Bedside Clinics in Surgery

Bedside Clinics in Surgery, 4/E by Makhan Lal Saha is a case-based clinical companion built to take MBBS and postgraduate surgery students straight from the bedside to the examination hall. Rather than reading as a conventional textbook, it is structured entirely around real long-case and short-case workups, mirroring exactly how surgery is examined at the undergraduate and postgraduate level. In this fully revised 4th edition we have added a new long case on portal hypertension due to cirrhosis of liver, two new short cases on phyllodes tumor of breast and lingual thyroid, and a fresh operative-section discussion on mesh repair of paraumbilical hernia. The TNM classification for malignant tumors has also been updated as per the 8th edition of the American Joint Committee on Cancer (AJCC), and most chapters have been brought in line with current management guidelines. The book is organized into 10 sections across 23 chapters: Surgical Long Cases (hernias, abdomen, urinary cases, breast, thyroid, varicose veins, peripheral vascular disease), Surgical Short Cases (skin and subcutaneous tissue, blood vessels and nerves, neck swellings, salivary glands, mouth and oral cavity, genitalia and urethra), Surgical Problems and Ward Rounds, X-rays, Surgical Pathology, Preoperative Preparations, Minor Surgical Procedures, Instruments, Operative Surgery, and Surgical Anatomy. Every case follows the same structured format students are expected to reproduce in exams - History, Physical Examination, Summary of the Case, Provisional Diagnosis, Investigations Suggested, and Differential Diagnosis - followed by an extensive Question-and-Answer viva section that walks through diagnostic reasoning, clinical tests, and management. The content is heavily illustrated with numbered clinical photographs, hand-drawn surgical anatomy diagrams, and schematic illustrations that correlate anatomy with pathology. Who This Book Is For: MBBS Students in Surgery Clinical Postings: get ready-to-use long-case and short-case templates and viva answers for university practical and clinical examinations. Final-Stage UG Students Preparing for Surgery Exams: use the structured History-Examination-Diagnosis format to organize case presentations confidently. MS/DNB General Surgery Postgraduates: revise viva-style questions and operative steps for postgraduate practical and university examinations. Surgical Residents: use the Instruments and Operative Surgery sections as a quick refresher on named instruments, suture materials, and step-by-step operative technique. Why This Book Helps: Structures viva preparation: converts abstract case knowledge into the exact Q&A format examiners use, reducing exam-day uncertainty. Clarifies clinical differentiation: spells out how to distinguish look-alike conditions (e.g., direct vs indirect inguinal hernia, inguinal vs femoral hernia, enterocele vs omentocele) with the exact bedside tests used to prove each diagnosis. Bridges theory and operating room: the Operative Surgery and Instruments sections map named surgical steps and instruments directly onto the clinical cases discussed earlier in the book. Keeps staging current: the AJCC 8th edition TNM update ensures answers on malignant tumor cases reflect current cancer staging practice. Covers the full UG/PG surgery syllabus in one place: long cases, short cases, X-rays, surgical pathology, preoperative preparation, minor procedures, instruments, operative steps, and surgical anatomy are all in a single companion volume. Key Features: 23 chapters across 10 sections spanning surgical long cases, short cases, X-rays, surgical pathology, preoperative preparation, minor surgical procedures, instruments, operative surgery, and surgical anatomy. Every case is presented in full Question-and-Answer viva format with structured History-Examination-Diagnosis-Investigation outlines, exactly as expected in practical examinations. New in the 4th edition: a long case on portal hypertension due to cirrhosis of liver, two new short cases (phyllodes tumor of breast and lingual thyroid), and mesh repair of paraumbilical hernia added to the operative section. TNM classification for malignant tumors updated as per the 8th edition of the American Joint Committee on Cancer (AJCC). Dedicated Surgical Anatomy section with exclusive hand-drawn illustrations correlated to the clinical cases, supported throughout by extensive color clinical photographs and schematic diagrams.

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