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A manual on!. V*'•MjU»V1 Includes: • SPECIAL INVESTIGATIO • DIFFERENTIAL DIAGTSfQ Author of: • • • A CONCISE TEXTBOOK OF SURGERY A PRACTICAL GUIDE TO OPERATIVE SURGERY A TEXTBOOK ON SURGICAL SHORT CASES • UNDERGRADUATE FRACTURES & ORTHOPAEDICS CLINICAL SURGERY INCLUDING SPECIAL INVESTIGATIONS AND DIFFERENTIAL DIAGNOSIS Somen Das. (Gal.), F.R.C.S. & Edin.) Senior Consultant Surgeon Author of A CONCISE TEXTBOOK OF SURGERY, A PRACTICAL GUIDE TO OPERATIVE SURGERY, A TEXTBOOK ON SURGICAL SHORT CASES & UNDERGRADUATE FRACTURES & ORTHOPAEDICS. NINTH EDITION KOLKATA 2011 All Rights Reserved This book or any part thereof must not be reproduced in any form without the written permission of the author, DR.

Copyright © DR. First Edition...

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652.00 US $ 20.00 ISBN-981-0-4 Published by Dr. 13, Old Mayors' Court, Kolkata - 700 005. INDIA E-mail - drsdaslOO@rediffmail.com Website: A MANUAL ON CLINICAL SURGERY DEDICATED TO THE MEMORY OF MY FATHER Late Dr. Das, F.R.C.S.

& Edin.) & TO THE MEMORY OF MY MOTHER PREFACE TO THE FIRST EDITION This manual is an attempt to provide an answer to the vexed question 'How shall I examine this case and come to a diagnosis?' This is a question which confronts each and every clinician. Without doubt methods of history-taking and examination are different in various types of surgical diseases e.g.

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A swelling in the neck, pain in a particular region of the abdomen, an ulcer in the leg etc. Yet in the first chapter 1 have tried to formulate a general scheme of case-taking, so that the students can chalk out a common system of historytaking and physical examinations in all surgical cases.

1 think, this will be of great help to the students to build up a routine, which should be followed all throughout their careers. In subsequent chapters emphasis has been laid on the particular points of history-taking and special methods of physical examinations which are relevant to those diseases.

Each chapter begins with history-taking — the interrogations to be made to the patient, followed by the methods of physical examinations and special investigations which will be necessary for that particular case. While describing the methods of examinations I have not only mentioned 'what to do' but also have indicated 'how to do' aided by suitable illustrations. Emphasis has been laid on special investigations.

The introduction of ever increasing sophisticated investigations over and above the basic techniques of history-taking and physical examination has helped the clinician to diagnose the cases more accurately. Ultimate aim of such a book is to teach how to arrive at a correct diagnosis and scope of special investigations in this regard cannot be underestimated. A number of illustrations have been used in this section to help the students in understanding particular investigations.