Surgery Paper 2017

Surgery

The document begins by differentiating causes of jaundice based on pain presentation, suggesting gallstones for painful jaundice and malignancy for painless jaundice. It then details investigations for obstructive jaundice, including LFTs, ultrasound, CT, and MRCP. The text shifts to wound healing, outlining primary, secondary, primary delayed, secondary, and tertiary closure types, and the stages of healing (hemostasis, inflammation, proliferation, remodeling). Systemic and local factors affecting wound healing are also listed. Finally, it discusses abscesses, including liver, brain, and lung abscesses, with a particular focus on amoebic abscesses, their presentation, investigations (stool analysis, imaging, serology), and treatment with metronidazole or tinidazole.