Management of surgical patient has three phases : 1.Diagnosis - clinical and paraclinical...

Management of surgical patient has three phases :

1. Diagnosis - clinical and paraclinical examinations

Diferential diagnosis, indication and therapeutical/preoperative prcedures.

2. Treatment ( conservative, interventional or operative therapy „ state of art“

3. Planing short and longtime controling of patients.

( rehabilitation, dispensarisation )

Management of diagnostic phase :

1. Anamnesis – interview 2. Status praesens – actual state of

patient health 3. Paraclinical examinations -

laboratory, imagination methods and other

4. Diferential diagnosis5. Confirmation of diagnosis

1. Physic examinations - by organs of sense view, touch, hear ,

- instruments analysing physic efects2.Chemical and biochemical examinations - smell, taste

- chemical analysis of fluids of body organs or tissues ( static )

- dynamic examinations of metabolism 3. Specific biological examinations .

Microbiology, hematology, patology, histopatology, imunology and other.

Imagination methods :1. Transmission methods - X ray ( Rtg )

- native or with contrast liquid CT, angiography, DSA,

2.Emission methods - radioisotop scintigraphy.

3. Ultrasonography 4. Endoscopic examinations 5. MRI –magnetic nuclear resonance

imagination

Classification of diagnostic methods – from the view of risk of patients :

biological risk (estimating of the mutagenity and carcinogenity efect )

invasivity risk ( pain, iatrogenic trauma, safety and possibility of repeating )

Angiography

DSA Digital subtraction angiography

CT Computer tomography

USG - Ultrasonography 2D- dimensional

USG Ultrasonography 3-D threedimensional

Doppler –sonography

Scintigraphy

MRI – magnetic resonance imagination

PET positron emission tomography

Endoscopy - gastroscopy, ERCP examination.

Colonoskopy