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Book cover for Oxford Handbook of Clinical Surgery (4 edn) Oxford Handbook of Clinical Surgery (4 edn)
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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always … More Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

decreased

increased

normal

leading to

graphic

warning

graphic

important

graphic

don't dawdle

graphic

cross reference

female

male

primary

secondary

<

less than

>

more than

equal to or greater than

equal to or less than

%

per cent

approximately

approximately equals to

α

alpha

β

beta

°C

degree Celsius

AAA

abdominal aortic aneurysm

ABG

arterial blood gas

A&E

Accident and Emergency Department

ABPI

ankle–brachial pressure index

ACAS

Asymptomatic Carotid Artery Stenosis Study

ACE

angiotensin-converting enzyme

ACh

acetylcholine

AChE

acetylcholinesterase

ACJ

acromioclavicular joint

ACL

anterior cruciate ligament

ACST

Asymptomatic Carotid Surgery Trial

ACTH

adrenocorticotropic hormone

ADH

antidiuretic hormone

ADP

adenosine diphosphate

AF

atrial fibrillation

AFP

alpha-fetoprotein

AIDS

acquired immunodeficiency syndrome

AIN

anal intraepithelial neoplasia

AKA

above-knee amputation

ALI

acute lung injury

ALS

advanced life support

a.m.

ante meridiem

amp

ampere

AMPLE

allergy/medication/past medical history/last meal/events of the incident

ANDI

abnormalities of normal development and involution (of breast)

ANF

antinuclear factor

APA

aldosterone-producing adenoma

APACHE

Acute Physiology And Chronic Health Evaluation

APC

antigen-presenting cell or argon plasma coagulation

APER

abdominoperineal resection

APTR

activated partial thromboplastin time ratio

APTT

activated partial thromboplastin time

AR

aortic regurgitation

ARDS

acute respiratory distress syndrome

ARR

absolute risk reduction or aldosterone/renin ratio

5-ASA

5-aminosalicyclic acid

ASB

assisted spontaneous breathing

ATG

anti-thymocyte globulin

ATLS

advanced trauma life support

ATP

adenosine triphosphate

AUR

acute urinary retention

AV

arteriovenous or atrioventricular

AVM

arteriovenous malformation

AVN

avascular necrosis

AVS

adrenal venous sampling

AXR

abdominal X-ray

BCC

basal cell carcinoma

BCG

Bacillus Calmette–Guérin

BCR

B-cell receptor

B-HCG

beta-human chorionic gonadotrophin

BiPAP

biphasic positive airway pressure

BKA

below-knee amputation

BMI

body mass index

BMJ

British Medical Journal

BNF

British National Formulary

BP

blood pressure

BPH

benign prostatic hyperplasia

BS

blood sugar

BSA

body surface area

BXO

balanitis xerotica obliterans

Ca

calcium

CABG

coronary artery bypass graft

CAD

coronary artery disease

CAPD

continuous ambulatory peritoneal dialysis

CAVH

continuous arteriovenous haemofiltration

CBP

cardiopulmonary bypass

CCF

congestive cardiac failure

CD

cellular differentiation (molecule)

CDH

congenital dysplasia of the hip

CDT

Clostridium difficile toxin

CEA

carcinoembryonic antigen or carotid endarterectomy

CF

cystic fibrosis

CFU

colony-forming unit

CI

confidence interval

Cl

chloride

CLI

critical limb ischaemia

cm

centimetre

CMI

cell-mediated immune (reaction)

