mkdir -p /tmp/workspace/mcq-burns-radiology-plastics && ls /tmp/workspace/

mkdir -p /tmp/workspace/bailey-gold-standards && cat << 'PYEOF' > /tmp/workspace/bailey-gold-standards/generate.py from docx import Document from docx.shared import Pt, RGBColor, Inches from docx.enum.text import WD_ALIGN_PARAGRAPH from docx.oxml.ns import qn from docx.oxml import OxmlElement doc = Document() # Page margins from docx.shared import Inches section = doc.sections[0] section.top_margin = Inches(1) section.bottom_margin = Inches(1) section.left_margin = Inches(1) section.right_margin = Inches(1) # Normal style style = doc.styles['Normal'] style.font.name = 'Arial' style.font.size = Pt(11) # Helper: colored heading def add_main_heading(doc, text, color_hex='1F4E79'): p = doc.add_heading(text, level=1) for run in p.runs: run.font.color.rgb = RGBColor.from_string(color_hex) run.font.size = Pt(16) run.bold = True def add_section_heading(doc, text): p = doc.add_heading(text, level=2) for run in p.runs: run.font.color.rgb = RGBColor.from_string('2E75B6') run.font.size = Pt(13) run.bold = True def add_row(doc, condition, value, note=''): table = doc.tables[-1] row = table.add_row() row.cells[0].text = condition row.cells[1].text = value row.cells[2].text = note for i, cell in enumerate(row.cells): for para in cell.paragraphs: for run in para.runs: run.font.size = Pt(10.5) if i == 0: run.bold = True def add_table(doc, headers=['Condition / Disease', 'Gold Standard / Investigation or Treatment', 'Notes']): table = doc.add_table(rows=1, cols=3) table.style = 'Table Grid' hdr = table.rows[0].cells widths = [Inches(2.2), Inches(2.8), Inches(2.0)] for i, (h, w) in enumerate(zip(hdr, widths)): h.text = h for para in h.paragraphs: para.runs[0].bold = True para.runs[0].font.color.rgb = RGBColor(255, 255, 255) para.runs[0].font.size = Pt(11) # Background color tc = h._tc tcPr = tc.get_or_add_tcPr() shd = OxmlElement('w:shd') shd.set(qn('w:val'), 'clear') shd.set(qn('w:color'), 'auto') shd.set(qn('w:fill'), '1F4E79') tcPr.append(shd) # Set column widths for i, w in enumerate(widths): for row in table.rows: row.cells[i].width = w # Re-add headers correctly hdr_cells = table.rows[0].cells hdr_cells[0].text = headers[0] hdr_cells[1].text = headers[1] hdr_cells[2].text = headers[2] for cell in hdr_cells: for para in cell.paragraphs: for run in para.runs: run.bold = True run.font.color.rgb = RGBColor(255, 255, 255) run.font.size = Pt(11) tc = cell._tc tcPr = tc.get_or_add_tcPr() shd = OxmlElement('w:shd') shd.set(qn('w:val'), 'clear') shd.set(qn('w:color'), 'auto') shd.set(qn('w:fill'), '1F4E79') tcPr.append(shd) return table # ───────────────────────────────────────── # TITLE PAGE # ───────────────────────────────────────── p = doc.add_paragraph() p.alignment = WD_ALIGN_PARAGRAPH.CENTER run = p.add_run('BAILEY AND LOVE\'S SHORT PRACTICE OF SURGERY') run.bold = True run.font.size = Pt(18) run.font.color.rgb = RGBColor.from_string('1F4E79') p2 = doc.add_paragraph() p2.alignment = WD_ALIGN_PARAGRAPH.CENTER run2 = p2.add_run('28th Edition') run2.font.size = Pt(14) run2.font.color.rgb = RGBColor.from_string('2E75B6') p3 = doc.add_paragraph() p3.alignment = WD_ALIGN_PARAGRAPH.CENTER run3 = p3.add_run('GOLD STANDARDS · INVESTIGATIONS OF CHOICE · FIRST-LINE TREATMENTS') run3.bold = True run3.font.size = Pt(13) run3.font.color.rgb = RGBColor.from_string('C00000') doc.add_paragraph() p4 = doc.add_paragraph() p4.alignment = WD_ALIGN_PARAGRAPH.CENTER p4.add_run('A comprehensive reference compiled directly from the textbook\nfor MBBS, MRCS, and surgical examination revision').font.size = Pt(11) doc.add_page_break() # ───────────────────────────────────────── # SECTION 1: GOLD STANDARD INVESTIGATIONS # ───────────────────────────────────────── add_main_heading(doc, 'SECTION 1: GOLD STANDARD INVESTIGATIONS') doc.add_paragraph('The following investigations are explicitly stated as the "gold standard" in Bailey & Love 28th Edition.') doc.add_paragraph() add_table(doc) rows_inv = [ ('Oesophageal motility disorders / Achalasia', 'High-Resolution Manometry (HRM)', 'Gold standard for diagnosing achalasia and all oesophageal motility disorders'), ('Coronary artery disease (CAD) — anatomy', 'Selective Coronary Angiography', 'Gold standard for accurate diagnosis of presence and extent of CAD'), ('Fitness / cardiopulmonary assessment pre-op', 'Cardiopulmonary Exercise Testing (CPET)', 'Gold standard measurement of patient fitness; VO2max and VCO2 measured'), ('Spinal trauma imaging', 'CT with 2D reconstruction', 'Remains gold standard in spinal trauma; indicated for suspected injuries on plain XR'), ('Prostate gland obstruction (large BPH)', 'TURP (Transurethral Resection of Prostate)', 'Remains gold standard; HOLEP recommended for glands >35 g'), ('Renal cell carcinoma — localised disease', 'Radical Nephrectomy', 'Remains gold standard treatment; nephron-sparing surgery for tumours <4 cm'), ('Liver tumour — resectable disease', 'Surgical Resection', 'Gold standard; ablation is adjunct only; anatomical resection preferred for HCC'), ('HCC — preoperative imaging', 'Triple-phase CT abdomen/pelvis + MRI liver', 'Standard of care; MRI improves sensitivity for lesions <1 cm with liver-specific contrast'), ('Ischaemic heart disease — multivessel / complex', 'Coronary Artery Bypass Grafting (CABG)', 'Remains gold standard over PCI in multivessel disease, diabetes, left main stem'), ('Heart failure — end stage', 'Heart Transplantation', 'Remains gold standard surgical treatment for end-stage heart failure'), ('Organ preservation — pancreas transplantation', 'Static Cold Storage (SCS)', 'Remains gold standard of preservation; machine perfusion under investigation'), ('Staging of malignancy', 'Histopathological specimen (biopsy)', 'Pathological specimen remains the gold standard; imaging supplements but does not replace'), ('Oral cavity SCC resection margin', 'Resection with 1-cm clinical margin', 'Gold standard in oral cavity SCC circumferentially, vital structures permitting'), ('Endometrial cancer histological diagnosis', 'Hysterectomy specimen (endometrial sampling)', 'Historically gold standard; limited in fertility-preserving cases'), ('Upper GI NETs (gastrinoma, etc.) diagnosis', 'Upper GI Endoscopy + biopsy + EUS', 'Gold standard with biopsy of lesions; EUS measures tumour depth; CT/SRS/68Ga-PET for staging'), ('Intraoperative liver assessment', 'Intraoperative Ultrasonography (IUS)', 'Standard of care for hepatobiliary surgery; used with bimanual palpation'), ('Colorectal liver metastases', 'Parenchyma-sparing anatomical resection', 'Now standard of care; anatomical resection for HCC when liver function allows'), ('Cystic myxomatous degeneration (popliteal)', 'Duplex Ultrasound Scan', 'Investigation of choice; treatment: decompression or excision with vein graft'), ('Total hip replacement (THR) bearing surface', 'Metal-on-high-density polyethylene (Charnley)', 'Classic gold standard bearing surface since 1961'), ] for row in rows_inv: add_row(doc, row[0], row[1], row[2]) doc.add_paragraph() # ───────────────────────────────────────── # SECTION 2: INVESTIGATIONS OF CHOICE # ───────────────────────────────────────── add_main_heading(doc, 