1. Management of surgical patient has three phases : 1.Diagnosis - clinical and paraclinical examinations Diferential diagnosis, indication and therapeutical/preoperative prcedures. 2.Treatment ( conservative, interventional or operative therapy „ state of art“ 3.Planing short and longtime controling of patients. ( rehabilitation, dispensarisation )

2. Management of diagnostic phase : 1. Anamnesis – interview 2. Status praesens – actual state of patient health 3. Paraclinical examinations - laboratory, imagination methods and other 4. Diferential diagnosis 5. Confirmation of diagnosis

3. 1.Physic examinations - by organs of sense view, touch, hear, - instruments analysing physic efects 2. Chemical and biochemical examinations - smell, taste - chemical analysis of fluids of body organs or tissues ( static ) - dynamic examinations of metabolism 3.Specific biological examinations. Microbiology, hematology, patology, histopatology, imunology and other.

4. Imagination methods : 1. Transmission methods - X ray ( Rtg ) - native or with contrast liquid CT, angiography, DSA, 2.Emission methods - radioisotop scintigraphy. 3. Ultrasonography 4. Endoscopic examinations 5. MRI – magnetic nuclear resonance imagination

5. Classification of diagnostic methods – from the view of risk of patients : biological risk (estimating of the mutagenity and carcinogenity efect ) invasivity risk ( pain, iatrogenic trauma, safety and possibility of repeating )

7. Angiography

8. DSA Digital subtraction angiography

9. CT Computer tomography

10. USG - Ultrasonography 2D- dimensional

11. USG Ultrasonography 3-D threedimensional

12. Doppler –sonography

13. Scintigraphy

14. MRI – magnetic resonance imagination

15. PET positron emission tomography

16. Endoscopy - gastroscopy, ERCP examination.

17. Colonoskopy