CMV

cytomegalovirus or controlled mechanical ventilation

CNI

calcineurin inhibitor

CNS

central nervous system

CNST

criminal negligence scheme for Trusts

CO

cardiac output

CO2

carbon dioxide

COAD

chronic obstructive airway disease

COC

combined oral contraceptive

COPD

chronic obstructive pulmonary disease

CPAP

continuous positive airway pressure

CPB

cardiopulmonary bypass

C,P,&O

cysts, parasites, and ova

CPR

cardiopulmonary resuscitation

Cr

creatinine

CRCa

colorectal cancer

CRP

C-reactive protein

CSF

cerebrospinal fluid

C-spine

cervical spine

CT

computerized tomography

CTA

CT angiography

CTPA

computerized tomography pulmonary angiography

Cu

copper

CV

central venous

CVA

cerebrovascular accident

CVP

central venous pressure

CVVH

continuous venovenous haemofiltration

Cx

circumflex

CXR

chest X-ray

2D

two-dimensional

3D

three-dimensional

DA

dopamine

DALM

dysplasia-associated lesion or mass

DBD

donor after brainstem death

DC

direct current

DCD

donor after circulatory death

DCIS

ductal carcinoma in situ

DDAVP

1-deamino-8-D-arginine vasopressin

DDH

developmental dysplasia of the hip

DHS

dynamic hip screw

DHT

dihydrotestosterone

DIC

disseminated intravascular coagulation

DIEP

deep inferior epigastric perforator (flap)

DIPJ

distal interphalangeal joint

dL

decilitre

DM

diabetes mellitus

DMSA

dimercaptosuccinate

DNA

deoxyribonucleic acid

DNR

do not resuscitate

DOH

Department of Health

DP

distal phalanx or diastolic pressure

2,3-DPG

2,3-diphosphoglycerate

DPL

diagnostic peritoneal lavage

DRUJ

distal radioulnar joint

DSA

digital subtraction angiography

DTPA

diethylene triamine pentaacetic acid

DVT

deep venous thrombosis

EBV

Epstein–Barr virus

ECF

extracelllular fluid

ECG

electrocardiogram

ECST

European Cardiac Surgery Trial

ED

erectile dysfunction

e.g.

exempli gratia (for example)

ELISA

enzyme-linked immunosorbent assay

EMD

electromechanical delay

EMG

electromyography

EMR

endocospic mucosal resection

EOCP

(o)estrogen-containing contraceptive pill

EPL

extensor pollicis longus

EPO

erythropoietin

ER

(o)estrogen receptor

ERAS

enhanced recovery after surgery

ERCP

endoscopic retrograde cholangiopancreatography

ES

endoscopic sphincterotomy

ESD

endoscopic submucosal dissection

ESR

erythrocyte sedimentation rate

ESWL

extracorporeal shock wave lithotripsy

ET

endotracheal tube

EUA

examination under anaesthetic

EUS

endoscopic ultrasound

EVAR

endovascular aneurysm repair

EVLT

endovenous laser therapy

FAP

familial adenomatous polyposis

FAST

focused abdominal sonography for trauma

FBC

full blood count

FDP

flexor digitorum profundus

FDS

flexor digitorum superficialis

FEV1

forced expiratory volume in 1 second

FFP

fresh frozen plasma

FiO2

fraction of oxygen in inspired air

FLC

fibrolamellar carcinoma

FNAB

fine needle aspiration biopsy

FNAC

fine needle aspiration cytology

FPL

flexor pollicis longus

FSH

follicle-stimulating hormone

5-FU

5-fluorouracil

g

gram

G

gauge

GA

general anaesthetic

GANT

gastrointestinal autonomic nerve tumour

GCS

Glasgow coma scale

GFR

glomerular filtration rate

GGT

gamma glutamyl transferase

GH

growth hormone

GI

gastrointestinal

GIP

gastric inhibitory polypeptide

GIST

gastrointestinal stromal tumour

GMC

General Medical Council

GORD

gastro-oesophageal reflux

GP

general practitioner

GTN

glyceryl trinitrate

Gy

gray

h

hour

HAT

hepatic artery thrombosis

Hb

haemoglobin

HCC

hepatocellular carcinoma

HCG

human chorionic gonadotrophin

HCO3

bicarbonate

HCV

hepatitis C virus

HDU

high dependency unit

HES

hydroxyethyl starch

HGV

heavy goods vehicle

HHD

handheld Doppler

HIDA

hepatobiliary iminodiacetic acid

HIT

heparin-induced thrombocytopenia

HITT

heparin-induced thrombocytopenia and thrombosis

HIV

human immunodeficiency virus

HLA

human leucocyte antigen

HMMA

4-hydroxy-3-methoxymandelic acid

HNPCC

hereditary non-polyposis colorectal cancer

H2O

water

HPV

human papilloma virus

HR

heart rate

HRT

hormone replacement therapy

HSV

herpes simplex virus

5-HT

5-hydroxytryptamine (serotonin)