'SECTION 2: INVESTIGATIONS OF CHOICE') doc.add_paragraph('Explicitly stated as "investigation of choice" in Bailey & Love 28th Edition.') doc.add_paragraph() add_table(doc) rows_ioc = [ ('Osteoarthritis of the hip / knee', 'Plain Radiographs (weight-bearing)', 'Joint space narrowing, subchondral sclerosis, osteophytes, subchondral cysts; MRI for soft tissue'), ('Urolithiasis (renal / ureteric stones)', 'Non-contrast CT (NCCT) KUB', 'Investigation of choice; replaces IVU; IVU dose 1–5 mSv'), ('Liver trauma (stable patient)', 'CT Scanning', 'Investigation of choice in haemodynamically stable patient'), ('Jaundice — initial investigation', 'Ultrasonography (USS)', 'Initial investigation of choice; determines bile duct dilatation, gallstones, liver metastases'), ('Thyroid discrete swelling / nodule', 'Fine-Needle Aspiration Cytology (FNAC)', 'Investigation of choice; excellent compliance, simple, repeatable in outpatient'), ('Acute osteomyelitis', 'MRI', 'Investigation of choice; plain XR may be normal for up to 1 week'), ('Bone infection (early diagnosis)', 'MRI', 'Usually the investigation of choice; ESR/CRP non-specific'), ('Neck lymphadenopathy (head & neck cancer)', 'FNAC (ultrasound-guided)', 'First-line biopsy; sensitivity 89–98%; ultrasound-guided FNAC now standard of care'), ('Hypopharyngeal dysphagia / swallowing', 'Videofluoroscopy', 'Investigation of choice; assesses bolus passage from oral cavity to stomach'), ('Sigmoid volvulus / colonic volvulus', 'CT Scanning', 'Now the imaging of choice; plain XR shows classic dilated loop / coffee bean sign'), ('Nasopharyngeal carcinoma (NPC)', 'MRI', 'Imaging of choice; assesses brain parenchyma, cavernous sinus, cranial foramina'), ('Hydronephrosis / renal masses', 'Intravenous Urogram (IVU)', 'Per TOS; identifies hydronephrosis and renal masses'), ('Vesicoureteric reflux', 'Micturating Cystourethrogram (MCU)', 'Identifies VUR; also evaluates bladder and urethra'), ('Gallbladder disease / gallstones', 'Ultrasound (USS)', 'Initial and primary investigation for gallbladder diseases'), ('Urodynamics for voiding dysfunction', 'Urodynamic Studies', 'Necessary for accurate diagnosis of raised voiding pressures and diminished flow'), ('Hydrocephalus / raised ICP', 'CT Scan (first line)', 'First line of investigation; LP can confirm raised CSF pressure in communicating type'), ('Subarachnoid haemorrhage', 'Plain CT + Lumbar Puncture', 'First-line investigations; LP detects xanthochromia if CT negative'), ('Malignant hypopharyngeal tumour', 'Rigid pharyngoscopy + oesophagoscopy + biopsy under GA', 'Preferred investigation with systematic neck assessment and FNAC for nodes'), ('Chest (pulmonary masses)', 'CT (multi-phase)', 'Imaging of choice for detection of pulmonary masses'), ('Peripheral arterial disease (PAD)', 'Duplex Ultrasound → CT/MR Angiography', 'Confirms presence/severity; identifies anatomical location for intervention planning'), ('Bone anatomy assessment (spinal)', 'CT Scan', 'Best test for bone anatomy; 3D reconstruction for congenital deformity'), ('Splenic trauma (stable patient)', 'CT Scanning', 'Investigation of choice in haemodynamically stable patient'), ('Liver abscess', 'CT Scanning + percutaneous CT-guided drainage', 'CT for diagnosis; CT-guided drainage is primary treatment'), ] for row in rows_ioc: add_row(doc, row[0], row[1], row[2]) doc.add_paragraph() # ───────────────────────────────────────── # SECTION 3: FIRST-LINE TREATMENTS # ───────────────────────────────────────── add_main_heading(doc, 'SECTION 3: FIRST-LINE TREATMENTS') doc.add_paragraph('Explicitly stated as "first-line", "first line", or "treatment of choice" in Bailey & Love 28th Edition.') doc.add_paragraph() add_table(doc, ['Condition / Disease', 'First-Line Treatment', 'Notes']) rows_tx = [ ('Erectile dysfunction (ED)', 'Phosphodiesterase-5 (PDE5) inhibitors (e.g., sildenafil)', 'First-line; penile implants for refractory cases'), ('Spontaneous bacterial peritonitis (SBP)', 'IV Cefotaxime (3rd-generation cephalosporin)', 'First-line; avoids renal toxicity of aminoglycosides; alternatives: amoxicillin/clavulanic acid, ciprofloxacin'), ('Prostate cancer — advanced / metastatic', 'Hormone ablation (androgen deprivation therapy)', 'First-line; chemotherapy used when hormone therapy fails'), ('Ascariasis / intestinal helminthiasis obstruction', 'Anthelminthics (conservative medical management)', 'First-line even in obstruction; surgery is last resort'), ('Coagulopathic haemorrhage (massive transfusion)', 'Fresh Frozen Plasma (FFP)', 'First-line therapy for coagulopathic haemorrhage in massive transfusion'), ('Ischaemic priapism', 'Aspiration of corpora cavernosa (sludged blood)', 'First-line; if fails → intracavernosal phenylephrine; if fails → surgical shunt'), ('Raised ICP — medical management (head injury)', 'Optimise sedation + ventilation + serum sodium control', 'First line; paralysis and EVD as adjuncts; little evidence for barbiturate coma / hypothermia'), ('Varicocele — symptomatic', 'Percutaneous embolisation of gonadal veins', 'Usual first-line; surgical ligation alternative'), ('Hyperthyroidism (pre-op preparation)', 'Carbimazole 30–40 mg/day', 'Drug of choice; render euthyroid over 8–12 weeks; iodine added 10 days pre-op'), ('Prosthetic heart valve — anticoagulation', 'Warfarin (target INR per valve type/position)', 'Drug of choice; INR target adapted to patient risk and valve thrombogenicity'), ('Acute MI / acute coronary syndromes', 'Primary PCI (Percutaneous Coronary Intervention)', 'Treatment of choice for ACS; drug-eluting stents preferred'), ('Oral cavity SCC (localised)', 'Surgical resection with 1-cm margin', 'Gold standard; adjuvant RT/CRT for high-risk features'), ('Warthin\'s tumour (parotid)', 'Surgical excision with adequate margin', 'Treatment of choice; recurrences very rare'), ('Adrenal incidentaloma / cyst (symptomatic)', 'Laparoscopic excision', 'Treatment of choice; prognosis excellent, recurrences rare'), ('Bulbar urethral trauma', 'Delayed urethroplasty', 'Surgical treatment of choice; immediate: suprapubic cystostomy if catheter fails'), ('Chlamydial epididymo-orchitis / prostatitis', 'Doxycycline', 'Antibiotic treatment of choice when Chlamydia suspected'), ('NEC (Grade III) / high-grade NET', 'Platinum-based (cisplatin/etoposide) chemotherapy', 'Treatment of choice for poorly differentiated neuroendocrine carcinoma grade 3'), ('Localised GI NET (no nodal metastases)', 'Surgical resection (endoscopic or open)', 'Treatment of choice in absence of lymph node metastases'), ('Choledochal cyst', 'Excision of cyst + hepaticojejunostomy (Roux-en-Y)', 'Treatment of choice; avoids risk of malignant transformation'), ('Urinary incontinence — stress (female)', 'Mid-urethral sling (TVT / TOT)', 'Treatment of choice dependent on underlying cause; combined/individualised approach'), ('BPH — large gland (>35 g)', 'HOLEP (Holmium Laser Enucleation of Prostate)', 'Preferred over TURP for glands >35 g; TURP still gold standard for standard cases'), ('Colorectal cancer liver metastases', 'Hepatic resection (parenchyma-sparing)', 'Treatment of choice when resectable; portal vein embolisation for inadequate FLR'), ('Hepatocellular