Clinical Cases and OSCEs in Surgery

This book of over 130 cases is designed for candidates sitting the MRCS clinical section as well as undergraduate clinical examinations in surgery. It explains how these traditionally difficult examinations are structured and provides invaluable advice towards success in passing both short cases and OSCEs.

Manoj Ramachandran qualified from King's College School of Medicine and Dentistry. He is currently a Specialist Registrar in Trauma and Orthopaedics on the North East Thames/Stanmore rotation in London. He is one of the co-founders of Advanced Medical Courses, a company committed to the development of modern, innovative methods of coaching students and doctors in how to advance their careers and pass examinations. Adam Poole qualified from Imperial College School of Medicine. He began his career in general surgery and urology in west London where he became particularly interested in coaching and teaching. He co-founded Advanced Medical Courses where he is now Managing Director. Adam Poole also acts as a freelance consultant in several medicine-related sectors and writes regularly for the British Medical Journal.

Superficial Lesions	p. 1
Lumps and ulcers - examination	p. 3
Lipoma	p. 6
Sebaceous cyst	p. 8
Ganglion	p. 10
Lumps and ulcers - history	p. 12
Neck examination - general approach	p. 13
Cervical lymphadenopathy	p. 18
Thyroid examination	p. 22
Solitary thyroid nodule	p. 26
Multinodular goitre	p. 30
Diffuse thyroid enlargement	p. 33
Thyroid history	p. 36
Hypertrophic and keloid scars	p. 38
Squamous cell carcinoma	p. 40
Malignant melanoma	p. 42
Basal cell carcinoma	p. 48
Pressure sores	p. 51
Grafts and flaps	p. 53
Ptosis	p. 54
Facial nerve palsy	p. 57
Salivary gland swellings	p. 60
Keratoacanthoma	p. 65
Neurofibroma	p. 66
Papilloma	p. 68
Pyogenic granuloma	p. 69
Seborrhoeic keratosis (basal cell papilloma or senile keratosis)	p. 70
Solar keratosis (senile or actinic keratosis)	p. 72
Digital clubbing	p. 73
Branchial cyst	p. 76
Dermoid cyst	p. 77
Thyroglossal cyst	p. 79
Radiotherapy marks	p. 81
Dermatofibroma	p. 83
Hidradenitis suppurativa	p. 84
Kaposi's sarcoma	p. 85
Pharyngeal pouch	p. 87
Cystic hygroma	p. 89
Chemodectoma	p. 90
Furuncles	p. 91
Pyoderma gangrenosum	p. 93
Vascular malformations	p. 94
Abdomen and Trunk	p. 97
Inguinal hernia	p. 99
Abdominal examination - general approach	p. 103
Surgical jaundice	p. 106
Stoma	p. 110
Hepatomegaly	p. 113
Incisional hernia	p. 116
Umbilical hernia	p. 119
Splenomegaly	p. 122
Inflammatory bowel disease	p. 125
Examination of the scrotum - general approach	p. 129
Hydrocele	p. 130
Epididymal cyst	p. 132
Varicocele	p. 133
Right iliac fossa mass	p. 135
Transplanted kidney	p. 138
Ascites	p. 141
Epigastric mass	p. 144
Pleural effusion	p. 145
Dysphagia	p. 148
Enlarged kidney	p. 151
Common surgical scars	p. 154
Breast examination - general approach	p. 155
Breast lump	p. 158
Post-mastectomy breast	p. 160
Breast reconstruction	p. 162
Gynaecomastia	p. 164
Post-lobectomy/pneumonectomy chest	p. 166
Median sternotomy	p. 168
Testicular tumour	p. 170
Enterocutaneous fistula	p. 172
Mouth signs in abdominal disease	p. 174
Epigastric hernia	p. 176
Femoral hernia	p. 178
Musculoskeletal and Neurology	p. 183
Orthopaedic history taking - general approach	p. 185
Osteoarthritis of the hip	p. 187
Osteoarthritis of the knee	p. 194
Dupuytren's contracture	p. 200
Carpal tunnel syndrome	p. 203
Rheumatoid hands	p. 207
Osteoarthritis in the hands	p. 211
Ulnar nerve lesions	p. 213
Hallux valgus	p. 217
Hammer toes	p. 220
Mallet toes	p. 222
Claw toes	p. 223
Mallet finger	p. 225
Trigger finger	p. 226
Ingrowing toenail	p. 228
Internal derangement of the knee	p. 229
Radial nerve lesions	p. 234
Examination of the shoulder	p. 237
Gait	p. 242
Osteochondroma	p. 244
Popliteal fossa swellings	p. 245
Hallux rigidus	p. 248
Casts	p. 250
Simulated reduction of fractures	p. 252
Lumbar disc herniation	p. 254
Brachial plexus lesions	p. 259
Ivory osteoma	p. 264
Chondroma	p. 265
Charcot's joints	p. 266
Winging of the scapula	p. 268
External fixators	p. 270
Intramedullary nails	p. 272
Paget's disease of bone	p. 273
Achondroplasia	p. 275
Circulation and Lymphatic Systems	p. 279
Varicose veins	p. 281
Venous ulcer	p. 284
Peripheral vascular system - examination	p. 287
Vascular effects of the diabetic foot	p. 291
Amputations	p. 293
Peripheral vascular system - history	p. 295
Abdominal aortic aneurysm	p. 298
Carotid artery disease	p. 301
Popliteal aneurysm	p. 304
Ischaemic ulcer	p. 306
Post-phlebitic limb	p. 309
Gangrene	p. 311
Raynaud's syndrome	p. 312
Neuropathic ulcer	p. 315
Lymphoedema	p. 317
Hyperhidrosis	p. 320
False aneurysm	p. 322
Thoracic outlet obstruction	p. 324
Thromboangiitis obliterans (Buerger's disease)	p. 326
Superior vena cava obstruction	p. 328
Carotid artery aneursym and dilated common carotid artery	p. 330
Lymphangioma	p. 331
Arteriovenous fistulae	p. 332
Coarctation of the aorta	p. 335
Atrial fibrillation	p. 336
Index	p. 339
Table of Contents provided by Ingram. All Rights Reserved.

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