Category: Surgery

Sore Throat

One of the most common A&E presentations is a sore throat, and while sore throat seems like a pretty straightforward complaint, it is important to properly assess and identify the cause in order to adequately treat it!   Causes of Sore Throat Common causes of sore throat: Viral tonsilitis Acute bacterial tonsilitis Glandular fever Peritonsillar abscess

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Introduction to Dental Traumatology for A&E

This article aims to give basic information on the assessment of dental trauma to enable the reader to both recognise and communicate injuries correctly with the appropriate speciality. Do not forget assessment for other injuries, especially the face, head and neck, brain, and C-spine. Dental trauma can have life-changing physical and psycho-social consequences, appropriate early

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Applying to Oral and Maxillofacial Surgery (OMFS)

Oral and Maxillofacial Surgery is a mouthful (no pun intended), but you may have heard of it referred to as OMFS or, more affectionately, Maxfacs. A speciality of the head and neck, you will often hear Maxfacs trainees joke about how their job starts above the clavicle. Introduction My own path started when I heard

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Appendicitis

Appendicitis is a one of the most common abdominal emergencies worldwide. Your aim is to be able to diagnose it, distinguish between simple and complex cases and optimise medical management whilst your seniors decide on the timing of surgery.

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Groin Lumps

The groin, also known as the inguinal region, extends from the anterior superior iliac spine (ASIS) anterolaterally, the thigh inferiorly and the pubic tubercle medially. It is an anatomical region vulnerable to surgical pathology due to a weakening of the abdominal wall occurring during embryology.

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Colorectal Cancer and Polyps

Colorectal cancer is one of the most common cancer types seen in the western world. They are adenocarcinomas arising from adenomatous polyps in the colon and rectum, with a majority seen on the left side of the colon.

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Benign Anorectal Pathology

In this article, we cover common benign anorectal pathologies including haemorrhoids, fissures & fistulas with a quick overview of their assessment & management. Basic anatomy Anatomical position of anus is described by a clock in the lithotomy position (lying on back with legs apart, pubic symphysis is 12 o’clock, coccyx is 6 o’clock) Internal anal

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Diverticular Disease

Diverticulae can occur throughout the gastrointestinal tract but are more common in the sigmoid & descending colon. Whilst frequently found, usually, it is incidental and not contributing to the presentation of the patient in front of you. In this article, we will take you through the spectrum of presentations & give an overview of the

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Superior Vena Cava Syndrome

SVC syndrome is an oncological emergency. There is obstruction of the superior vena cava resulting in stagnating blood and a high risk of thrombosis. Due to this obstruction, collaterals develop to drain the head, neck & upper extremities which dilate over several weeks. Cardiac output is usually not severely diminished as the quick rise in

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Compartment Syndrome

Acute Compartment Syndrome is one of the few orthopaedic emergencies. If missed, it can lead to severe and life-changing consequences for the patient. This article will focus on acute compartment syndrome of the limbs. What is compartment syndrome? Let’s start by understanding a couple key principles and definitions. A compartment is a group of muscles

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