Overview of Surgical Pathologies

for Finals
Neil Houghton MB ChB (hons)
Speciality Trainee in General Surgery, NW Deanery
 Overview
• Surgical Acute Stations

• Surgical Spotters

• Explanation & Planning in Surgery

Surgical Acute Stations
 This is Miss Jones, a 24 year old lady who has
presented to A&E with abdominal pain. Please
assess her, formulate a differential and suggest a
management plan.
 This is Mr Singh, a 64 year old man who has
presented to A&E with abdominal pain. Please
assess him, formulate a differential and suggest
a management plan.
 This is Mr Davies, a 45 year old man who has
presented to A&E with abdominal pain. Please
assess him, formulate a differential and suggest
a management plan.
This is Ms Begum, a 45 year old woman who has
presented to A&E with abdominal pain. Please
assess her, formulate a differential and suggest a
management plan.
Surgical Spotters
Explanation & Planning Stations

e.g. Colonoscopy
Questions?
 Summary
• ABCDE
• Treat sepsis/shock/pain appropriately
• Escalate to seniors
• Say what you see
• Examine for associated signs/pathologies
• Chunk & Check method
• Risks of general surgery/specific risks/GA