЧЗ (1), Уч.Аб. (35), Наук.Аб. (6) |
Т65 Traumatology and Orthopedics : [manual for the students of higher medical educational esteblishments of the IV level of accreditation] / ed. O.A. Buryanov ; Yuriy Volodymyrovych Polyachenko, Olexandr Anatoliyovych Buryanov, Yevhen Tymofiyivych Skliarenko et al. - K. : Medicine, 2007. - 215 p. - На англ. мові. - Бібліогр. в підрозд. -Бібліогр.: с. 203-215. - ISBN 966-8144-28-7 : 048.00 грн Переклад назви: Травматологія та ортопедія: підручник для ВМНЗ IV рівня/ за ред. О.А. Бур'янова
Рубрики: Травматология Ортопедия Анотація: CONTENТS Traumatology and Orthopedics Syllabus........4Unit 1. Methods of Inspecting Orthopedics and TraumatologyPatients................6Unit 2. Congenital Myogenic Torticollis. Congenital Clubfoot. 16 Unit 3. Dysplasia of Hip Joint. Congenital Hip Dislocation . 24Unit 4. Degenerative-Dystrophic Joints Diseases...... 32Unit 5. Inflammatory Diseases of Joints (Arthritises)... 43Unit 6. Flaccid and Spastic Paralyses.......... 66Unit 7. Congenital and Acquired Diseases of Spine .... 75Unit 8. Foot Diseases............. 86Unit 9. Modern Principles of Amputations and MedicalAspects of Prosthetics .......... 93Unit 10. Out-Patient Reception..........107Unit 11. Fractures of Clavicle, Shoulder Blade, ProximalEnd of Humeral Bone. Shoulder Dislocation.....115Unit 12. Fractures of Humeral Bone Diaphysis and ElbowJoint Region. Forearm Dislocations.......124Unit 13. Forearm Fractures............132Unit 14. Hand Injuries and Diseases..........140Unit 15. Femoral Fracture...........148Unit 16. Knee Joint Damages and Shin Fractures.....156Unit 17. Ankle Joint and Foot Damages ........165Unit 18. Pelvic Bones Injuries............174Unit 19. Spine Injuries.............182Unit 20. Multiple Fracture and Combined Injury......190The List of Obligatory Practical Skills in Traumatologyand Orthopedics for Students of Medical Facultiesof the 4th Year of Studying..........200A Scheme of a Reviewing Medical History ........201Answers to Final Tests.............202The List of Recommended Literature.........203 Дод.точки доступу: Polyachenko, Yuriy Volodymyrovych Buryanov, Olexandr Anatoliyovych Skliarenko, Yevhen Tymofiyivych et al. Buryanov, Olexandr Anatoliyovych \ed.\ Бур'янов О.А. Примірників всього: 100 Наук.Аб. (5), ЧЗ (1), Уч.Аб. (93), Гурт.4 (1) Вільні: Наук.Аб. (5), ЧЗ (1), Уч.Аб. (93), Гурт.4 (1) |