Introduction xi
Organizational Theme xiii
Malignancy, General 1
Breast
Nipple Discharge 3
DCIS (Ductal Carcinoma In Situ) 5
Inflammatory Breast Cancer 7
Invasive Ductal Carcinoma 9
Paget's disease 11
Colon and Small Bowel
Acute Bowel Ischemia 12
Colon Cancer 14
Enterocutaneous Fistula 17
Hemorrhoids 19
Incarcerated Hernia 21
Intestinal Angina 23
Large Bowel Obstruction 25
Lower GI Bleeding (LGIB) 27
Perirectal Abscess 29
Rectal Cancer 31
RLQ Pain 33
Ulcerative Colitis 35
Endocrine
Carcinoid 37
Cushing's Syndrome 39
Hyperthyroidism 41
Insulinoma 43
Pheochromocytoma 45
Primary Aldosteronism 47
Neck Mass 49
Hyperparathyroidism 52
Thyroid Nodule 54
Esophagus
Zenker's Diverticulum 56
Achalasia 58
Esophageal Cancer 60
Esophageal Perforation 62
Esophageal Varices 64
GERD 66
Hiatal Hernia 68
Genitourinary
Renal Mass 70
Scrotal Mass 71
Hepatobiliary
Gallstone Ileus 72
Liver Abscess 74
Liver Mass 76
Post-cholecystectomy Cholangitis 78
Post-cholecystectomy Jaundice 80
Pancreas
Acute Pancreatitis 82
Chronic Pancreatitis 84
Pancreatic Cancer 86
Pancreatic Pseudocyst 88
Pediatric Surgery
Neonatal Bowel Obstruction 90
Pyloric Stenosis 92
Tracheoesophageal Fistula 94
Perioperative Care
Hypotension in the Recovery Room 96
Postoperative Fever 98
Recent MI 100
Renal Failure 101
Contents
ix
Skin and Soft Tissue
Melanoma 103
Sarcoma 105
Skin Cancer (Other than Melanoma) 107
Stomach and Duodenum
Duodenal Ulcer 109
Gastric Cancer 112
Gastric Ulcer 114
Mallory Weiss Tear 116
Upper GI Bleeding 118
Thoracic
Emphysema 120
Lung Cancer 122
Trauma and Critical Care
Abdominal Compartment Syndrome (ACS) 124
Colon and Rectal Trauma 126
Extremity Compartment Syndrome 128
Duodenal Trauma 130
GU Trauma 132
Liver Trauma 134
Pelvic Fracture 136
Penetrating Neck Trauma 138
Pulmonary Embolism 140
Splenic Trauma 142
Thoracic Trauma 144
Vascular
Abdominal Aortic Aneurysm 146
Acute Lower Extremity Ischemia 148
Carotid Stenosis 150
Chronic Lowe Extremity Ischemia 152
Venous Stasis Ulcer 154
Conclusion and Common Curveballs 156
Index 159
x Contents