carcinoma (resectable)', 'Anatomical hepatic resection', 'Treatment of choice; ablation adjunct for unresectable; liver transplant for cirrhotic patients within Milan criteria'), ('Achalasia — long-term management', 'Laparoscopic Heller myotomy OR pneumatic balloon dilatation', 'Gold standard options; POEM emerging; botulinum toxin for poor surgical candidates'), ('Carbon monoxide poisoning (burn/inhalation)', 'High-flow, high-concentration oxygen (100% O2)', 'Early recognition and O2 therapy; hyperbaric O2 for severe cases'), ] for row in rows_tx: add_row(doc, row[0], row[1], row[2]) doc.add_paragraph() # ───────────────────────────────────────── # SECTION 4: RADIOLOGY – IMAGING MODALITIES & WHAT THEY DIAGNOSE # ───────────────────────────────────────── add_main_heading(doc, 'SECTION 4: RADIOLOGY — KEY IMAGING MODALITIES & THEIR APPLICATIONS') doc.add_paragraph('Based on Bailey & Love Chapter 8 (Principles of Radiology) and TOS S1-037 to S1-043.') doc.add_paragraph() add_table(doc, ['Imaging Modality', 'Key Surgical Applications / Diagnoses', 'Radiation Dose (mSv)']) rows_rad = [ ('Chest X-ray (CXR)', 'Pneumothorax, pneumonia, pleural effusion, cardiomegaly, pulmonary oedema, fractures, surgical emphysema, neoplastic disease, chronic inflammatory conditions', '<1 mSv'), ('Skull X-ray', 'Fractures, lytic/sclerotic lesions, calcifications, pituitary fossa abnormalities, paranasal sinus pathology', '<1 mSv'), ('Abdominal X-ray (AXR)', 'Free gas under diaphragm (perforation), renal/ureteric/gallstones, hepatomegaly/splenomegaly, bowel obstruction pattern', '<1 mSv'), ('Spine X-ray', 'Normal spinal anatomy, disc space reduction, vertebral collapse, spondylolisthesis, fractures', '<1 mSv'), ('Barium Meal (UGI)', 'Gastric outlet obstruction, filling defects, stomach masses, oesophageal varices and strictures, double-contrast studies', 'Low'), ('Barium Enema / Follow-through', 'Intussusception, colonic defects, malabsorption patterns, strictures, ulcerative colitis, diverticular disease, ulcers', 'Low'), ('Intravenous Urogram (IVU)', 'Hydronephrosis, renal masses, ureteric calculi, renal anatomy', '1–5 mSv'), ('Micturating Cystourethrogram (MCU)', 'Vesicoureteric reflux (VUR), bladder pathology, urethral stricture/valve', 'Low'), ('Cholecystogram', 'Gallbladder disease, gallstones, cholecystitis', 'Low'), ('Ultrasound (USS)', 'Gallstones, hepatic lesions, renal masses, DVT, abdominal aortic aneurysm, thyroid, soft tissue, FAST in trauma', '0 (no radiation)'), ('CT Scan (standard)', 'Trauma assessment, abdominal pathology, staging of malignancy, pulmonary masses, PE', '1–10 mSv'), ('CT Scan (extensive/multi-phase)', 'HCC staging (triple-phase), colorectal liver metastases, aortic dissection', '>10 mSv'), ('MRI', 'Osteomyelitis, spinal cord, CNS, soft tissue tumours, NPC, liver lesions with contrast, joint pathology', '0 (no radiation)'), ('PET-CT', 'Distant metastases, unknown primary head & neck tumour, post-treatment surveillance', '>10 mSv'), ('Echocardiography', 'Cardiac function, valve disease, pericardial effusion, wall motion abnormality, congenital heart disease', '0 (no radiation)'), ('Coronary Angiography', 'Extent/severity/location of CAD stenosis; distal tree quality; suitability for CABG/PCI', 'Moderate'), ('Duplex Ultrasound', 'Peripheral arterial disease (PAD), carotid stenosis, DVT, cystic adventitial disease', '0 (no radiation)'), ('Nuclear Medicine (bone scan)', 'Bone metastases, osteomyelitis, stress fractures', '1–5 mSv'), ('Interventional Radiology', 'Embolisation (varicocele, haemorrhage), angioplasty, stenting, CT-guided