Surgery Long Case

Long Case

1

Identification

  • Name, age, sex, occupation
2

Presenting Complaint

  • Lump / pain / bleeding / obstruction
3

HPI

  • SOCRATES for pain
  • Lump: duration, size change, pain, discharge
  • B-symptoms if oncological
4

Past Surgical / Anaesthetic History

  • Procedures, complications, ICU stay
5

Drug & Allergy History

  • Anticoagulants, steroids, latex allergy
6

Social History

  • Smoking pack-years, alcohol, BMI, exercise tolerance
7

Examination

  • General — pallor, jaundice, clubbing, LN
  • Local: inspect, palpate, percuss, auscultate
  • Systemic exam
8

Summary

  • Problem list
  • Anatomical + pathological diagnosis
9

Investigations

  • Bloods, imaging (USS, CT, MRI)
  • Tissue diagnosis
10

Management

  • Conservative, medical, surgical
  • Pre-op optimisation, consent, post-op care

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WardRound

WardRound

Clinical Decisions in Seconds