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[PDF] Dr Pestanas Surgery Notes Download ~ "Read Online Free"
Dr Pestana s Surgery Notes Book Summary: Celebrated by medical students for over a decade, Kaplan's Dr. Pestana's Surgery Notes is the highest-yield surgery review for the the shelf and USMLE Step 2 CK exams. Designed for portable prep, Dr. Pestana's Surgery Notes is ideal for refreshing your knowledge in between cases. Nov 25, · Dr. Pestana’s Surgery Notes 5th Edition PDF Free Download [Direct Link] Home Tags Dr. Pestanas surgery notes 5th edition free. Tag: Dr. Pestanas surgery notes 5th edition free. Dr. Pestana’s Surgery Notes 5th Edition PDF Free Download [Direct Link] . Dr. Pestana’s Surgery Notes 4th edition pdf free download Moneer Abdelraheem مارس 18, الرئيسية > USMLE. بسم الله الرحمن الرحيم. Dr. Pestana’s Surgery Notes 4th edition pdf free download.
Dr. pestanas surgery notes pdf free download
To browse Academia. Skip to main content. Log In Sign Up, dr. pestanas surgery notes pdf free download. Pestana s Surgery Notes 3rd Ed 1. Iron Man. This publication is designed to provide accurate information in regard to the subject matter covered as of its publication date, with the understanding that knowledge and best practice constantly evolve. The publisher is not engaged in rendering medical, legal, accounting, or other professional service, dr. pestanas surgery notes pdf free download.
If medical or legal advice or other expert assistance is required, the services of a competent professional should be dr. pestanas surgery notes pdf free download. This publication is not intended for use in clinical practice or the delivery of medical care. By payment of the required fees, you have been granted the non-exclusive, non-transferable right to access and read the text of this eBook on screen.
No part of this text may be reproduced, transmitted, downloaded, decompiled, reverse engineered, or stored in or introduced into any information storage and retrieval system, in any form or by any means, dr.
pestanas surgery notes pdf free download, whether electronic or mechanical, now known or hereinafter invented, without the express written permission of the publisher. ISBN : Kaplan Publishing books are available at special quantity discounts to use for sales promotions, employee premiums, or educational purposes. Table of Contents Dr. Surgical Hypertension. Be sure to carefully read the materials you receive when you register for the test. If there are any important late-breaking developments—or any changes or corrections to the Kaplan test preparation materials in this book—we will post that information online at kaptest.
Preface In the yearwhen I was still in charge of the teaching of surgery to junior medical students at a medical school in Texas, I wrote a set of notes for them to use. You are now reading an updated version of that little manual, which has benefited from the editorial input of Kaplan, and has been repeatedly updated.
It might be appropriate to ask ourselves if there is still a role for a pocket-sized booklet, printed on paper. I think there is. Besides the obvious practical issues—no batteries to recharge, virtually indestructible format—there is a conceptual need for this kind of text.
True, dr. pestanas surgery notes pdf free download, we live in an electronic era. Almost the entire universe of knowledge is available at the push of a button. But whereas Siri can instantly tell you if rain is going to spoil your commute this morning, Siri never went to medical school—much less practiced surgery for a million years and had a prominent role in the design and implementation of both licensure exams and clerkship content.
I did those things. And in these pages, I will pass that knowledge on to you. Obviously in a very abbreviated fashion. This is not all you need to know about surgery, but rather a complement to what you learned from your faculty and residents, to fill the gaps for all the services and surgical specialties where you did not rotate. There is another issue I need to discuss with you. Surgery is an art, more than a science. There are multiple ways to diagnose and treat patients.
Regional variations. Institutional preferences. Evolving criteria. Students are bewildered when they read two different books and are given different advice. They want to know which is the correct answer for the exam. Will they have to choose between two versions of the truth? No, they will not.
All the other options have to be clearly incorrect, even when that does not seem to be the case. Did the National Boards make a mistake?
No, their quality control is awesome, dr. pestanas surgery notes pdf free download. Read that thing again, and you will realize that for that particular patient one of the two proposed management options is contraindicated. Go read question 53 and you will see what I mean.
As with all the other practice questions at the end of this book, the answer key will tell you where in the text itself you can find that information. When you do, you will believe me. The typical exam question always starts with age and gender, followed by present complaint, past history, physical exam, and lab or imaging studies.
For instance, dr. pestanas surgery notes pdf free download, the vital signs are always given: temperature, pulse rate, blood pressure, height, and weight.
In a trauma patient who is in shock, the pulse rate and blood pressure are extremely important. In a woman with a breast mass, they are not. Personal habits are irrelevant in deciding whether somebody has a brain tumor, but would be virtually diagnostic in someone with a neck mass. By contrast, the questions in this book are primarily designed for content review, and are abbreviated versions of the longer, ritualized format of the actual USMLE or shelf exam questions.
They are not cluttered with vital signs or other facts that will not help. Rather, these questions contain only the key combination of facts that should be immediately recognized by an astute clinician.
I want to recognize the contributions of Dr. Adil Farooqui, who brings with him his surgical experience in the West Coast to add to mine in the State of Texas.
A native of the Canary Islands, Spain, Dr. Pestana graduated from medical school in Mexico City, ranking 1 in his class, and subsequently received a doctorate in surgery from the University of Minnesota, in conjunction with a 5-year surgical residency at the Mayo Clinic.
