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Choledocholithiasis, Cholangitis, Sump Syndrome

A surgical summary for choledocholithiasis, cholangitis, sump syndrome, percutaneous cholecystostomy tube (PCT), percutaneous transhepatic cholangiography (PTC), endoscopic retrograde cholangiopancreatography (ERCP), and common bile duct exploration (CBDE) _________________________________________________________ WHY SURGERY TO THE POINT Time is invaluable, studying is boring, medical knowledge is uneconomically and exponentially increasing. Medical knowledge is scattered amongst so many sources that a large part of studying and reviewing is the data-mining process itself. Even then, once you find that high yield, clinically-applicable bit of information, you realize your eyes are bleeding from the absurd and disproportionate amount of time you spent sifting through diluted information. Many readers, especially surgeons, want only the pertinent information and can then take it to the esoteric realms. Surgeons do not want authors droning on with pretentious words and filler sentences; they want things organized in one spot, to the point, and with a bunch of pictures. _________________________________________________________ WHAT IS SURGERY TO THE POINT Making surgery easier by doing the data-mining and taking out the bullshit for my medical students and residents. Surgery to the Point is a dynamic 10-year compilation of organized notes that have been personally created and adapted from a multitude of expert sources throughout my surgical career. This manual is illustrated with an extensive arrangement of over 1,500 media figures. Sources include (but are not limited to): surgical & medical databases, surgical & operative technique texts, board preparation material, question & video banks, didactics, pearls of wisdom, and my surgical career itself. The goal has been to address and simplify the exponentially-increasing amount of medical knowledge into a comprehensive, consolidated, and categorized collection of 30-second synopses for all things surgery. As a result, I, as well as many others, have been able to quickly review material then jump into the OR/conference or go back to sleep after a late night page instead of calling the chief or inefficiently scouring through resources. ___________________________________________________________ HOW THIS IS USED This device uses an abundance of figures, pictures, and narrative-like advance organizers where the information is presented in a structured format and simultaneously tells a succinct, compartmentalized story. Instead of reading pages filled with uneconomical and hollow information, the reader can instead look at these figures and advance organizers to help prime their thinking on what they’ve reviewed and/or to help synthesize new content. The result is a method to organize the reader’s thoughts and understanding of surgery in a meaningful and durable manner. GEN: general information (epidemiology, anatomy, stats, etc) PATH: pathophysiology (mechanism of pathology, concept, subject, etc) HXPE: history/physical (exam findings, risk factors, scenarios, PMH, etc) DX: diagnostic workup (labs, imaging, criteria, staging, etc) TX: treatment TECH: operative technique (further divided into pre/intra/postop) ___________________________________________________________ #choledocholithiasis #cholangitis #sumpsyndrome #PTC #PCT #ERCP #MRCP #CBDE ___________________________________________________________ Introduction music: Tadz - Solitude (CCBY).