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From Primary Surgery
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Name | User | Size | Description | Versions |
|---|---|---|---|---|---|
| 19:42, 1 January 2010 | C34_F11.JPG (file) | Minh To | 21 KB | (Fig. 34-11 ARRANGEMENTS FOR A BARIUM ENEMA. You will probably be able to demonstrate the patient's large gut as far as his hepatic flexure, without much difficulty; his ascending colon is more difficult. Note that you are wearing goggles and an apron. 1, ) | 1 |
| 19:40, 1 January 2010 | C34_F10.JPG (file) | Minh To | 17 KB | (Fig. 34-10 SOME BARIUM SWALLOWS. A, a postcricoid web (lateral view). B, achalasia of the cardia. C, carcinoma of the oesophagus.) | 1 |
| 19:33, 1 January 2010 | C34_F9.JPG (file) | Minh To | 30 KB | (Fig. 34-9 SOME UROLOGICAL X-RAYS. A, in a micturating cystourethrogram the patient's bladder is filled with contrast medium, and a film taken while he is passing it. B, and C, two types of obstruction. D, in a retrograde urethrogram contrast medium is inj) | 1 |
| 19:26, 1 January 2010 | C34_F8.JPG (file) | Minh To | 34 KB | (Fig. 34-8 SNAKE BITES. A, blood-stained blisters after a viper bite. B, extensive superficial necrosis after a viper bite. After HA Reid.) | 1 |
| 19:25, 1 January 2010 | C34_F7.JPG (file) | Minh To | 17 KB | (Fig. 34-7 REMOVING A SEBACEOUS CYST. A, excising an ellipse of skin. B, inserting curved scissors to define the plane of cleavage. C, isolating the cyst. D, excising it. F, the incision closed with a drain in place. 595) | 1 |
| 19:22, 1 January 2010 | C34_F6.JPG (file) | Minh To | 16 KB | (Fig. 34-6 GRANULOMA PYOGENICUM. Excise or curette these lesions. Don't mistake them for a sarcoma! If there is any doubt about the diagnosis, send a piece for histology.) | 1 |
| 19:05, 1 January 2010 | C34_F5.JPG (file) | Minh To | 27 KB | (Fig. 34-5 BOWESMAN'S 'SHAVING OFF' METHOD FOR KELOIDS. A, a keloid mass. B, the way to shave it off. C, the plane through which to remove it. D, a graft in place ready for dressing. After Charles Bowesman, 'Surgery and Clinical Pathology in the Tropics, F) | 1 |
| 19:04, 1 January 2010 | C34_F4.JPG (file) | Minh To | 43 KB | (Fig. 34-4 TWO ABDOMINAL SCARS. Both patients were operated on about 8 months previously. Patient A, has formed a keloid on her vertical scar. Patient B's transverse (Pfannensteil) incision in her skin crease has healed almost invisibly. Scars in skin crea) | 1 |
| 19:03, 1 January 2010 | C34_F3.JPG (file) | Minh To | 26 KB | (Fig. 34-3 ABNORMAL SCARS. A, an extensive keloid. B, hypertrophic scars and contractures following burns. Although both these scars are abnormally large and are identical histologically, they behave differently. After Charles Bowesman.) | 1 |
| 18:59, 1 January 2010 | C34_F2.JPG (file) | Minh To | 25 KB | (Fig. 34-2 VARICOSE VEINS—TWO. A, the stripper cable introduced at the ankle. B, the long saphenous vein with the stripper in place. C, the end of the cable emerging from the saphenous vein in the groin, with the head of the stripper attached. D, the han) | 1 |
| 18:55, 1 January 2010 | C34_F1.JPG (file) | Minh To | 33 KB | (Fig. 34-1 VARICOSE VEINS—ONE. A, varicosities of the long saphenous system. B, varicosities of the short saphenous system. C, D, and E, the Trendelenburg test. C, lay the patient on his back and raise his leg. Apply a venous tourniquet just below his sa) | 1 |
| 18:22, 1 January 2010 | C33_F3.JPG (file) | Minh To | 26 KB | (Fig. 33-3 P L A S M A D R U G L E V E L S F O R PAIN RELIEF. A, plasma concentration zones in relation to drug effects. These same zones are used in the diagrams which follow. B, the plasma concentration-time curves for an oral, and an intravenous dose. N) | 1 |
| 18:10, 1 January 2010 | C33_F2.JPG (file) | Minh To | 25 KB | (Fig. 33-2 WHO's T H R E E - S T E P L A D D E R OF PAIN RELIEF will alleviate the pain of about 90% of cases of terminal cancer. The method described in the text is a modification of this, and starts with a trial of the adjuvant alone. Give a patient the ) | 1 |
