PART 1 PREOPERATIVE CONSIDERATIONS: General Approach to Surgery: Surgical Attitudes, History and Ethics. The Mathematics of Clinical Judgment: Including an Evaluation of Operative Risk. Planning and Managing Anesthesia. Managed Care and the Surgeon: an Uncertain Courtship SPECIALIZED TECHNOLOGIC CONSIDERATIONS: Diagnostic Imaging of Common Surgical Problems. Endoscopy in Surgical Practice. Diagnostic and Therapeutic Laparoscopy for the General Surgeon PHYSIOLOGIC ASPECTS of SURGICAL DISEASE: Parenteral Fluid and Electrolyte Therapy. Nutritional Support. Respiratory Function and Support. Critical Care. Surgical Endocrinology. Multiple Endocrine Neoplasis. Gastroduodenal Physiology and Peptic Ulcer Disease. Principles of Surgical Oncology and Tumor Biology. Transplantation Science and Immunology PART II PATIENT PRESENTATIONS: a SYMPTOM-BASED APPROACH: Intraoral Lesions. Neck Masses. Difficulties in Swallowing. Hemoptysis, Cough, And Other Symptoms of Pulmonary Lesions. Heart Murmurs: Acquired Valvular Heart Disease. Heart Murmurs: Congenital Heart Disease. Acute and Chronic Chest Pain of Cardiovascular Origin. Hypertension. Stroke. Lump in the Breast. Gastrointestinal Bleeding. Acute Abdominal Pain. Surgical Masqueraders: Abdominal Pain Rarely Requiring Operation. Jaundice. Abnormal Bowel Movements. Abdominal Masses. Hernia. Rectal and Perianal Complaints. The Ischemic Lower Extremity. The Swollen Leg. Skin and Soft Tissue Lesions. Trauma. Head Injuries. Musculoskeletal Injuries. Burns. Pediatric Surgical Emergenicies. Low Back Pain. Hematuria. Obstructive Uropathy and Urinary Tract Infection. The Scrotum PART III POSTOPERATIVE CONSIDERATIONS: the Surgical Approach to the Postoperative Patient. Postoperative Fever. Infection. Shock. Surgical Bleeding and Hemostasis SPECIALIZED PROCEDURES and BASIC TECHNIQUES: Basic Principles of Hand Surgery. Basic Plastic Surgery. Basic Otolaryngologic Surgery. Basic Surg Ical Techniques the FUTURE of SURGERY: a Surgeon's View of Career Choices for the Twenty-First Century
