Acute Care General Surgery Workup and Management
Acute Care General Surgery provides a succinct focused overview of a myriad of general surgical emergencies. Each chapter has a concise, practical framework on the workup and management of a specific topic. The book covers a wide array of patho
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Acute Care General Surgery
Dale A. Dangleben Firas G. Madbak •
Editors
Acute Care General Surgery Workup and Management
123
Editors Dale A. Dangleben Trauma Critical Care Geisinger Holy Spirit Camp Hill, PA USA
ISBN 978-3-319-52254-8 DOI 10.1007/978-3-319-52255-5
Firas G. Madbak Department of Surgery University of Florida-Jacksonville Jacksonville, FL USA
ISBN 978-3-319-52255-5
(eBook)
Library of Congress Control Number: 2016963314 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To those who have taken the time to teach me along this journey, not just surgery but about life as a whole —Dale A. Dangleben To Tuhama and Layla for their unconditional love and sacrifice —Firas G. Madbak
Preface
Patients who present with emergency general surgical problems often have profound physiologic derangements that require immediate correction and stabilization prior to planning a diagnostic approach. This varies from the classic approach we were taught that culminates in history taking, formulating a differential diagnosis, obtaining laboratory and imaging studies, and initiating treatment. The acute care surgeon should be aggressive, take ownership, and promptly begin treatment often without having all the information in these situations. The goal is to correct life-threatening physiology either concurrently or prior to definitive anatomic correction which can be delayed. Despite the advent of modern imaging and state-of-the-art technology, we feel that little has changed in the approach to the emergency general surgical patient. The surgeon should always strive to learn “when to operate, how to o
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