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General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
➢ General surgery’s some topics are cramming, and some are
conceptual but whole of this chap is easy if you will take interest
considering you a “surgeon”
➢ Remember, in House job, General surgery which includes both your
general and systemic, is a major one rotation I.e. everyone must do
either willing or not.
➢ “Abdul Wahab Dogar’s General surgery” book is such a short kind
of book that completes your almost whole syllabus of UHS. So, its
need to do whole book {at least a read}.
➢ Every chapter will be containing maximum of important questions
and you need to cram them.

Key:
➢ *** Means most important topics which you can’t skip at any cost.
➢ ** means you should read this topic but if u have less time, u can skip at that time then.
➢ * means you only need to read this topic for MCQs and if there is SEQ, u can solve then.
Page 2 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar
Radiology:

C
➢ This topic contains almost 8 marks for UHS proff (1 SEQ of 5 marks
and 3 MCQs).
• Every topic of this chap is 3 *** imp so do it complete in a good
way.

Pre-operative evaluation and management


➢ Read whole chap briefly.
• Pre-operative assessment >*brief
• Investigations >***
• Pre op problems and management >* give a read and do main
brief points.
• Cardiovascular disease, diabetes >**

Aseptic Techniques and Sterilization


• Sterilization >***
• Disinfection>**
• Surgery in high risk patients >**
• Factors contributing to Asepsis in Operation theater>***
Page 3 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Anesthesia and Analgesia
➢ Whole chap is imp >***
• General anesthesia phases, advantages, complications, indications
>***
• Local anesthesia >***
• Local anesthetic technique >**
• Spinal anesthesia complete>***
• Epidural anesthesia and differences between spinal and epidural
>**
• Patient control analgesia >***
• WHO Analgesic ladder >**
• Types of chronic pain >**
• Cancer pain Management >**
• Procedure of spinal anesthesia insertion >**

Chap 5: Sutures and Needles


➢ For MCQs and OSPE >*

Chap 6: Post-Operative Care


➢ Just give a read >*
Page 4 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 7: Post-operative complications:
• Names of complications >**
• Wound complications; wound dehiscence >**
• Post-operative Fever >**
• Read rest chap >*

Chap 8: Surgical Audit


➢ No need to do.

Chap 9: Advanced Trauma Life Support:


• Steps in ATLS Philosophy complete>***
• FAST Scan >**
• Triage >***
Page 5 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 10: Thoracic Trauma:
➢ This chap ‘Thoracic Trauma’ will be included in ‘Systemic Surgery’
in “Thorax” seq along with ‘Thoracic Surgery’ given in Systemic
Surgery.
• Immediate life threatening Conditions (names) (Lethal six) >***
• Pneumothorax complete >***
• Hemothorax >***
• Potential life threatening conditions(names) >**
• Flail Chest >***
• Cardiac Temponade >**
• Sucking chest wound >*
• Chest tube intubation >***
• Thoracotomy >**(also procedure from bailay)

Chap 11: Warfare Injuries:


• Blast injuries >*
• Rest chap >*
Page 6 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 12: Neurosurgical Trauma:
➢ This unit ‘Neurosurgical Trauma’ will be included in ‘Systemic
Surgery’ in “Nervous System” alongwith ‘Head Injuries’ given in
Systemic surgery.
• Skull Injury >***
• Brain Injury complete >***
• Glasgow Coma Scale >***
• Indications of CT scan in head injury >**
• Extradural Hematoma >***
• Sub dural Hematoma >*
• Spinal cord injuries >*

Chap 13: Burn Injuries:


• Whole chap is imp >***
• Classification, Assessment, Management, Non thermal burns >***

Chap 14: Plastic Surgery:


• Classification of Grafts and Flaps >**

Chap 15: Acid Base Disorders:


➢ Read whole chap >***
• Metabolic alkalosis and acidosis >***
Page 7 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 16: Fluids Therapy:
• Principles of Fluids therapy >***
• Monitoring of Fluids Therapy >**
• Rest chap >* Just read

Chap 17: Hemorrhage and Shock:


• Types of Hemorrhage >**
• Measurement, Treatment of Acute Blood Loss >**
• Clinical effects of Shock >**
• Shock >***

Chap 18: Blood Transfusion:


• Indications of blood transfusion >**
• Safety measures >***
• Complications of Blood Transfusion >***
• Massive blood Transfusion >***
• DIC >*
• Dengue fever >**
Page 8 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 19: Surgical Nutrition:
• Metabolic effects of Starvation >*
• Nutritional Assessment >***
• Calculation of Nutritional Requirement >**
• Enteral feeding >***
• Parenteral Nutrition complete >***
• Nutritional consequences of Intestinal Resection >**

Chap 20: Principles of Oncology:


• Screening >***
• Tumour Markers >**
• Treatment Strategy of Malignant Tumour >**
• Principles of Cancer Surgery >**
• Principles of Hormonal Therapy >**
• Radiotherapy complete >***
• Chemotherapy complete >***
• Palliative care >**
• Brachytrherapy >**

Chap 21: Skin Lesions:


• Malignant epidermal lesions >***
• Malignant Melanotic Lesion >**
• Ganglion, Bursa, hemangioma >*
Page 9 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 22: Cysts, Sinus, Fistula, Wounds:
• Dermoid Cyst >*
• Sinus, fistula >**
• Classification of Wound >**
• Types of Wound Healing >***
• Wound exicison and Wound Debridement >***
• Factors inhibiting wound healing >***
• Scars >***
• Diabetic ulcer >*
• General treatment of Non healing wounds >**

Chap 23: Surgical Infections:


• Definitions of SIRS, sepsis, severe sepsis, septic shock >*
• Surgical Site Infections complete >***
• Prevention of Surgical site infections >**
• Tetanus >**
• HIV >**
• Regimen for Prophylactic various Operations >**
• Abscess, Necrotizing Fascitis, Gas gangrene, Skin infections >**
• Ingrowing toenail, mycetoma >**
• Dog and Snake Bite >*
Page 10 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 24: Arterial Disorders:
• Chronic lower limb ischemia >***
• Acute Arterial Occlusion >***
• Classical Features of ALI >***
• Thromboangiitis Obliterans >*
• Raynaud’s phenomenon >**
• Aneurysms >*
• Gangrene >***
• Amputations >**

Chap 25: Venous Disorders:


• Varicose Veins >***
• DVT >***

Chap 26: Lymphatic Disorders:


• Lymphoedema >***
• Filariasis >***
• Cystic Hygroma >**
• Causes of Cervical Lymphadenopathy >*
• Tuberculous Lymphadenitis >***
• Lymphoma >*
Page 11 of 11

General Surgery
FOR ALL (UHS, KE, NUMS, ETC)
Abdul Wahab Dogar

C
Chap 27: minimal Access Surgery:
• No need to do.

Chap 28: Surgical Anatomy:


➢ This whole chap is important, and it will be revised in Systemic
Surgery, so revise it while doing any topic of systemic surgery.
➢ Diagram of visceral anatomy can also be asked so take a view for
these also.

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