Surgical Semiology — Treatise on Internal Medicine and Surgery

Surgery · Clinical Specialties

How it begins

An exhaustive and systematic analysis of the signs and symptoms oriented to surgical pathology. From the molecular pathophysiology of pain to precision in the regional physical examination and differential diagnosis of emergencies.

What it covers

1. Surgical Semiology
2. Introduction and Surgical History
3. · Directed Anamnesis
4. · Pathological History Questioning
5. · Review of Perioperative Impact Drugs
6. General Physical Examination of the Surgical Patient
7. · General Inspection and Facies
8. · Monitoring of Vital Signs and their Surgical Significance
9. · Nutritional Status and Hydration
10. Preoperative Evaluation and Surgical Risk
11. · ASA Physical Status Classification
12. · Lee's Revised Cardiac Risk Index (RCRI)
13. · Liver Function Risk Assessment (Child-Pugh and MELD)
14. Pathophysiology of Abdominal Pain
15. · Pain Transmission Pathways
16. · Mechanism of Referred Pain
17. Inspection, Auscultation and Abdominal Percussion
18. · Topography and Division of the Abdominal Wall
19. · Surgical Abdominal Inspection
20. · Abdominal Auscultation
21. · Abdominal Percussion and its Diagnostic Value
22. Palpation and Surgical Maneuvers
23. · Muscle Guarding vs. Involuntary Rigidity ("Belly Plank")
24. · Semiological Eponyms of the Acute Surgical Abdomen
25. · Palpation of Hernial Orifices and Digital Rectal Examination
26. Clinical Acute Abdomen Syndromes
27. · Stratification into Physiopathological Groups
28. · Predictive Scales in Acute Appendicitis: Alvarado Score
29. Surgical Head and Neck
30. · Semiological Examination of the Thyroid Gland
31. · Differential Diagnosis of Cervical Masses
32. · Mapping of Neck Ganglion Groups
33. Mammary Gland and Armpit
34. · Static and Dynamic Inspection of the Breast
35. · Systematic Palpation Technique
36. · Semiology of Nipple Discharge (Telorrhea)
37. · Examination of the Axillary Lymphatic Basin
38. Abdominal Wall and Hernias
39. · Anatomy of the Inguinal Tract
40. · Clinical Differential Diagnosis of Inguinal Hernias
41. · Limits of the Hesselbach Triangle
42. · Specific Physical Maneuvers
43. · Clinical Complications of Hernias
44. Peripheral Vascular System
45. · Chronic Lower Limb Arterial Insufficiency
46. · Chronic Venous Insufficiency (CVI)
47. · Deep Vein Thrombosis (DVT)
48. Skin, Soft Parts and Infections
49. · Differentiation of Soft Parts Masses
50. · Differential Diagnosis of Ulcers in the Lower Limbs
51. · Necrotizing Soft Tissue Infections (INPB)
52. · LRINEC Risk Scale for Necrotizing Fasciitis
53. Trauma Semiology (ATLS)
54. · ABCDE Primary Evaluation: Signs of Suspicion and Actions
55. · Triad of Death in Trauma
56. · Specific Semiological Signs in Closed Trauma
57. Postoperative Semiology and Complications
58. · Chronological Stratification of Postoperative Fever
59. · Intestinal Anastomosis Dehiscence
60. · Evaluation of Wound Dehiscence: Eventration vs. Evisceration
61. · Differential Diagnosis of Postoperative Ileus