| 18:02, 1 January 2010 | C33_F1.jpg (file) | Minh To | 30 KB | (Fig. 33-1 PAIN PERCEPTION. A, shows the factors that influence a terminal cancer patient's total perception of pain. Only one of these is the cancer itself. Try to influence as many of these factors as you can. B, the patient herself. After Twycross and L) | 1 |
| 21:08, 6 December 2009 | Chapter_16-Image-009.jpg (file) | Minh To | 178 KB | (Fig. 16-10: ANTEPARTUM BLEEDING. The three types of abruption, revealed, concealed, and mixed, and the four types of placenta praevia. From Munro Kerr's 'Operative obstetrics' (7th edn. edited by Chassar Moir), Figs. 30,1 and 30,2. Balliëre Tindall, with) | 1 |
| 20:54, 6 December 2009 | C16_F1.jpg (file) | Minh To | 244 KB | (Fig. 16-1: EVACUATING AN INCOMPLETE ABORTION. A, explore the patient's uterus with your finger while your other hand is holding her fundus. You may find it easier to use two fingers or your middle finger. B, grasp her cervix with sponge forceps and use th) | 1 |
| 15:43, 4 December 2009 | Chapter_11-Image-006.jpg (file) | Minh To | 616 KB | (Fig. 11-7: GASTROSTOMY. A, the incision. B, the patient's stomach exposed. C, picking up his stomach in Allis forceps. D, introducing the catheter through his abdominal wall. E, the incision in his stomach. F, the catheter introduced. G, the purse string ) | 1 |
| 15:39, 4 December 2009 | Chapter_11-Image-005.jpg (file) | Minh To | 1.89 MB | (Fig. 11-6: GASTROENTEROSTOMY. A, reflecting the patient's colon upwards, so as to expose the back of his stomach. Incising his mesentery. B, bringing his stomach and jejumum together through his transverse mesocolon. Notice the position of his middle coli) | 1 |
| 15:37, 4 December 2009 | C11_F5.jpg (file) | Minh To | 206 KB | (Fig. 11-5: A SENGSTAKEN TUBE. A, this has three channels: 1, to aspirate blood from the patient's stomach. 2, to inflate a balloon in his stomach to anchor the tube. 3, to inflate another balloon in his oesophagus to compress his varices. B, the varices t) | 1 |
| 15:35, 4 December 2009 | Chapter_11-Image-003.jpg (file) | Minh To | 2.09 MB | (VAGOTOMY) | 1 |
| 15:29, 4 December 2009 | C11_F3.jpg (file) | Minh To | 231 KB | (Fig. 11-3: PYLOROPLASTY (Heinicke–Miculicz). A, the incision when there is only moderate fibrosis. The incision into the stomach is slightly longer than that into the duodenum. B, the incision held open with stay sutures, held in haemostats, while a ble) | 1 |
| 15:18, 4 December 2009 | C11_F2.jpg (file) | Minh To | 383 KB | (Fig. 11-2: CLOSING A PERFORATED PEPTIC ULCER. A, the stomach retracted and a perforation on the anterior of the duodenum exposed. B, the perforation being closed with several interrupted sutures of 2/0 catgut on an atraumatic needle. C, a fold of omentum ) | 1 |
| 15:15, 4 December 2009 | C11_F1.jpg (file) | Minh To | 216 KB | (Fig. 11-1: SOME COMPLICATIONS OF PEPTIC ULCERATION. A, anterior perforation of a duodenal ulcer. B, penetration into the liver (penetration into the pancreas is more common). C, and D, haematemesis and melaena. E, pyloric obstruction. Note the hyperperist) | 1 |
| 03:45, 30 November 2009 | C31_F6.JPG (file) | Minh To | 33 KB | (Fig. 31-6 CHARLES' OPERATION for elephantiasis. A, suspend the patient's leg and apply a tourniquet. B, incise the thickened tissue and reflect it. C, his leg ready for grafting. D, grafts sewn in place. E, both his legs originally looked like this. F, hi) | 1 |
| 03:44, 30 November 2009 | C31_F5.JPG (file) | Minh To | 23 KB | (Fig. 31-5 SOME FILARIAL LESIONS A, extensive filarial involvement of the leg. After the operation she could walk without support. B, an East African woman with an axillary swelling; needle puncture showed that this was a lymphatic varix. C, this filarial ) | 1 |
