Attia general surgery review manual

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  1. 1. HopkinsGeneralSurgeryManual 1 HHooppkkiinnss GGeenneerraall SSuurrggeerryy RReevviieewwMMaannuuaall
  2. 2. HopkinsGeneralSurgeryManual 2 Introduction ThismanualisacompilationofstudynotesIhavemadeoverthepast5yearsbasedona numberofsources,includingthoselistedhere: Textbooks(seereferencelist) Reviewbooks(seereferencelist) DidacticlecturesandconferencesatbothJohnsHopkinsandtheNCISurgeryBranch PresentationsIgaveduringweeklyconferencesatNCI Primaryandreviewarticles PointsmadebyattendingsandotherresidentsonroundsorintheOR InternSundaymorninglecturewithDr.Cameron(20012002) Halstedquizzes SESAPquestions UpToDate Disclaimer:Individualillustrationsandmaterialmaybelongtoathirdparty. UnlessotherwisestatedallfiguresandtablesbyPeterAttia WhenIbeganputtingmynotestogetheronrandompiecesofpaperandmyPalmPilot,Ididnot intendtodomuchelsewiththem.However,intime,theybecamesonumerousthatIneededto organizetheminabetterway.AresidentfromtheBrighamwhomIworkedwithinthelabat NIHencouragedmetoputthemtogetherinwhathejokinglyreferredtoasanAttiaBibleof surgicalwisdom,somethinghehaddonewithhisownnotes.Theintentofthesenoteswasnotas muchtobeareviewforaspecifictestperse,asitwasanallpurposecompilationofsalient pointstoconsiderasIgothroughresidency. Ofcourse,thesenotescomewiththestandarddisclaimerthattheyarenotmeanttoreplace readingfromprimarysources,rathertosupplementit.Inaddition,whileIhavetriedtobeas accurateaspossible,duringmyreadingsIencounteredseveralfactsthatwereeither contradictorytofactsIhadbeentaughtasaresidentorreadinothersources.ForthisreasonI canmakenoguaranteesaboutthevalidityofeachstatementmadehere.Ihavetriedmybestto amalgamateeachsetoffactsintoasomewhatconcise,yetaccuratedocument. Hopefully,thesenoteswillprovideyouwithsomebenefitaswell.Iwelcomeallcriticismand correctionandlookforwardtosupplementingandaugmentingthisfirsteditionmanytimesover. PeterAttia,MD SurgicalResident TheJohnsHopkinsHospital pete_attia@yahoo.com Copyright,PeterAttia,2005.Allrightsreserved.
  3. 3. HopkinsGeneralSurgeryManual 3 ReferenceList 1. VascularSurgery3rdEd.HouseOfficerSeries.FaustGR,CohenJR.,1998. 2. ABSITEKiller.LipkinAP,2000 3. RushUniversityReviewofSurgery3rdEd.Deziel,Witt,Bines,etal.,2000. 4. CurrentSurgicalTherapy6thEd.CameronJL,1998. 5. CurrentTherapyofTrauma4thEd.TrunkeyDDandLewisFR,1999. 6. Surgery:ScientificPrinciplesandPractice3rdEd.GreenfieldLJ,etal.,2001. 7. ShackelfordsSurgeryoftheAlimentaryTract5thEd.YeoCJandZuidemaGD.VolumesIV,2001. 8. AtlasofHumanAnatomy8thEd.NetterFH,1995. 9. AtlasofSurgicalOperations7thEd.Zollinger&Zollinger,1993. 10. GeneralSurgeryBoardReview3rdEd.GoldMS,ScherLA,andWeinbergG,1999. 11. GeneralSurgeryReview.MakaryMA,2004. 12. AdvancesinSurgeryVol33.Ed.CameronJL,etal.,1999. 13. PitfallsofDataAnalysis.ClayHelberg,1995. 14. PrinciplesofBiostatistics.2ndEd.PaganoMandGauvreauK.2000. Editors Thefollowingindividualshavebeengenerouswiththeirtimeandthoughts,andhavemadeseveralchangesand additionstomyoriginalmanual. H.RichardAlexander SurgeryBranch,NationalCancerInstitute WilliamA.Baumgartner TheJohnsHopkinsHospital JohnL.Cameron TheJohnsHopkinsHospital MichaelA.Choti TheJohnsHopkinsHospital PeterL.Choyke DepartmentofRadiology,NationalInstitutesofHealth PaulM.Colombani TheJohnsHopkinsHospital MatthewCooper TheUniversityofMaryland EdwardE.Cornwell,III TheJohnsHopkinsHospital ToddDorman TheJohnsHopkinsHospital FredericE.Eckhauser TheJohnsHopkinsHospital DavidT.Efron TheJohnsHopkinsHospital AnneC.Fischer TheJohnsHopkinsHospital JulieA.Freischlag TheJohnsHopkinsHospital SusanL.Gearhart TheJohnsHopkinsHospital VincentL.Gott TheJohnsHopkinsHospital McDonaldHorne DepartmentofHematology,NationalInstitutesofHealth UdaiS.Kammula SurgeryBranch,NationalCancerInstitute HerbertKotz DepartmentofGynecology,NationalCancerInstitute StevenK.Libutti SurgeryBranch,NationalCancerInstitute PamelaA.Lipsett TheJohnsHopkinsHospital MartinA.Makary TheJohnsHopkinsHospital BruceJ.Perler TheJohnsHopkinsHospital PeterA.Pinto UrologyBranch,NationalCancerInstitute JorgeD.Salazar UniversityofTexas,SanAntonio,TX AnthonyP.Tufaro TheJohnsHopkinsHospital PeterS.Walinsky PresbyterianHeartGroup,Albuquerque,NM StephenS.Yang TheJohnsHopkinsHospital CharlesJ.Yeo ThomasJeffersonUniversity MarthaA.Zeiger TheJohnsHopkinsHospital
