An Introduction to the Symptoms and Signs of Surgical Disease

by Browse, Norman

• ISBN13: 9780340662113
• ISBN10: 0340662115
• Edition: 3rd
• Format: Paperback
• Copyright: 1997-06-26
• Publisher: Hodder Education Publishers

Summary

Now in its third edition, An Introduction to the Symptoms and Signs of Surgical Disease has become a best-selling, innovative textbook. The text teaches the clinical symptoms and signs of surgical disease, stressing the importance of a thorough history and bedside examination. By presenting the symptoms and signs in a formalised, systematic manner and by describing in detail the techniques of clinical examination, this text enables students to elicit key symptoms and make sound clinical decisions. Written for medical students and junior doctors, An introduction to the Symptoms and Signs o Surgical Disease continues to be an essential resource for study and reliable companion in clinical practice.

Table of Contents

Preface to the first edition	vi	(1)
Preface to the third edition	vii	(1)
Acknowledgements	viii
1 History taking and clinical examination	1	(36)
How to take the history	2	(5)
History of pain	7	(4)
History of a lump	11	(1)
History of an ulcer	12	(1)
The clinical examination	13	(18)
Examination of a lump	31	(3)
Examination of an ulcer	34	(3)
2 The skin	37	(38)
Papillomata and warts	39	(3)
Melanomata and moles	42	(8)
Haemangiomata and lymphangiomata	50	(12)
Carcinomata	62	(7)
Skin infections	69	(6)
3 The subcutaneous tissues	75	(17)
Lipomata	75	(3)
Cysts	78	(5)
Bursae	83	(5)
Lymphadenopathy	88	(2)
Subcutaneous infections	90	(2)
4 Muscles, tendons, bones and joints	92	(39)
General plan for examining the bones, muscles and joints of a limb	92	(1)
Muscles and muscle disease	93	(5)
Fibrous tissue	98	(1)
Tendons and tendon sheaths	99	(3)
Bones and bone irregularities	102	(6)
Benign tumours of bone	108	(2)
Malignant tumours of bone	110	(5)
The joints	115	(1)
A plan for the examination of a joint	115	(2)
Examination of the hip joint	117	(3)
Examination of the knee joint	120	(3)
Examination of the spine	123	(1)
Diseases of the joints	123	(8)
5 Conditions peculiar to the hands	131	(22)
A plan for the examination of the hand	131	(4)
Recording data about the hand	135	(1)
Abnormalities and lesions of the hand	135	(12)
The nails	147	(3)
Infections in the hand	150	(3)
6 Conditions peculiar to the feet	153	(9)
Congenital and acquired deformities of the foot and ankle	153	(5)
The toe nails	158	(4)
7 The arteries, veins and lymphatics	162	(34)
Arterial disease	162	(1)
Clinical assessment of the arterial circulation of a limb	162	(3)
Disturbances of arterial blood supply	165	(15)
Venous and lymphatic disease	180	(1)
Clinical assessment of the venous circulation of the lower limb	180	(4)
Venous disease	184	(8)
The lymphatics	192	(4)
8 General and facial appearance	196	(26)
Colour	196	(3)
General appearance	199	(7)
Diseases affecting facial appearance	206	(3)
The eyes	209	(4)
The nose	213	(1)
Shape of the skull	213	(2)
The ears	215	(2)
Meningocele	217	(1)
The chest wall	218	(4)
9 The salivary glands	222	(12)
The submandibular salivary gland	222	(4)
The parotid gland	226	(6)
Autoimmune disease	232	(2)
10 The mouth	234	(21)
Congenital abnormalities of the lips and palate	234	(2)
The lips, buccal mucosa and tongue	236	(10)
The palate	246	(1)
The tonsils	246	(2)
The floor of the mouth	248	(2)
The jaw	250	(5)
11 The neck	255	(40)
The history and examination of swellings in the neck	255	(1)
Cervical lymphadenopathy and other neck swellings	256	(7)
Cysts, tumours, fistulae and pouches	263	(11)
The thyroid gland	274	(1)
Symptoms of thyroid disease	274	(2)
Examination of the thyroid gland	276	(4)
Goitres	280	(3)
Thyrotoxicosis and myxoedema	283	(4)
Carcinoma of the thyroid gland	287	(4)
Thyroiditis	291	(4)
12 The breast	295	(24)
The history and examination of breast disease	295	(7)
Presentation of breast disease	302	(13)
The nipple	315	(2)
The male breast	317	(2)
13 Abdominal herniae	319	(20)
Anatomy of the inguinal region	319	(3)
Technique for the examination of an inguinal hernia	322	(3)
Symptoms and signs of an inguinal hernia	325	(5)
Femoral herniae	330	(2)
Umbilical herniae	332	(7)
14 The external genitalia	339	(26)
Examination of the male genitalia	339	(3)
The penis	342	(8)
The scrotal skin	350	(2)
The testes	352	(12)
The female external genitalia	364	(1)
15 The abdominal wall and umbilicus	365	(6)
The abdominal wall	365	(1)
The umbilicus	366	(5)
16 The abdomen	371	(43)
Technique for examination of the abdomen	371	(6)
Abdominal pain	377	(2)
Conditions presenting with abdominal pain	379	(17)
Alimentary conditions presenting with dysphagia or vomiting	396	(1)
Conditions presenting with diarrhoea	397	(1)
Acute peritonitis	397	(1)
Intestinal obstruction	398	(1)
The abdominal mass: causes and signs	399	(7)
Causes of a mass in the right iliac fossa	406	(2)
Causes of a mass in the left iliac fossa	408	(1)
Causes of a lump in the groin	408	(1)
Abdominal distension	409	(5)
17 The kidneys, urinary tract and prostate	414	(11)
Symptoms of renal and urinary tract disease	414	(2)
Diseases of the urinary tract	416	(4)
Retention of urine	420	(2)
The prostate gland	422	(1)
The urethra	423	(2)
18 The rectum and anal canal	425	(20)
Symptoms of anorectal disease	425	(1)
Technique for anorectal examination	426	(3)
Conditions presenting with rectal bleeding	429	(4)
Conditions presenting with anal pain	433	(7)
Conditions presenting as an anal lump with or without pain	440	(5)
Index	445