HTLV

human T-cell lymphocytotrophic virus

HVA

homovanillic acid

IABP

intra-aortic balloon pump

IC

intermittent claudication

ICA

internal carotid artery

ICD

intracardiac defibrillator

ICP

intracranial pressure

ICU

intensive care unit

i.e.

id est (that is)

IF

intrinsic factor

IGF

insulin growth factor

IHD

ischaemic heart disease

IM

intramuscular

IMA

inferior mesenteric artery

IMHS

intramedullary hip screw

in

inch

INPV

intermittent negative pressure ventilation

INR

international normalized ratio

IPJ

interphalangeal joint

IPPV

intermittent positive pressure ventilation

IPSS

international prostate symptom score

ITA

internal thoracic artery

ITU

intensive treatment unit

IU

international unit

IV

intravenous

IVU

intravenous urogram

J

joule

JCHST

Joint Committee on Higher Surgical Training

JVP

jugular venous pressure

K

potassium

kcal

kilocalorie

KCl

potassium chloride

kg

kilogram

kPa

kilopascal

KUB

kidneys/ureters/bladder

L

litre

LA

local anaesthetic or left atrium/atrial

LAD

left anterior descending (artery)

LAP

left atrial pressure

LatexAT

latex agglutination test

lb

pound

LDH

lactate dehydrogenase

LDL

low density lipid

LESS

laparoscopic and endoscopic single site (surgery)

LFT

liver function test

LH

luteinizing hormone

LHRH

luteinizing hormone releasing hormone

Li

lithium

LIF

left iliac fossa

LITA

left internal thoracic artery

LMS

left main stem

LMWH

low molecular weight heparin

LOS

lower oesophageal sphincter

LSV

long saphenous vein

LUQ

left upper quadrant

LUTS

lower urinary tract symptoms

LV

left ventricle

LVEDP

left ventricular end-diastolic pressure

LVEDV

left ventricular end-diastolic volume

LVF

left ventricular failure

m

metre

MAG3

99mTc-mercaptoacetyltriglycine

MALT

mucosa-associated lymphoid tissue

MAO

monoamine oxidase

MAP

mean arterial pressure

MCPJ

metacarpophalangeal joint

MCRP

magnetic resonance cholangiopancreatography

M,C,&S

microscopy, culture, and sensitivity

MCV

mean cell volume

MDT

multidisciplinary team

MEN

multiple endocrine neoplasia

mEq

milliequivalent

mg

milligram

Mg

magnesium

MHC

major histocompatibility complex

MHz

megahertz

MI

myocardial infarction

MIBG

meta-iodo-benzyl-guanidine

min

minute

MIP

minimally invasive parathyroidectomy

MIST

mechanism of injury/injuries identified/(vital)signs at scene/treatment administered

mL

millilitre

MMF

mycophenolate mofetil

mmHg

millimetre mercury

mmol

millimole

MMR

mismatch repair (genes)

MMV

mandatory minute ventilation

Mn

manganese

MODS

multiple organ dysfunction syndrome

mph

mile per hour

MR

mitral regurgitation

MRA

magnetic resonance angiography

MRC

Medical Research Council (scale)

MRCP

magnetic resonance cholangiopancreatogram

MRI

magnetic resonance imaging

ms

millisecond

MRSA

methicillin (or multiply) resistant Staphylococcus aureus

MSU

midstream urine

MTC

medullary thyroid carcinoma

mTOR

mammalian target of rapamycin

MTP

mid-thigh perforator

MTPJ

metatarsophalangeal joint

MUA

manipulation under anaesthesia

MV

mitral valve

Na

sodium

NA

noradrenaline (norepinephrine)

