1. B.4: Seminar Outline
Module Special Study Module Option 1 (MBS 342)
Title Jaundice
Lecturer Dr. Wong Seak Khoon
Aims & Objectives To understand the clinical approach in the diagnosis of a patient
presenting with jaundice.
To learn the investigations used in a jaundiced patient.
To grasp the basic principles of management in a patient with
surgical jaundice.
Assumed Knowledge Anatomy of the hepatobiliary system.
Physiology of bilirubin metabolism.
The pathophysiology and the different types of jaundice.
The clinical presentation and differential diagnosis of a patient
with jaundice.
Seminar Contents Review of the anatomy, physiology and pathology pertaining to
jaundice.
Review of the classifications and causes of jaundice.
The clinical presentation of the various causes of jaundice,
especially surgical jaundice (obstructive jaundice).
The diagnosis of a patient with surgical jaundice.
Investigations and principles of management for the causes of
surgical jaundice.
Clinical Relevance Jaundice is a common presentation with a variety of causes. A
good understanding of the underlying causes and the ability to
correlate the clinical findings will aid in making the diagnosis.
Interpretation of data from investigations is a much needed skill in
the management of a jaundiced patient.
References Bailey & Love’s Short Practice of Surgery – Mann & Russell

2. Module Special Study Module Option 1 (MBS 342)
Title Abdominal pain
Lecturer Dr. Wong Seak Khoon
Aims & Objectives To learn about the different causes of abdominal pain.
To learn about the different features of abdominal pain and how to
assess clinically a patient with abdominal pain.
To have a basic understanding of investigations performed and the
principles of management of patients with abdominal pain.
Assumed Knowledge Surface anatomy of the abdomen.
The physiology of pain in the abdomen – somatic vs. visceral pain.
Pathophysiology of abdominal pain.
Seminar Contents Definitions including that of an acute abdomen.
The physiology and pathophysiology of abdominal pain.
The different types of abdominal pain: surgical vs. medical.
The general causes of abdominal pain and the differentials
diagnosis based on the different sites of pain in the abdomen.
Investigations performed in patients with abdominal pain and the
general principles of management.
Clinical Relevance Abdominal pain is a common symptom and a focused and detail
history taking of a patient with this complaint is essential in the
diagnosis of the patient’s problem.
References Bailey & Love’s Short Practice of Surgery – Mann & Russell
An Introduction to the Symptoms and Signs of Surgical Disease -
Browse

3. Module Special Study Module Option 1 (MBS 342)
Title Haematuria and urinary retention
Lecturer Dr. Wong Seak Khoon
Aims & Objectives To understand the clinical approach in the diagnosis of a patient
presenting with haematuria and urinary retention.
To learn the investigations for a patient with haematuria and/or
urinary retention.
To grasp the basic principles of management in a patient with
haematuria and urinary retention.
Assumed Knowledge Anatomy of the kidneys and urinary tract.
Physiology of the urinary system.
Pathological conditions that causes haematuria and urinary
retention.
Seminar Contents Definitions of haematuria and urinary retention.
Macroscopic vs. microscopic haematuria, painless and painful
causes of macroscopic haematuria.
The pathophysiology and symptomatology of haematuria.
The clinical approach in the diagnosis of a patient with haematuria.
Investigations performed in patients with haematuria and the
general principles of management.
Acute vs. chronic urinary retention.
Bladder outflow obstruction and other causes of urinary retention.
The pathophysiology and symptomatology of urinary retention.
The clinical approach in the diagnosis, investigation and principles
of management of a patient with urinary retention.
Clinical Relevance Haematuria is a fairly common presentation and gross haematuria
is a common problem in surgery which requires an accurate
diagnosis to institute the right management.
Urinary retention is a common complication of urinary tract
conditions especially in bladder outflow obstruction e.g. benign
prostatic hypertrophy, a very common problem in older men.
References Bailey & Love’s Short Practice of Surgery – Mann & Russell
An Introduction to the Symptoms and Signs of Surgical Disease -
Browse

4. Module Special Study Module Option 1 (MBS 342)
Title Painful limb and limb swelling
Lecturer Dr. Wong Seak Khoon
Aims & Objectives To understand the clinical approach in the diagnosis of a patient
presenting with a painful limb and limb swelling.
To learn the investigations for a patient with a painful limb and/or
limb swelling.
To grasp the basic principles of management in a patient with a
painful limb and limb swelling.
Assumed Knowledge Anatomy of the blood supply and lymphatic drainage of the limbs.
Physiology of the vascular and lymphatic systems.
Pathological conditions that result in decreased arterial flow,
decreased venous return, decreased lymphatic flow and limb
swelling.
Seminar Contents Definitions of a painful limb and limb swelling.
The pathophysiology and symptomatology of a painful limb and
limb swelling.
Arterial conditions: atherosclerosis, embolism and thrombosis.
And their clinical presentations: acute, chronic and critical limb
ischaemia.
Venous conditions and their clinical presentations: deep vein
thrombosis, varicose veins and etc.
Lymphatic conditions that give rise to limb swelling and/or pain.
The clinical approach in the diagnosis of a patient with a painful
limb and limb swelling.
Investigations performed in patients with a painful limb and limb
swelling, and the general principles of management.
Clinical Relevance Sometimes patients present with a painful limb and/or limb
swelling and this may present as a diagnostic challenge as a variety
of causes ranging from local causes to vascular and lymphatic
causes. A clear understanding in the approach to make a diagnosis
is needed.
References Bailey & Love’s Short Practice of Surgery – Mann & Russell
An Introduction to the Symptoms and Signs of Surgical Disease -
Browse