| 03:43, 30 November 2009 | C31_F4.JPG (file) | Minh To | 37 KB | (Fig. 31-4 T R E A T I N G PODOCONIOSIS. A, an intermittent compression machine in use (the foot has been lowered for ease of illustration, and should be raised). B, a 'waterbag' foot before decompression in the machine. C, the same foot, after the machine) | 1 |
| 03:41, 30 November 2009 | C31_F3.JPG (file) | Minh To | 38 KB | (Fig. 31-3 DIAGNOSING PODOCONIOSIS. A, 'block toes'. Early oedema of a patient's forefoot affects the plantar aspect of his metatarsal pad, as well as his toes, which appear rigid, as if they were wooden and nailed on to his forefoot. They may be lifted of) | 1 |
| 03:37, 30 November 2009 | C31_1.JPG (file) | Minh To | 13 KB | (The patient exhibited marked oedema) | 1 |
| 03:36, 30 November 2009 | C31_F2.JPG (file) | Minh To | 29 KB | (Fig. 31-2 M Y C E T O M A . A, mycetoma of the hand, spreading through the carpal tunnel into the forearm (unusual). B, an advanced mycetoma of the thigh 20 years after infection had begun in the foot. C, the endemic and the sporadic mycetoma zones in Afr) | 1 |
| 03:33, 30 November 2009 | C31_F1.JPG (file) | Minh To | 32 KB | (Fig. 31-1 TROPICAL ULCERS. A, the earliest stage of a tropical ulcer is a pustule, containing Vincent's organisms and fusiform bacilli. Alternatively, and some would say more commonly, the early stage is a small cut. B, the pustule ruptures to form an acu) | 1 |
| 00:18, 23 November 2009 | C30_F12.JPG (file) | Minh To | 23 KB | (Fig. Fig. 30-12 A VERY SPECIAL CAST for a patient who has had his tibialis posterior transferred. A, the backslab applied with his foot dorsiflexed and everted. B, the lateral strut of plaster. C, the medial strut applied and the plaster being passed roun) | 1 |
| 00:16, 23 November 2009 | C30_F11.JPG (file) | Minh To | 28 KB | (Fig. 30-11 TRANSFER OF THE TIBIALIS POSTERIOR TENDON for foot drop in leprosy and other diseases. A, the medial side of the foot with the first three incisions. B, the incisions on the lateral side of the foot. C, tibialis posterior is being pulled up int) | 1 |
| 00:14, 23 November 2009 | C30_F10.JPG (file) | Minh To | 36 KB | (Fig. 30-10 SOME CRITICAL DETAILS. A, measure the movement of his ankle like this (see also Fig. 69-1). B, a locally made goniometer. Hinge two boards together and nail a protractor, partly covered by a piece of card, to one edge. Mark the angles of dorsi-) | 1 |
| 00:13, 23 November 2009 | C30_F9.JPG (file) | Minh To | 31 KB | (Fig. 30-9 SOME OF THE SIMPLER LEPROSY OPERATIONS. A, clawed toes due to weakness of the intrinsic muscles, but without skin or joint contractures (Grade One). B, clawed toes with contractures (Grade Two). C, clawed toes with severe contractures, and dorsa) | 1 |
| 00:10, 23 November 2009 | C30_F8.JPG (file) | Minh To | 28 KB | (Fig. 30-8 MORE METHODS FOR LEPROSY. A, a patient's first ulcer is a critical time for health education. B, one way to prevent him walking on his ulcer while it heals, is to bandage a wooden bar to his leg. C, the sites of ulcer formation. Feel for warmth ) | 1 |
| 00:09, 23 November 2009 | C30_F7.JPG (file) | Minh To | 34 KB | (Fig. 30-7 A PLASTER CAST FOR LEPROSY ULCERS. A, sites for extra padding under a plaster cast. B, a wooden rocker shod with car tyre. This has a single bar. If a patient has casts on both legs, double bars on the rockers will enable him to walk more easily) | 1 |
| 00:07, 23 November 2009 | C30_F6.JPG (file) | Minh To | 32 KB | (Fig. 30-6 PLANTAR ULCERS IN LEPROSY. A, where ulcers form in a flexible anaesthetic foot with intact muscles; the arrows show where * pre-ulcer blisters' may track to. B, where ulcers form in a paralysed foot. If the patient has a peroneal palsy, he has u) | 1 |
| 23:55, 22 November 2009 | C30_F5.JPG (file) | Minh To | 30 KB | (Fig. 30-5 PROTECTIVE FOOTWARE FOR LEPROSY. A, the right kind of microcellular rubber can be squeezed to half its thickness; if it is flatter than this it is too soft, if it is thicker it is too hard. B, a sheet of hot 'Plastazote' laid on soft foam. C, ta) | 1 |
