Upload File

introduction

16
Vascular Surgery for Final Medical Vascular Surgery Unit Vascular Surgery Unit AMNCH AMNCH www.perfuse.net Introduction

Upload: amnch-vascular-surgery

Post on 15-Nov-2014

719 views

Category:

Documents


3 download

Report

Tags:

DESCRIPTION

 

TRANSCRIPT

Page 1: Introduction

Vascular Surgery for Final Medical

Vascular Surgery UnitVascular Surgery Unit

AMNCHAMNCHwww.perfuse.net

Introduction

Page 2: Introduction

Scope

Occlusive Vascular disease

Aortic aneurysm

Carotid disease

Varicose veins

Occlusive venousdisease

Lymphoedema

Visceral arterial occlusion

Peripheral aneurysms

Arterial Trauma

Diabetic FootHyperhidrosis

Venous access

Page 3: Introduction

Topics

Occlusive Vascular disease

Aortic aneurysm

Carotid disease

Varicose veins

Occlusive venousdisease

Lymphoedema

Visceral arterial occlusion

Peripheral aneurysms

Arterial Trauma

Diabetic FootHyperhidrosis

Venous access

Page 4: Introduction

Lecture topics

• Introduction– History

– Physical examination

– Differential diagnosis

– Presentation

• Leg Ulcers– clinical description

– clinical reasoning

– differential diagnosis

– Bayesian approach to diagnosis

• Peripheral arterial occlusive disease– systemic disease

– differing end organ manifestation

– holistic approach to therapy

– Indications for surgery

• Aortic aneurysms– preparing patients for

complex surgery

– clinical decision making

Page 5: Introduction

Lecture topics

• Carotid disease– evidence based medicine

– randomised trials in surgery

– choosing therapy

• Varicose veins– relationship between

symptoms & conditions

– Risk/benefits in surgery

– Informed consent

• Diabetic foot– systemic disease

– Warning signs

– Interventions

– Preventing amputations

Page 6: Introduction

Perfuse.net

Page 7: Introduction

Perfuse.net

Page 8: Introduction

Elements

• Theoretical knowledge– anatomy– physiology– pathology– pharmacology

– medicine– surgery etc.

Normal & disease

Page 9: Introduction

Clinical skills

• History

• Physical examination

• Diagnosis

• Investigation

• Treatment

Patients present with symptoms and signs rather than disease

Patients present with symptoms and signs rather than disease

Page 10: Introduction

History

• Presenting problem

• Context– personal

• age

• sex

• occupation

– social• domestic

arrangements

• lifestyle

– medical• chronic

illness

• medications

• previous surgery

Process of communicationProcess of communication

Page 11: Introduction

History - II

• Obtain information from the patient – listen– identify precise symptoms– avoid leading questions initially– ask questions to fill in the gaps

• Collateral history– trauma, confused, paediatric etc

All the information that cannot be obtained by examining the patient

All the information that cannot be obtained by examining the patient

Page 12: Introduction

Art of History Taking

Translate

Page 13: Introduction

Common language

• Standard formula

• Common among clinicians

• Precise terminology vs– “haemorrhoids”– “can’t breathe”– “trouble passing water”

Page 14: Introduction

Physical examination

Page 15: Introduction

Differential diagnosis

• Consider all the possibilities• Weight them

Diagnosis• Test the hypothesis• Re prioritise

Diagnosis• Treat• Evaluate response

Page 16: Introduction

1 Introduction t 1. Introduction to Nanotechnology - UFAMhome.ufam.edu.br/berti/nanomateriais/Introduction to Nanotechnology... · Introduction t 1. Introduction to Nanotechnology

VisionaryScancombinesarichsetofqualitycontrolandproductivi ... · Introduction Introduction VisionaryScancombinesarichsetofqualitycontrolandproductivityfeatureswithasimpleinterfacedesignedspecificallyforscanningandcodingdepositionexhib-

Introduction Introduction to Brittle Deformation

1. INTRODUCTION • INTRODUCTION • EINFÜHRUNG • INLEIDING • INTRODUCCIÓN … · 2016-12-16 · 1. INTRODUCTION • INTRODUCTION • EINFÜHRUNG • INLEIDING • INTRODUCCIÓN

CrowPiwithMineCraftPiEdition · 2 CrowPiwithMineCraftPiEdition-Introduction-MinecraftPiEdition-Introduction-Whatyouwillneed-Introduction-RunningMinecraft-Introduction

URBAN STREAM REHABILITATION. INTRODUCTION, OBJECTIVES & IMPACTS INTRODUCTION, OBJECTIVES & IMPACTS INTRODUCTION, OBJECTIVES & IMPACTS INTRODUCTION, OBJECTIVES

voip-iptel-introduction-SRK1.ppt voip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-iptel-introduction-SRK1.pptvoip-ip

Optimisation des Requêtes. Introduction Introduction

1. Introduction 1. Introduction 1. Introduction 1 ... · Introduction 1. Introduction 1. Introduction 1. Introduction 6061B0242401. The Phone Screen From the Phone screen, you can

Introduction and Welcome€¦ · Introduction and Welcome Introduction 4

Introduction Introduction Introduction Introduction

Module: Introduction...Module: Introduction Page: Introduction CC0.1 Introduction Please give a general description and introduction to your organization. Providing electrical, hydraulic

Introduction to introduction to introduction to … Optimization

PRODUCT INTRODUCTION Company Introduction

Introduction Introduction (ctnd.)

introduzione | introduction | einleitung | introduction · introduzione | introduction | einleitung | introduction | introducción | введе́ние | wstęp en Description Operation

1. INTRODUCTION INTRODUCTION - Deusto

Introduction to Transducers, Introduction to Transducers ...engtech.weebly.com/.../more_on_transducers_sensors_actuators.pdf · Introduction to Transducers, Introduction to Transducers,

Introduction | Introduction | Millennium Serials · 2018. 4. 17. · MARC Display | Print | Introduction | Millennium Serials INTRODUCTION Introduction This tutorial introduces the

Introduction - University of Cambridge · Introduction. Introduction

An Introduction to NSAn Introduction to NS2An Introduction ...teerawat/publications/NS2/02-NS2.pdf · An Introduction to NSAn Introduction to NS2An Introduction to NS2 Textbook: T

Introduction - daks2k3a4ib2z.cloudfront.net€¦ · Introduction Establishedin1974MarbleHillFireplacesofferoneofthelargestandmostcomprehensiveselectionsof …

Introduction 1. Introduction

General introduction 1.1 Introduction

Systems Analysis I introduction I introduction. 2Systems Analysis - Introduction Contents Introduction Introduction 3 classic phases 3 classic phases

Topics Introduction 1 / 3 Introduction 2 / 3 Introduction 3 / 3

Introduction to Databases: Introduction

Introduction€¦ · Introduction ThisdocumentprovidesinformationabouttheIOSXEsoftwarereleasefortheCiscoNCS4201andCisco …

 · Contents INTRODUCTION Introduction

Introduction to Logic Introduction

1. INTRODUCTION 1.1 Introduction

Industry introduction Industry introduction Company introduction Company introduction Production introduction Display time time content

Introduction Section I: Introduction

INTRODUCTION SPECIFICATIONS INTRODUCTION

Introduction Chapitre 1 · Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .