This document provides an overview of topics that will be covered in a vascular surgery lecture series. It discusses various vascular conditions including occlusive arterial disease, aortic aneurysms, carotid disease, varicose veins, occlusive venous disease, lymphedema, visceral arterial occlusion, peripheral aneurysms, arterial trauma, diabetic foot disease, and hyperhidrosis. The lectures will cover the history, physical exam, differential diagnosis, and presentation of these conditions. Specific topics to be addressed include leg ulcers, peripheral arterial occlusive disease, aortic aneurysms, carotid disease, varicose veins, and the diabetic foot. The lectures will also discuss clinical skills for vascular surgeons such as history taking, physical examination, differential diagnosis
9. Clinical skills
• History
• Physical examination
• Diagnosis
• Investigation
• Treatment
Patients present with symptoms and signs
rather than disease
Patients present with symptoms and signs
rather than disease
10. History
• Presenting problem
• Context
– personal
• age
• sex
• occupation
– social
• domestic
arrangements
• lifestyle
– medical
• chronic
illness
• medications
• previous
surgery
Process of communicationProcess of communication
11. History - II
• Obtain information from the patient
– listen
– identify precise symptoms
– avoid leading questions initially
– ask questions to fill in the gaps
• Collateral history
– trauma, confused, paediatric etc
All the information that cannot be
obtained by examining the patient
All the information that cannot be
obtained by examining the patient
15. Differential diagnosis
• Consider all the possibilities
• Weight them
Diagnosis
• Test the hypothesis
• Re prioritise
Diagnosis
• Treat
• Evaluate response