Throughout his career, he has received over 40 teaching awards and prizes at the local, state, and national levels, including among the latter the Alpha Omega Alpha Distinguished Professor Award from the Association of American Medical Colleges, and the National Golden Apple from the American Medical Student Association. In the late s and early s, Dr. The airway will soon be lost if there is an expanding hematoma or emphysema in the neck. An airway should be secured before the situation becomes critical.
An airway is also needed if the patient is unconscious with a Glasgow Coma Scale of 8 or under or his breathing is noisy or gurgly, if severe inhalation injury breathing smoke has occurred, or if it is necessary to connect the patient to a respirator.
If an indication for securing an airway exists in a patient with potential cervical spine injury, the airway has to be secured before dealing with the cervical spine injury. An airway is most commonly inserted by orotracheal intubation, under direct vision with the use of a laryngoscope, assisted in the awake patient by rapid induction with monitoring of pulse oxymetry, or less commonly with the help of topical anesthesia.
In the presence of a cervical spine injury, orotracheal intubation can still be done if the head is secured and not moved. Another option in that setting is nasotracheal intubation over a fiber optic bronchoscope. The use of a fiberoptic bronchoscope is mandatory when securing an airway if there is subcutaneous emphysema in the neck, which is a sign of major traumatic disruption of the tracheobronchial tree.
If for any reason laryngospasm, severe maxillofacial injuries, an impacted foreign body that cannot be dislodged, etc. It is the quickest and safest way to temporarily gain access before the patient sustains anoxic injury. Because of dr. pestanas surgery notes pdf free download potential need for future laryngeal reconstruction, however, we are reluctant to do it before the age of In the trauma setting, shock is caused by either bleeding hypovolemic-hemorrhagic, by far the most common causepericardial tamponade, or tension pneumothorax.
For either of the last two to occur, there must be trauma to the chest blunt or penetrating. In shock caused by bleeding, the central venous pressure CVP is low empty veins clinically. In both pericardial tamponade and tension pneumothorax, CVP is high big distended head and neck veins clinically.
In pericardial tamponade there is no respiratory distress. In tension pneumothorax there is severe respiratory distress, one side of the chest has no breath sounds and is hyperresonant to percussion, and the mediastinum is displaced to the opposite side tracheal deviation. The treatment of hemorrhagic shock in the urban setting big trauma center nearbywith penetrating injuries that will require surgery anyway, starts with the surgical intervention to stop the bleeding, and volume replacement takes place afterward.
In all other settings, volume replacement is the first step, starting with about 2 L of Ringer lactate without sugarfollowed by packed red cells, fresh frozen plasma, and platelet packs, in a ratio, until urinary output reaches 0. Massive Bleeding Uncontrolled massive bleeding is lethal, and so is untreated hemorrhagic shock.
In the usual civilian setting, where one single patient arrives with a visible source of bleeding to an ER staffed by tons of people, that bleeding is best controlled with local pressure. A gloved finger pushes and occludes the lacerated vessel until it can be repaired. In the military dr. pestanas surgery notes pdf free download, where 10 soldiers may be blown up by a roadside bomb and there is only one medic to look after them, the obvious life-savers are tourniquets.
The same is true in massive civilian casualties. Once dr. pestanas surgery notes pdf free download is controlled, hemorrhagic shock, if present, has to be dealt with.
The obvious final therapy for lost whole blood, is whole blood. The military often can do that. All soldiers have been typed, are certified not to have blood-borne diseases, and are typically willing to donate blood to their injured comrades.
But in the civilian world we can't ask for whole blood. Blood is a scarce resource, and blood banks break it down into components to make more efficient use of it. If we want whole blood, we have to reconstitute it by the expedient already mentioned. Preferred route of fluid resuscitation in the trauma setting is 2 peripheral IV lines, gauge. If they cannot be inserted, percutaneous femoral vein catheter or saphenous vein cut-downs are alternatives.
In children under 6 years of age, intraosseus cannulation of the proximal tibia is the alternate route. Management of pericardial tamponade is based on clinical diagnosis do not order x-rays—if diagnosis is unclear choose sonogramand centered on prompt evacuation of the pericardial sac by pericardiocentesis, tube, pericardial window, or open thoracotomy.
Fluid and blood administration while evacuation is being set up is helpful. Management of tension pneumothorax is also based on clinical diagnosis do not order x-rays or wait for blood gases. Start with big dr. pestanas surgery notes pdf free download or big IV catheter into the affected pleural space. Follow with chest tube connected to underwater seal both inserted high in the anterior chest wall. Brief detour: Shock in the nontrauma setting Shock can be hypovolemic, from bleeding or other massive fluid loss burns, pancreatitis, severe diarrhea.
High Yield Surgery Review for Step 2 CK & Shelf Exam
, time: 54:59Dr. pestanas surgery notes pdf free download
Sep 18, · Dr. Pestana’s Surgery Notes – Celebrated by medical students for over a decade, Kaplan’s pocket-sized Dr. Pestana’s Surgery Notes is the highest-yield surgery review for the the shelf and USMLE Step 2 CK exams.. Designed for portable prep, Dr. Pestana’s Surgery Notes fits perfectly in your lab coat so you can refresh your knowledge in between cases. USMLE Step 2 CK Kaplan Lecture Notes Surgery PDF. Dr. Pestana’s Surgery Notes: Top Vignettes for the Surgical Wards 3rd ed. General Surgery: Correlations and . Click the link below to download blogger.com file. Pestana Review Notes for Surgery. As nearly every medical student in the country is currently using these review notes during their surgery clerkship, I though the least I could do was recognize the physician who provided them to us. Click here to see a recent award given to Dr. Pestana, MD, PhD.
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