| 23:55, 22 November 2009 | C30_F4.JPG (file) | Minh To | 40 KB | (Fig. 30-4 FOOTWARE FOR FEET AT RISK can be made by any cobbler if you are prepared to teach him. LOW RISK FEET. A, microcellular rubber distributes the pressure. B, hatching indicates the areas of increased pressure on walking. C, a car tyre sole applied.) | 1 |
| 23:53, 22 November 2009 | C30_F3.JPG (file) | Minh To | 30 KB | (Fig. 30-3 HANDS AND FEET IN LEPROSY. A, a patient inspecting his anaesthetic feet to find early wounds and 'hot spots'. He is soaking them, and is about to rub them with oil. The exercises shown here are for acute and chronic paralysis, and will prevent a) | 1 |
| 23:52, 22 November 2009 | C30_F2.JPG (file) | Minh To | 28 KB | (Fig. 30-2 HANDS AT RISK. The area of skin in contact with the cylinder is black. A, and B, when a normal hand bears the weight of a block or a cylinder, most of its surface bears its weight. C, and D, when a clawed hand does the same too much of its weigh) | 1 |
| 23:50, 22 November 2009 | C30_F1.JPG (file) | Minh To | 35 KB | (Fig. 30-1 TWO METHODS OF TARSORRAPHY FOR LAGOPHTHALMOS. This is a condition in which a patient's eye will not shut and waters excessively (A). B, pinch his lids together and tell him to open them. This will tell you how long a tarsorraphy needs to be to p) | 1 |
| 23:48, 22 November 2009 | C30_F0.JPG (file) | Minh To | 28 KB | (Fig. 30-0 THE CAUSES OF DISABILITY IN LEPROSY. Damage to the sensory, autonomic and motor components of nerves is folowed by anaesthesia, dryness of the skin and paralysis. A further cause of damage is direct invasion of the tissues by Myc. leprae. From B) | 1 |
| 23:28, 22 November 2009 | C29_F9.JPG (file) | Minh To | 33 KB | (Fig. 29-9 TUBERCULOSIS OF T H E URINARY TRACT. A, tuberculosis of the kidney involving the pelvis and the ureter. B, tuberculous ulcers of the bladder. C, tubercles near the orifice of the ureter. Adapted jrom a drawing by Frank Netter, with the kind perm) | 1 |
| 23:27, 22 November 2009 | C29_F8.JPG (file) | Minh To | 33 KB | (Fig. 29-8 OBSTRUCTIVE ABDOMINAL TUBERCULOSIS. A, to C, the Heinecke—Miculicz procedure for a stricture of the small gut. A, incise the gut longitudinally. B, insert stay sutures beside the middle of the incision, pull them out, and sew up the gut transv) | 1 |
| 23:25, 22 November 2009 | C29_F7.JPG (file) | Minh To | 19 KB | (Fig. 29-7 W E D G E BIOPSY OF T H E L I V E R . A, insert sutures to control bleeding before you cut the liver. B, the wedge excised. C, the wedge closed.) | 1 |
| 23:24, 22 November 2009 | C29_F6.JPG (file) | Minh To | 34 KB | (F i g . 29-6 A S C I T I C A B D O M I N A L T U B E R C U L O S I S . A, the m i n i l a p i n cision. B, draw off the f l u i d slowly before you start. C, m i l i a r y tubercles of the parietal peritoneum, liver, and gut.) | 1 |
| 23:22, 22 November 2009 | C29_F5.JPG (file) | Minh To | 31 KB | (Fig. 29-5 M O R E ABDOMINAL TUBERCULOSIS. A, an adhesion causing obstruction. B, tuberculous ulcers. C, coils of gut matted together. Adapted from a drawing by Frank Netter, with the kind permission of CIBA-GEIGY Ltd, Basle (Switzerland).) | 1 |
| 23:21, 22 November 2009 | C29_F4.JPG (file) | Minh To | 43 KB | (Fig. 29-4 A B D O M I N A L T U B E R C U I J O S I S can present in many ways. Patient A's abdomen is distended with ascitic fluid. You may not diagnose some of the other forms of tuberculous peritonitis until you do a laparotomy. Kindly contributed by G) | 1 |
| 23:12, 22 November 2009 | C29_F3a.JPG (file) | Minh To | 48 KB | (Fig. 29-3a C O S T O T R A N S V E R S E C T O M Y for a tuberculous or a pyogenic paraspinal abscess. A, the incision. B, the approach to the ribs and transverse processes. After Campbell's Orthopaedics, Fig. 13-10, with kind permission.) | 1 |
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