By Catherine Parchment-Smith, Claire Ritchie Chalmers
Offers the main up to date fabric, matching the MRCS syllabus, to assist training for the MRCS A examinations. The ebook covers each significant topic within the MRCS syllabus; works systematically via each common surgical subject more likely to look within the examination; highlights very important rules of surgical procedure; comprises very important lists and important issues; is obviously laid out with illustrations to assist figuring out.
Read or Download MRCS Part A: Essential Revision Notes: Book 1 PDF
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Additional info for MRCS Part A: Essential Revision Notes: Book 1
This helps to prepare the patient for surgery, gives them an opportunity to ask further questions and provides a support network. It is important to recognise that all patients are different – in their ages, in their beliefs and in their worries. Ensure that the patient has an opportunity to review the decision nearer the time. Responding to questions: you must respond honestly to any questions that the patient raises and, as far as possible, answer as fully as the patient wishes. You may not withhold information from a patient at the request of any other person including a relative.
3 Preserving patient dignity SECTION 1 Assessment of fitness for surgery In a nutshell ... Before considering surgical intervention it is necessary to prepare the patient as fully as possible. They assessed over 19 000 surgical cases prospectively and identified four key areas for improvement (see overleaf). Identification of the high-risk group preoperatively, eg scoring systems to highlight those at high risk 2. 1 Preoperative assessment In a nutshell ... Preoperative preparation of a patient before admission may include: History Physical examination Investigations as indicated: • Blood tests • Urinalysis • ECG • Radiological investigations • Microbiological investigations • Special tests Consent and counselling The preassessment clinic is a useful tool for performing some or all of these tasks before admission.
Severe renal impairment may require dialysis before theatre. Chronic anaemia is better tolerated but may also require correction before theatre • Treat pain: pain results in the release of adrenaline and can cause tachycardia and hypertension. 1 Preoperative medications In a nutshell ... There are some essential medications (eg anti-rejection therapy in transplant recipients) that may be withheld for 24 hours in the surgical period but this should only be under the direction of a specialist in the field.