The ability to gather a sensitive and adequate history and to perform a thorough and accurate examination deepens the relationships with patients, and sets the direction of proper clinical thinking. In these days when there is a tendency for ward rounds to be sometimes recitals of biochemical, radiological and endoscopic findings, the patient’s bedclothes unruffled, and the patient a silent witness, the importance of signs and symptoms and clinical skills cannot be overemphasized. This book comprises 14 chapters that consider the clinical approach and diagnosis of different subjects related to clinical surgery; namely, introduction to surgical case sheet, approach to certain clinical problems (swelling, ulcer, sinus, fistula, lymphadenopathy), skin and subcutaneous tissue, head and neck, chest wall and breast, dysphagia, anterior abdominal wall and umbilicus, abdomen (physical examination, splenomegaly, hepatomegaly, schistosomal hepatic fibrosis, jaundice, abdominal mass, abdominal distention), hernia, ano-rectal surgery, vascular surgery (arterial disease, venous disease, lymphatic disease, vascular ulcers, swollen limb), urosurgery, neurosurgery and orthopedic surgery. How to reach diagnosis using history-taking, physical examination, and appropriate investigations, with the possible differential diagnosis in mind is clearly presented and illustrated in this book. Bibliography is also provided for further reading.
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