General Surgery - Peter Lamb

The Principles of Surgical Management module focuses on the management of specific conditions encountered within each of the surgical specialties. The module is spread throughout the year, with individual specialties being covered at the times shown in the year timetable.

In the specialties in which you have previous experience, you are likely to be familiar with the investigation and management of the conditions encountered. The learning objectives and additional resources should serve as a useful guide for your revision.

There will be some specialties, however, to which you have had no exposure, and many that you do not intend to pursue during your career. You are not expected to become an expert in all these specialties, but simply to gain a broad understanding of how to investigate and manage the common and important presentations. Throughout your career you will encounter patients who demonstrate symptoms relating to a surgical specialty other than your own, and it is hoped that this module will allow you to initiate management, and refer on, these patients appropriately.

General Surgery is the first of the surgical specialties to be covered, and will run over the next 3 weeks.

You should read the learning objectives below and then participate on the discussion board. Discussion Board

Additional resources relating to the learning objectives can be found at the bottom of this page.

You should complete the MCQs at the end of the block. General Surgery MCQs

You have been given a discussion board essay topic for this module - click 'in course assessment' below and see point 3. for more details. In-course Assessment


Learning Objectives

The acute abdomen
  • Investigation and management of:
    • Upper abdominal pain (peptic ulcer disease, gallstone disease, pancreatitis)
    • Lower abdominal pain (diverticular disease, appendicitis, gynaecological causes of lower abdominal pain, mesenteric ischaemia, intestinal obstruction)
    • Major haemorrhage (both upper and lower GI tract)
The jaundiced patient
  • Investigation
  • Management of gallstone disease, benign and malignant biliary strictures, pancreatic and hepatic malignancy, portal hypertension and ascites
Dysphagia / dyspepsia
  • Investigation of these symptoms
  • Management of GORD, Barrett’s oesophagus, malignancy, PUD
Altered bowel habit & PR bleeding
  • Investigation of these symptoms
  • Management of diverticular disease, inflammatory bowel disease, colonic polyps, colonic cancer, functional bowel conditions, faecal incontinence & intestinal fistulae
  • Management of stomas
Altered bowel habit & PR bleeding
  • Investigation of these symptoms
  • Management of diverticular disease, inflammatory bowel disease, colonic polyps, colonic cancer, functional bowel conditions, faecal incontinence & intestinal fistulae
  • Management of stomas
Herniae
  • Assessment and investigation
  • Management of inguinal, femoral, incisional and other herniae
Perianal conditions
  • Investigation and management of anal fissure, perianal abscesses & fistulae, rectal prolapse, haemorrhoids, pilonidal disease and anal cancer.
Other
  • Principles of bariatric surgery

 

 Additional resources can be found by clicking the links below:

Management of dysphagia
Management of dyspepsia
Appendicitis
Gallstone disease
Management of jaundice
Pancreatitis
Pancreatic cancer
Biliary strictures
Portal hypertension and ascites
Management of altered bowel habit
Diverticular disease
Lower GI bleeding
Intestinal obstruction
Herniae
Stomas
Gynaecological disorders encountered by the general surgeon

 

Principles of Surgical Management 

  • In-course Assessment
Discussion Boards
General Surgery