MRCS revision guide : limbs and spine PDF
Preview MRCS revision guide : limbs and spine
MRCS Revision Guide: Limbs and Spine MRCS Revision Guide: Limbs and Spine Mazyar Kanani, PhD, FRCS (CTh) FellowinCongenitalCardiacSurgery,Children’sHospital,Pittsburgh,Pennsylvania,USA Khaled M. Sarraf, BSc (Hons), MBBS, MRCS SpecialistRegistrarinTraumaandOrthopaedicSurgery, NorthWestThamesRotation–LondonDeanery, ChelseaandWestminsterHospitalNHSFoundationTrust,London,UK CAMBRIDGEUNIVERSITYPRESS Cambridge,NewYork,Melbourne,Madrid,CapeTown, Singapore,SãoPaulo,Delhi,MexicoCity CambridgeUniversityPress TheEdinburghBuilding,CambridgeCB28RU,UK PublishedintheUnitedStatesofAmerica byCambridgeUniversityPress,NewYork www.cambridge.org Informationonthistitle:www.cambridge.org/9780521139762 #MazyarKananiandKhaledM.Sarraf2012 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithout thewrittenpermissionofCambridgeUniversityPress. Firstpublished2012 PrintedintheUnitedKingdomattheUniversityPress,Cambridge AcataloguerecordforthispublicationisavailablefromtheBritishLibrary LibraryofCongressCataloguing-in-PublicationData Kanani,Mazyar. MRCSrevisionguide:limbsandspine/MazyarKanani,KhaledM.Sarraf. p. cm. ISBN978-0-521-13976-2(Paperback) 1.Spine–Surgery–Examinations,questions,etc. 2.Extremities(Anatomy)– Surgery–Examinations,questions,etc. 3.RoyalCollegeofSurgeonsofEngland. I.Sarraf,KhaledM. II.Title. RD768.K362012 617.40710076–dc23 2011039825 ISBN978-0-521-13976-2Paperback CambridgeUniversityPresshasnoresponsibilityforthepersistenceor accuracyofURLsforexternalorthird-partyinternetwebsitesreferredto inthispublication,anddoesnotguaranteethatanycontentonsuch websitesis,orwillremain,accurateorappropriate. Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-date information,whichisinaccordwithacceptedstandardsandpracticeatthetimeof publication.Althoughcasehistoriesaredrawnfromactualcases,everyefforthasbeen madetodisguisetheidentitiesoftheindividualsinvolved.Nevertheless,theauthors, editorsandpublisherscanmakenowarrantiesthattheinformationcontainedhereinis totallyfreefromerror,notleastbecauseclinicalstandardsareconstantlychanging throughresearchandregulation.Theauthors,editorsandpublisherstherefore disclaimallliabilityfordirectorconsequentialdamagesresultingfromtheuseof materialcontainedinthisbook.Readersarestronglyadvisedtopaycarefulattention toinformationprovidedbythemanufacturerofanydrugsorequipmentthatthey plantouse. Tomyparentsandbrotherfortheirendlesssupportand mywife,Bana,forherpatienceinenduringthelonghours putintowritingthisbook. KMS ForCarlKanani. MK Contents Preface ix Section 1 Basic science Spinalanaesthesia 41 Spinalinjury 43 1 Appliedsurgicalscience 1 Systemicresponseto Actionpotentials 1 trauma 47 Arterialpressure 4 Calciumhaemostasisand 3 Surgicalpathology 51 vitaminDmetabolism 6 Bonetumours 51 Cartilage 9 Deepveinthrombosis Cerebrospinalfluid(CSF) (DVT) 53 andcerebralblood Gangrene 54 flow 10 Gout 55 Microcirculation 12 Heterotopicossification 56 Motorcontrol 14 Lymphoedema 57 Muscle:skeletalvs. Myeloma 57 smooth 16 Osteoarthritis 59 Reflexes 19 Osteomyelitis 60 Synapses–theneuromuscular Osteoporosis 62 junction(NMJ) 20 Pathologicalfractures 63 Venouspressure 21 Peripheralarterial disease 64 2 Criticalcare 23 Rheumatoidarthritis 65 Agitationandsedation 23 Sarcoma 66 Burns 25 Scarring 68 Coagulationdefects 29 Tetanus 68 Decubitusulcers 31 Initialevaluationofthemulti- 4 Surgicalskillsand traumapatient 32 patientsafety 70 Fatembolismsyndrome 33 Analgesia 70 Intensive-care-unitadmission Diathermy 73 criteria 36 Kneeaspiration 75 Physiologyof Nerveinjuries 76 immobilization 37 Principlesoffracture Rhabdomyolysis 39 management 79 vii viii Contents Skinpreparationand Managementofopen asepsis 80 fractures 120 Suturematerialsand Principlesofamputation 123 needles 81 Principlesofarthroscopy 124 Tourniquet 83 Surgicalapproachestothe hip 125 5 Anatomy 87 Anatomicalsnuffbox 87 Section 2 Examinations Antecubitalfossaandelbow joint 88 7 Clinicalexaminations Arterialsupplyofthelower (traumaand limb 90 orthopaedics) 129 Carpaltunnel 92 Principlesoforthopaedic Compartmentsofthelower examination 129 limb 93 Commonadultorthopaedic Dermatomesandmyotomes injuries 131 oftheupperandlower Hipexamination 135 limb 94 Kneeexamination 140 Femoraltriangle 96 Footexamination 144 Hipandfemur 97 Shoulderexamination 147 Kneejoint 99 Handandwrist Lumbarvertebrae 101 examination 150 Poplitealfossa 103 Spinalexamination–lumbar Radialnerve 104 spine 154 Sciaticnerve 106 8 Clinicalexaminations Shoulder 107 (vascular) 158 Spinalcord 109 Peripheralvascular Spinalcord:blood examination 158 supply 110 Lowerlimbvenous 6 Operativesurgery 112 examination 159 Carpaltunnel decompression 112 Colles’fracturereduction 113 Appendix:Additionalhigh-yield Compartmentsyndrome topicsfortheMRCS 161 andfasciotomy 115 Index 163 Fracturedneckof femur 116
The list of books you might like
