By R. Dayananda Babu
The second one variation of scientific surgical procedure Pearls is a question and resolution ebook for postgraduate and undergraduate scholars. each one bankruptcy specializes in a standard case, starting with an outline, by means of a record for heritage and actual exam, and diagnostic issues for that case. a couple of questions with solutions reviewing the anatomy, body structure, research, differential analysis and up to date staging and evidence-based administration for that case, are then awarded. The e-book is highlighted by means of a variety of movement charts, tables, photos and illustrations. A separate bankruptcy presents definitions for varied medical terminologies. Key issues * new version, query and solution ebook for college kids * provides 50 scientific instances with questions and solutions * effortless to learn, comprehensible layout * contains quite a few movement charts, tables, images and illustrations * Separate bankruptcy devoted to definitions of medical terminologies * earlier variation released in 2010
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Extra resources for Clinical Surgery Pearls
A. PTU may be given during pregnancy at reduced doses. b. If thyroidectomy is required in second trimester, the patient can be prepared with PTU. • • • • • • • Fever, rash, urticaria and arthralgia (minor side effects) Liver dysfunction Neuritis Myalgia Lymphadenopathy Psychosis Occasional agranulocytosis (< 1 in 200 cases). Q 52. What is the clinical manifestation of agranul ocytosis? Agranulocytosis presents as sore throat, which warrants immediate cessation of the drug. Q 53. Can the thyroid be enlarged during medical treatment?
What are the advantages of PTU? a. PTU may be given during pregnancy at reduced doses. b. If thyroidectomy is required in second trimester, the patient can be prepared with PTU. • • • • • • • Fever, rash, urticaria and arthralgia (minor side effects) Liver dysfunction Neuritis Myalgia Lymphadenopathy Psychosis Occasional agranulocytosis (< 1 in 200 cases). Q 52. What is the clinical manifestation of agranul ocytosis? Agranulocytosis presents as sore throat, which warrants immediate cessation of the drug.
Once the patient is made euthyroid, surgery in the form of Hemithyroidectomy will give permanent relief. Q 77. What is subtotal (bilateral) thyroidectomy? Two grams of thyroid remnant is kept on both sides and the rest of thyroid gland is removed in subtotal thyroidectomy. Q 78. What is Hartley-Dunhill procedure? Total lobectomy and isthmectomy on the affected side and 4 g remnant left on the contralateral (normal) side. This form of surgery is recommended by some authorities for the surgical management of toxic goiter.