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General Surgical Fellowship Examination Revision Course

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This course focuses on essential topics in surgical fellowship preparation, including pre-operative consent protocols, staging and management strategies for various cases such as colorectal cancer and Familial Adenomatous Polyposis (FAP). Key aspects covered include the comparison of long vs. short course pre-operative chemotherapy, genetics and associated organ system involvement in FAP, and genetic principles in hereditary nonpolyposis colorectal cancer (HNPCC). Additionally, the pathophysiology of diabetic foot sepsis will be discussed, emphasizing effective patient management.

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General Surgical Fellowship Examination Revision Course

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  1. General Surgical Fellowship Examination Revision Course

  2. Case 1

  3. How would you consent this patient?

  4. How would you consent this patient? • Discuss the pre-operative staging and management of this patient

  5. How would you consent this patient? • Discuss the pre-operative staging and management of this patient • Discuss long course vs. short course pre-operative chemo-radiotherapy

  6. How would you consent this patient? • Discuss the pre-operative staging and management of this patient • Discuss long course vs. short course pre-operative chemo-radiotherapy • How will you follow this patient?

  7. Case 2

  8. Describe the genetics of FAP

  9. Describe the genetics of FAP • What other organ systems can be involved?

  10. Describe the genetics of FAP • What other organ systems can be involved? • How would you manage this patient?

  11. Describe the genetics of FAP • What other organ systems can be involved? • How would you manage this patient? • This male patient is 17 years old – would you take the rectum now or not?

  12. Describe the genetics of FAP • What other organ systems can be involved? • How would you manage this patient? • This male patient is 17 years old – do you resect the rectum now or not? • How would you follow this patient?

  13. Case 3

  14. What are the modified Bethesda criteria?

  15. What are the modified Bethesda criteria? • Describe the genetic abnormality involved?

  16. What are the modified Bethesda criteria? • Describe the genetic abnormality involved? • How would you follow patients with a family history of HNPCC?

  17. What are the modified Bethesda criteria? • Describe the genetic abnormality involved? • How would you follow patients with a family history of HNPCC? • Right sided colon cancer is detected on surveillance colonoscopy – how would you manage this patient?

  18. Case 4

  19. How would you manage this patient?

  20. How would you manage this patient? • Describe the series of genetic changes that are needed for colon cancer to develop

  21. Case 5

  22. Discuss the pathophysiology of diabetic foot sepsis

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