Students of Surgery

In this episode Alvin and Tiego go through the basics of pancreatic ductal adenocarcinoma with Prof Martin Brand. They cover risk factors, clinical presentation and investigation as well as broad management principles of this cancer.

In this episode Annemie Steyn and Nicollete Kock find out about commonly used tumour markers in general surgery. From CEA, CA19-9 to AFP, calcitonin, and chromogranin Prof Brand gives a broad overview of when and how we should use these tumour markers. Stanleur Capital: Medical practice and personal financial solutions

In this episode we discuss the basics of obstructive (or surgical) jaundice with Dr Hendri Pretorius. The presentation theory, red flags and investigations. For an approacch to a patint with obstructive jaundice listen to the podcast linked below from the What's wrong with that patient? series. An approach to a patient with obstructive jaundice · Stanleur Capital: Medical practice and personal financial solutions

In this episode we discuss with Dr Sherwyn Morrison abdominal aortic aneurysms, from risk factors to types, their presentation and an overview of management. Stanleur Capital: Medical practice and personal financial solutions

In this episode Bryce Svensson interviews Prof Brand to find out what are 'routine blood tests' used in general surgery. Specifically they talk about the full blood count, urea and electrolytes, C-reactive protein and procalcitonin. Their indications and interpretation. Stanleur Capital: Medical practice and personal financial solutions

Liver metastases are very common. With modern liver resection techniques and chemotherapy agents we are able to offer these patients treatment that may significantly lengthen their overall survival. In thjis podcast we dicuss metastatic liver lesions with Dr Hendri Pretorius. Stanleur Capital: Medical practice and personal financial solutions

The normal blood pressure in the portal venous circulation is 3-5mmHg, portal hypertension is diagnosed once the pressure is greater than 6mm Hg. Varices start developing with a pressure greater than 8mmHg, and may bleed with pressures greater than 12mmHg.
In this podcast we discuss portal hypertension with Dr Hendri Pretorius including with a clinical case scenario and the management thereof. Stanleur Capital: Medical practice and personal financial solutions

In this podcast we discuss the indications of x-rays, eFAST, CT scans, contrast studies and other investigations. Attached to the podcast is a PDF with links to additional resources. Stanleur Capital: Medical practice and personal financial solutions

Using ATLS principles, trauma surgeon Dr Barbaro Monzon, discusses the approach to a trauma patient in the emergency room. The primary, secondary and tertiary surveys are dealt with. Attached to the podcast is a summary sheet which includes links to useful free online claculators ect.. Stanleur Capital: Medical practice and personal financial solutions · Additional content Approach to Trauma Patient podcast.pdf — PDF (54.8 KB)

We discuss informed consent, who can give consent and various ethical principles with Mr Jerry Mayaba, an attorney specialising in medicolegal litigation with MacRoberts Attorneys. Attached to the podcast are various HPCSA published douments relevant to consent and ethical medical practice. Stanleur Capital: Medical practice and personal financial solutions · The Children's Act explained.pdf — PDF (812.8 KB) · HPCSA Ethical guidelines for good practice in the health care professions.pdf — PDF (6.3 MB)

In this podcast we discuss HPCSA internship training requirements with Mr Jerry Mayaba, attorney for MacRobert's Attorney's, and what is required for an intern doctor to be successfully signed off as an independent practicioner. Attached to the podcast are various HPCSA published documents relevant to Internship. Stanleur Capital: Medical practice and personal financial solutions · HPCSA Core Competancies for Internship.pdf — PDF (386.5 KB) · HPCSA Guidelines for Internship Training.pdf — PDF (1.2 MB)

Join Martin Brand as he interviews electricity guru, Professor Ryan Blumenthal, Forensic pathologist at the University of Pretoria. Professor Blumenthal has a deep interest in electricity and how it casues trauma, from your kitchen kettle to high voltage power lines, many of the myths of electricity are debunked in this episode. Stanleur Capital: Medical practice and personal financial solutions

In this episode Professor Martin Brand interviews Professor Ryan Blumenthal, senior specialist forensic pathologist and associate professor at the University of Pretoria’s Department of Forensic Medicine.
His chief field of interest is the pathology of trauma of lightning. His book 'Autopsy - Life in the trenches with a forensic pathologist from Africa' (Jonathan Ball Publishers) launched August 2020 and became a non-fiction best-seller in South Africa and his eight-part documentary “Lightning Pathologist” aired 9 November 2020 to 20 November 2020, and was viewed by over 2.2 million people.

In this podcast Professor Blumenthal explains how ligntning causes injuries and dispels several myths of this not uncommon cause of trauma in South Africa. Stanleur Capital: Medical practice and personal financial solutions

Oesophageal cancer is not an uncommon cause of dysphagia or odonophagia in a general surgery practice. In this podcast we give an overview of the two most common types of oesophageal cancer, their presentation, investigation and management. Stanleur Capital: Medical practice and personal financial solutions · Oesophageal cancer podcast overview.pdf — PDF (88.4 KB)

Successfully transfering an ill neonate from a peripheral hospital to a center where paeditric surgeons and paediatricians can care for the patient inlcudes a well planned and thorough process. In this episode we discuss what is needed for this kind of patient transfer. Optimising neonatal transfer. AC Fenton et al. 2004 · Stanleur Capital: Medical practice and personal financial solutions · Transfer of the neonate lecture notes.pdf — PDF (41.1 KB)

Colorectal cancer and it's complications will be a common condition managed by anyone treating surgical emergencies as well as working in general surgery departments. In this podcast we discuss these cancers, their presentations and the management thereof. Stanleur Capital: Medical practice and personal financial solutions · Colorectal cancer lecture notes.pdf — PDF (168.2 KB)

There are cancers rarely seen in the general population, but are common in HIV positive patients, such as Kaposi sarcoma and non-Hodgkins lymphoma. In this podcast we give an overview of the more common HIV associated malignancies that a general surgeon may be faced with. Stanleur Capital-Medical practice and personal financial solutions

The most common indication for spleen surgery is trauma. In the absence of trauma, spleen surgery is relatively rare and seldomly required. When indicated it may be curative and lifesaving. In this podcast we discuss elective, non-trauma general surgical aspects of the spleen. Stanleur Capital: Medical practice and personal financial solutions · The spleen lecture notes.pdf — PDF (128.2 KB)

Having a systematic reproducible routine of assessing a surgical ward patient during your daily ward rounds is essential, ensuring that they are improving, picking up signs early that something may be going wrong. In this podcast we discuss how to go about this essential component of your clinical practice. Stanleur Capital-Medical practice and personal financial solutions · Approach to a ward patient .pdf — PDF (51.1 KB)

Constipation and faecal incontinence is common and has a good prognosis if treated appropriately. An assessment of a child with constipation is primarily through a careful history and clinical examination and rarely abdominal x-rays are required to determine the cause of the constipation. Stanleur Capital-Medical practice and personal financial solutions · Constipation and Fecal incontinence in Children.pdf — PDF (100.6 KB)

Anorectal malformation does not only refer to an imperforate anus, but is a spectrum of abnormalities of rectum/ anus possible. It is also associated with other congenital abnormalities known by the mnenomonic 'VACTERL'. Stanleur Capital-Medical practice and personal financial solutions · Anorectal malformation .pdf — PDF (59.2 KB)