NaHCO3

sodium bicarbonate

NAI

non-accidental injury

NASCET

North American Symptomatic Carotid Endarterectomy Trial

NBM

nil by mouth

NCEPOD

National Confidential Enquiry into Patient Outcomes and Death

NEC

necrotizing enterocolitis

ng

nanogram

NG

nasogastric

NGT

nasogastric tube

NHS

National Health Service

NICE

National Institute for Health and Clinical Excellence

NIPPV

non-invasive intermittent positive pressure ventilation

NK

natural killer (cell)

NNT

number needed to treat

N2O

nitrous oxide

NSAID

non-steroidal anti-inflammatory drug

NSF

National Service Framework

NSGCT

non-seminomatous germ cell tumour

NSPCC

National Society for the Prevention of Cruelty to Children

NSTEMI

non-ST segment elevation myocardial infarction

NVB

neurovascular bundle

nvCJD

new variant Creutzfeldt–Jakob disease

NYHA

New York Heart Association

O2

oxygen

OCP

oral contraceptive pill

od

omne in die (once a day)

OGD

oesophago-gastro-duodenoscopy

OM

obtuse marginal

OPT

orthopantomogram

ORIF

open reduction with internal fixation

PA

pulmonary artery or posterior-anterior

PAC

plasma aldosterone concentration

PaCO2

arterial carbon dioxide tension

PAF

platelet-activating factor

PAL

primary hyperaldosteronism

PaO2

arterial oxygen tension

PAP

pulmonary artery pressure or placental alkaline phosphatase

PAS

patient administration system

PAWP

pulmonary artery wedge pressure

PCA

patient-controlled analgesia

PCI

percutaneous coronary intervention

PCNL

percutaneous nephrolithotomy

PCO2

carbon dioxide tension

PCR

polymerase chain reaction

PCV

packed cell volume or pressure control ventilation

PDA

posterior descending artery

PDGF

platelet-derived growth factor

PE

pulmonary embolism

PEEP

positive end-expiratory pressure

PEFR

peak expiratory flow rate

PEG

percutaneous endoscopic gastrostomy

PEP

post-exposure prophylaxis

PET

positron emission tomography

PGME

Postgraduate medical education

PH

portal hypertension

PHPT

primary hyperparathyroidism

PICC

peripherally inserted central venous catheter

PID

pelvic inflammatory disease

PIPJ

proximal interphalangeal joint

PLL

posterior longitudinal ligament

PMETB

Postgraduate Medical Education and Training Board

PMN

polymorphonuclear neutrophil

PO

orally (per os)

PO2

oxygen tension

PO4

phosphate

POSSUM

Physiologic and Operative Severity Score for the enumeration of Mortality and morbidity

PPH

procedure for prolapse and haemorrhoids

PPI

proton pump inhibitor

PPN

peripheral parenteral nutrition

PR

per rectum

prn

pro re rata (as required)

PS

pressure support

PSA

prostate-specific antigen

PSARP

posterior sagittal anorectoplasty

PT

prothrombin time

PTC

percutaneous transhepatic cholangiogram

PTE

pulmonary thromboembolism

PTEF

polytetrafluoroethylene

PTH

parathyroid hormone

PTLD

post-transplant lymphoproliferative disorder

PTT

partial prothrombin time

PUJ

pelviureteric junction

PV

per vagina

PVD

peripheral vascular disease

PVR

pulmonary vascular resistance

PVRI

pulmonary vascular resistance index

qds

quater die sumandus (four times a day)

