Epistemis

Surgical Semiology — Treatise on Internal Medicine and Surgery

Surgery · Clinical Specialties

How it begins

Un análisis exhaustivo y sistemático de los signos y síntomas orientados a la patología quirúrgica. Desde la fisiopatología molecular del dolor hasta la precisión en el examen físico regional y el diagnóstico diferencial de urgencias.

What it covers

  1. Surgical Semiology
  2. Introduction and Surgical History
  3. · Directed Anamnesis
  4. · Pathological History Questioning
  5. · Review of Perioperative Impact Drugs
  6. General Physical Examination of the Surgical Patient
  7. · General Inspection and Facies
  8. · Monitoring of Vital Signs and their Surgical Significance
  9. · Nutritional Status and Hydration
  10. Preoperative Evaluation and Surgical Risk
  11. · ASA Physical Status Classification
  12. · Lee's Revised Cardiac Risk Index (RCRI)
  13. · Liver Function Risk Assessment (Child-Pugh and MELD)
  14. Pathophysiology of Abdominal Pain
  15. · Pain Transmission Pathways
  16. · Mechanism of Referred Pain
  17. Inspection, Auscultation and Abdominal Percussion
  18. · Topography and Division of the Abdominal Wall
  19. · Surgical Abdominal Inspection
  20. · Abdominal Auscultation
  21. · Abdominal Percussion and its Diagnostic Value
  22. Palpation and Surgical Maneuvers
  23. · Muscle Defense vs. Involuntary Rigidity ("Belly Plank")
  24. · Semiological Eponyms of the Acute Surgical Abdomen
  25. · Hernia Orifice Touch and Rectal Touch
  26. Clinical Acute Abdomen Syndromes
  27. · Stratification into Physiopathological Groups
  28. · Predictive Scales in Acute Appendicitis: Alvarado Score
  29. Surgical Head and Neck
  30. · Semiological Examination of the Thyroid Gland
  31. · Differential Diagnosis of Cervical Masses
  32. · Mapping of Neck Ganglion Groups
  33. Mammary Gland and Armpit
  34. · Static and Dynamic Inspection of the Breast
  35. · Systematic Palpation Technique
  36. · Semiology of Nipple Discharge (Telorrhea)
  37. · Exploration of the Axillary Lymphatic Basin
  38. Abdominal Wall and Hernias
  39. · Anatomy of the Inguinal Tract
  40. · Clinical Differential Diagnosis of Inguinal Hernias
  41. · Limits of the Hesselbach Triangle
  42. · Specific Physical Maneuvers
  43. · Clinical Complications of Hernias
  44. Peripheral Vascular System
  45. · Chronic Lower Limb Arterial Insufficiency
  46. · Chronic Venous Insufficiency (CVI)
  47. · Deep Vein Thrombosis (DVT)
  48. Skin, Soft Parts and Infections
  49. · Differentiation of Soft Parts Masses
  50. · Differential Diagnosis of Ulcers in the Lower Limbs
  51. · Necrotizing Soft Tissue Infections (INPB)
  52. · LRINEC Risk Scale for Necrotizing Fasciitis
  53. Trauma Semiology (ATLS)
  54. · ABCDE Primary Evaluation: Signs of Suspicion and Actions
  55. · Triad of Death in Trauma
  56. · Specific Semiological Signs in Closed Trauma
  57. Postoperative Semiology and Complications
  58. · Chronological Stratification of Postoperative Fever
  59. · Intestinal Anastomosis Dehiscence
  60. · Evaluation of Wound Dehiscence: Eventration vs. Evisceration
  61. · Differential Diagnosis of Postoperative Ileus

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Surgery
Category
Clinical Specialties
Type
Study Guide
Sections
61
Reviewed
2026-08-02
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