  4. 4. HopkinsGeneralSurgeryManual 4 TableofContents BreastDisease...................................................................................................................................................................................5 Head&NeckDisease......................................................................................................................................................................9 ThyroidGlandandDisease .........................................................................................................................................................12 ParathyroidGlandandDisease...................................................................................................................................................15 MultipleEndocrineNeoplasia(MEN) .......................................................................................................................................18 Gastrinoma......................................................................................................................................................................................21 Glucagonoma..................................................................................................................................................................................22 Insulinoma ......................................................................................................................................................................................23 AdrenalGland ................................................................................................................................................................................24 Pheochromocytoma........................................................................................................................................................................27 PituitaryGland...............................................................................................................................................................................28 ThoracicSurgery ............................................................................................................................................................................29 MediastinalDisease ......................................................................................................................................................................32 CardiacSurgery:CongenitalDefects .........................................................................................................................................34 CardiacSurgery:AcquiredDefects.............................................................................................................................................36 VascularSurgery ............................................................................................................................................................................42 Urology.............................................................................................................................................................................................54 OrthopedicSurgery .......................................................................................................................................................................55 GynecologicPathology .................................................................................................................................................................56 Neurosurgery ..................................................................................................................................................................................57 CancerEpidemiology ....................................................................................................................................................................58 EsophagealDisease........................................................................................................................................................................59 Stomach&GutPhysiologyandDisease ...................................................................................................................................63 SmallBowelPhysiologyandDisease ........................................................................................................................................67 ColorectalDisease..........................................................................................................................................................................71 PediatricSurgery............................................................................................................................................................................79 SpleenandSplenectomy ..............................................................................................................................................................84 HepatobiliaryAnatomy,Physiology,andDisease..................................................................................................................86 Pancreas............................................................................................................................................................................................97 Sarcoma..........................................................................................................................................................................................102 Mela