RA

right atrial or rheumatoid arthritis

RAP

right atrial pressure

RCA

right coronary artery

RCT

randomized controlled trial

Rh

rhesus

rhTSH

recombinant human thyroid-stimulating hormone

RIF

right iliac fossa

RLN

recurrent laryngeal nerve

RNA

ribonucleic acid

RR

relative risk or risk ratio

RRR

relative risk reduction

RSTL

relaxed skin tension line

RTA

road traffic accident

RUQ

right upper quadrant

RV

right ventricle

s

second

SA

sinoatrial (node)

SAC

specialist advisory committee

SaO2

arterial oxygen saturation

SBE

subacute bacterial endocarditis

SC

subcutaneous

SCAT

sheep cell agglutination test

SCC

squamous cell carcinoma

SCI

spinal cord injury

SCM

sternocleidomastoid

SD

standard deviation

SEMS

self-expanding metal stenting

SEPL

subfascial endoscopic perforator ligation

SFA

superficial femoral artery

SFJ

saphenofemoral junction

SILS

single incision laparoscopic surgery

SIMV

synchronized intermittent mandatory ventilation

SIRS

systemic inflammatory response syndrome

SL

sublingual

SLE

systemic lupus erythematosus

SMA

superior mesenteric artery

SNP

sodium nitroprusside

SPJ

saphenopopliteal junction

spp

species

STD

sodium tetradecyl sulphate

STEMI

ST segment elevation myocardial infarction

STI

sexually transmitted infection

SUFE

slipped upper femoral epiphysis

SV

stroke volume

SVC

superior vena cava

SVI

stroke volume index

SvO2

percentage oxygen saturation of mixed venous haemoglobin

SVR

systemic vascular resistance

SVRI

systemic vascular resistance index

SVT

supraventricular tachycardia

T3

triiodothyronine

T4

thyroxine

TAP

transversus abdominis percutaneous

TAPS

transabdominal pre-peritoneal surgery

TB

tuberculosis

TBSA

total body surface area

TCC

transitional cell carcinoma

TCR

T-cell receptor

TCT

transitional cell tumour

tds

ter die sumendus (three times a day)

TEDS

thromboembolic deterrent stockings

TEMS

transanal endoscopic microsurgery

TEPS

totally extra-peritoneal surgery

TFCC

triangular fibrocartilage complex

TFT

thyroid function test

TGF

transforming growth factor

THR

total hip replacement

TIA

transient ischaemic attack

TIBC

total iron binding capacity

TIPS

transjugular intraparenchymal portosystemic shunt/stent

TKA

through-knee amputation

TKR

total knee replacement

TLSO

thoracolumbar spine orthosis

TMT

tarsometatarsal

TNF

tumour necrosis factor

TNM

tumour nodes metastasis (cancer staging)

tPA

tissue plasminogen activator

TPN

total parenteral nutrition

TRAM

transverse rectus abdominis myocutaneous (flap)

TRUS

transrectal ultrasound

H

thyroid-stimulating hormone

TT

thrombin time or total thyroidectomy

TTE

transthoracic echocardiogram

TUIP

transurethral incision in the prostate

TURP

transurethral resection of the prostate

TVF

transversalis fascia

U

(international) units

UADT

upper aerodigestive tract

U&E

urea and electrolytes

UC

ulcerative colitis

UCL

ulnar collateral ligament

UFH

unfractionated heparin

UK

United Kingdom

UOS

upper oesophageal sphincter

USA

United States of America

UTI

urinary tract infection

UV

ultraviolet

V

volts

VACTERL

vertebral defects/anorectal atresia/cardiac defects/tracheo-oesophageal fistula ± (o)esophageal atresia/renal anomalies/limb defects

VAD

ventricular assist device

VATS

video-assisted thoracoscopic surgery

VF

ventricular fibrillation

VHL

von Hippel–Lindau (disease)

VIP

vasoactive inhibitory polypeptide

VMA

vanillylmandelic acid

VQ

ventilation/perfusion (scan)

VRE

vancomycin-resistant Enterococcus

VT

ventricular tachycardia

VTE

venous thromboembolism

VWF

von Willebrand factor

WCC

white cell count

WHO

World Health Organization

y

year

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