I. Introduction
1. Welcome
2. How to Read this Book
3. General Advice
4. A 28-year-old Female Incoming Surgery Resident
5. How to Write a Note—Fast!

II. Handling Patients in the ED
6. Admissions
7. A 56-year-old Female Status Post Motor Vehicle Accident
8. A 40-year-old Female With Abdominal Pain
9. A 42-year-old Man With Severe Right Upper Quadrant Pain
10. A 23-year-old Student With Periumbilical Pain That Has Migrated to Her RLQ
11. A 65-year-old Female in Severe Abdominal Pain
12. A Patient in the ER With a Blood Pressure of 60/– and a Heart Rate of 140
13. A 67-year-old Man With Mental Status Changes and a Suspected Diverticular Abscess
14. A 57-year-old Man With a Chief Complaint of Nausea and Vomiting
15. A 65-
year-old Man Status Post Surgery With a HCT of 24%
16. A 70-year-old Man With “Bad Blood”
17. A 37-year-old Man With a Painful Bulge Over His Left Forearm
18. Three Patients All Present With Issues Related toLaboratory Tests
19. A 73-year-old Man With Acute Right Lower Extremity Pain
20. A 36-year-old Woman Status Post Motor Vehicle Accident While Intoxicated
21. A 50-year-old Man Presenting With Extensive Burns
22. A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic Discomfort

III. Handling Inpatients
23. A 75-year-old Man With Postoperative Pain
24. A 72-year-old Man With Acute Confusion Postoperatively
25. You (the Intern) Are Asked to Read a Chest X-ray
26. A 65-year-old Woman in Respiratory Distress
27. A Patient Who Is Postoperative Day 2 With New-onset Chest Pain
28. A 65-year-old Woman With a New-onset Cardiac Arrhythmia
29. A 60-year-old Man in the PACU With New-onset PVCs
30. A 65-year-old Man With Bradycardia
31. A 65-year-old Man With a Pacemaker Who Needs Surgery
32. A Patient With Pulseless Electrical Activity
33. A 55-year-old Man Who May Require Perioperative β-blockade
34. A 65-year-old Man Who Is in RespiratoryDistress 3 Days Postoperatively
35. A 68-year-old Man with Postoperative Hypotension
36. A 57-year-old Man Who Is Postoperative With aBlood Pressure of 210/95
37. A 65-year-old Female Who Is 4 Days Postoperative With Nausea, Vomiting, and a Distended Abdomen
38. A 30-year-old Woman With Postoperative Nausea and Vomiting
39. A 79-year-old Man, Postoperative Day 3,Who has Not had a Bowel Movement in 4 Days
40. A 70-year-old Postoperative Colectomy Patient Who Is Not Putting Out Much Urine
41. A 55-year-old Male With Postoperative Urinary Retention
42. A 52-year-old Female Who Is Dehydrated Postoperative Day #1
43. A 68-year-old Woman With Electrolyte Abnormalities
44. A 58-year-old Man With a Postoperative Fever
45. A 42-year-old Woman 4 Hours Postoperative With a Fever and Extreme Pain
46. A 35-year-old Man With Crohn DiseaseWho Needs Postoperative Orders
47. A 65-year-old Man With Diabetes NeedingPostoperative Orders
48. A 65-year-old Female Presenting for Preoperative Evaluation
49. A 33-year-old Woman Who Needs Postoperative Orders for DVT Prophylaxis
50. A 78-year-old Woman and a 62-year-old Man With Drains
51. A 58-year-old Woman Who had a Drain Pulled by the Resident in Error
52. A Resident Who Is Unsure About How to Remove a Chest Tube
53. A Surgical Intern in a Moral Dilemma
54. A 35-year-old Man Who Is Disruptive on the Floor

IV. Handling Patients in Clinic
55. Ambulatory Care and the Surgery Intern
56. A 55-year-old Man Who Was Struck by a Beer Truck and Needs a CT Scan
57. A 60-year-old Man With Postoperative Wound Complications
58. A 35-year-old Woman Who Needs a Lipoma Removed in Clinic
59. A 52-year-old Woman With a Suspected Congenital Coagulopathy
Bibliography
Index

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