DaVinci medical academy

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1 The candidate should be :

  • able to obtain a comprehensive history and elicit and interpret physical signs of a surgical patient
  • able to arrange appropriate investigations and be able to interpret them
  • able to to arrive at a probable diagnosis and rationlise a treatment strategy and pre and post-operative care
  • familiar with the spectrum of surgical care available and be able to assess the risks and benefits
  • able to understand the principles of management of critically injured patients and other surgical emergencies
  • explain in simple terms the intended surgical procedure and be able to obtain informed consent
  • emphasise the important ethical ,moral and social issues involved in surgical practice and to induce a discussion on cost benefit analysis
  • perform simple basic essential surgical procedures
  • demonstrate a kind and caring attitude towards patient care
  • be able to describe the etiology pathogenesis and complications of the following disease states.

 

2  The candidate should be able to diagnose and describe management of:-

  • hernias ( inguinal, femoral, Para umbilical, umbilical, epigastric & incisional)
  • scrotal lumps (hydrocoeles, cyst of the epididymis, spermatocele, varicocele    & epididymo – orchitis)
  • acute appendicitis, appendicular mass & abscess
  • breast lumps (fibroadenomas, fibroadenosis & carcinomas)
  • fissure in ano, fistula in ano, ischiorectal abscess, haemorrhoids, perianal haematoma
  • varicose veins
  • deep vein thrombosis and pulmonary embolism
  • lymphoedema and other lymphatic disorders
  • goitres and other neck lumps (thyroglossal cyst, branchial cyst, cystic hygromas & carotid body tumour)
  • thyrotoxicosis and hypothyroidism
  • thyroid Cancers
  • parathyroid adenomas, hyperparathyroidism and hypoparathyroidism
  • haematemesis and oesophageal varices
  • dysphagia (achalasia and oesophageal cancer)
  • peptic ulcers and gastric cancers
  • acute and chronic pancreatitis
  • cancers of the pancreas
  • liver cysts, tumours and abscess
  • cholecystitis, biliary calculous disease and obstructive jaundice
  • salivary glands – calculi, infections and neoplasms
  • cancers of mouth, tongue, pharynx and larynx
  • rectal bleeding, colorectal cancer and anal cancer
  • diverticular disease, and Inflammatory bowel disease
  • intestinal obstruction
  • peritonitis
  • haematuria, urinary tract infections, urinary tract calculi, hydronephrosis
  • bladder outflow obstruction, benign hypertrophy of prostrate and cancer of the prostate
  • urethral strictures
  • cancers of the penis and testis
  • renal cysts and renal tumours
  • acute and chronic limb ischaemia
  • diabetic wounds
  • abdominal aortic aneurysm, A-V malformations and A-V fistulas
  • skin infections (abscess, cellulitis, erysipelas, carbuncles, gas gangrene)
  • skin pre malignant and malignant conditions
  • fractures, osteomylitis and tumours
  • common paediatric surgical problems – e.g. cleft lip / palate, tracheo-oesophageal fistula (TOF), pyloric stenosis, phimosis, posterior urethral (PU) valves, hypospadias, congenital dislocation of hip (CDH), scoliosis, club foot, slipped upper femoral epiphysis,and congenital herniae
  • raised intracranial pressure and space occupying lesions (SOL)
  • eye injuries, retinal detachment, cataract and conjunctivitis
  • chronic otitis media and sinusitis

 

3   The candidate should be able to :-

  • manage cases of trauma (mass disaster, triage, according to Advance Trauma Life Support (ATLS) guidelines, head injury, chest injury, abdominal injury; blunt and penetrating, liver lacerations and  splenic rupture, injury to major blood vessels, spinal injuries, burns)
  • perform pre-operative assessment and preparation
  • perform post-operative assessment and management after surgery of fever, nutrition, pain, urine output, and pulmonary atelectasis
  • manage drains
  • prescribe prophylactic and therapeutic antibiotics in surgery
  • describe issues related to HIV infection and Hepatitis B infection in surgery..
  • describe the principles of renal, lung, liver, and bone marrow transplantation.
  • describe the management of surgical emergencies e.g. surgical airways
  • describe technique of emergency IV access.
  • perform and describe cardio pulmonary resuscitation (CPR)
  • perform and describe insertion of intercostal tube and describe management of the IC tube
  • manage oliguria and anuria
  • manage hepato renal syndrome
  • describe the incidence of common malignancies in Sri Lanka

 

4  Recommended Reading for  Surgery :

  • RCN Williamson & BP Waxman. Scott: An Aid to Clinical Surgery (6th ed), 1998
  • H Ellis, R Calne & C Watson. Lecture Notes on General Surgery (11th ed). 2006
  • GR McLatchie & DJ Leaper. Oxford Handbook of Clinical Surgery (2nd ed) 2002
  • NL Browse. An introduction to the symptoms and signs of surgical disease (4th ed), 2005
  • A Clain (editor). Hamilton Bailey’s Demonstration of Physical Signs in Clinical Surgery (17th ed). 1986
  • RCG Russell et al (editors). Bailey & Love’s Short Practice of Surgery (24th ed). 2004
  • PJ Morris & WC Wood (editors). Oxford Textbook of Surgery Volumes 1, 2 & 3 (2nd ed). 2000
  • Mohan de Silva. Clinical Surgery made Easy. A companion to problem based learning (1st Edition) September 2008

 

 

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