drainage of abscess, TIPS', 'Variable'), ] for row in rows_rad: add_row(doc, row[0], row[1], row[2]) doc.add_paragraph() # ───────────────────────────────────────── # SECTION 5: QUICK REFERENCE SUMMARY TABLE # ───────────────────────────────────────── add_main_heading(doc, 'SECTION 5: RAPID REVISION — MNEMONICS & HIGH-YIELD FACTS') doc.add_paragraph() bullets = [ ('GOLD STANDARD INVESTIGATIONS (key)', [ 'HRM → Achalasia / oesophageal motility disorders', 'Coronary angiography → CAD anatomy (gold standard)', 'CPET → Pre-op fitness assessment (gold standard)', 'CT with 2D reconstruction → Spinal trauma (gold standard)', 'MRI → Osteomyelitis / bone infection (gold standard)', 'FNAC → Thyroid nodule (investigation of choice)', 'USS → Jaundice initial workup (investigation of choice)', 'NCCT KUB → Urolithiasis (investigation of choice)', 'Videofluoroscopy → Hypopharyngeal dysphagia (investigation of choice)', 'CT → Sigmoid volvulus, liver trauma, splenic trauma (investigation of choice)', ]), ('GOLD STANDARD TREATMENTS (key)', [ 'CABG → Multivessel CAD / diabetics (gold standard over PCI)', 'TURP → BPH (gold standard; HOLEP for glands >35 g)', 'Radical nephrectomy → Localised RCC (gold standard)', 'Surgical resection → Resectable liver tumours (gold standard)', 'Heart transplantation → End-stage heart failure (gold standard)', 'Anatomical hepatic resection → HCC (gold standard)', 'Laparoscopic Heller myotomy → Achalasia (gold standard surgical option)', ]), ('FIRST-LINE TREATMENTS (key)', [ 'PDE5 inhibitors (sildenafil) → Erectile dysfunction', 'IV Cefotaxime → Spontaneous bacterial peritonitis', 'Hormone ablation (ADT) → Metastatic prostate cancer', 'FFP → Coagulopathic haemorrhage', 'Aspiration of corpora → Ischaemic priapism', 'Carbimazole → Pre-op hyperthyroidism preparation (drug of choice)', 'Warfarin → Prosthetic heart valve anticoagulation (drug of choice)', 'Doxycycline → Chlamydial infection (drug of choice)', 'Platinum-based chemo → Grade 3 NEC/NEC tumours', '100% O2 → Carbon monoxide poisoning', 'Anthelminthics → Ascariasis obstruction (first line even in obstruction)', ]), ('RADIATION DOSES (Bailey & Love Table 8.1)', [ '0 mSv → Ultrasound (USS), MRI', '<1 mSv → CXR, limb/pelvis/spine XR, mammography', '1–5 mSv → IVU, bone scan, CT head/neck', '5.1–10 mSv → CT KUB, cardiac nuclear medicine', '>10 mSv → Extensive CT, PET/CT studies', ]), ] for section_title, items in bullets: p = doc.add_paragraph() run = p.add_run(section_title) run.bold = True run.font.size = Pt(12) run.font.color.rgb = RGBColor.from_string('1F4E79') for item in items: bp = doc.add_paragraph(style='List Bullet') bp.add_run(item).font.size = Pt(10.5) doc.add_paragraph() # Footer note p_footer = doc.add_paragraph() p_footer.alignment = WD_ALIGN_PARAGRAPH.CENTER run_f = p_footer.add_run('Source: Bailey and Love\'s Short Practice of Surgery, 28th Edition | Compiled for surgical examination revision') run_f.font.size = Pt(9) run_f.font.color.rgb = RGBColor.from_string('808080') run_f.italic = True out_path = '/tmp/workspace/bailey-gold-standards/BaileyLove28_GoldStandards_InvestigationsTreatments.docx' doc.save(out_path) print(f'Saved: {out_path}') PYEOF python3 /tmp/workspace/bailey-gold-standards/generate.py

cat << 'PYEOF' > /tmp/workspace/bailey-gold-standards/generate.py from docx import Document from docx.shared import Pt, RGBColor, Inches from docx.enum.text import WD_ALIGN_PARAGRAPH from docx.oxml.ns import qn from docx.oxml import OxmlElement def set_cell_bg(cell, hex_color): tc = cell._tc tcPr = tc.get_or_add_tcPr() shd = OxmlElement('w:shd') shd.set(qn('w:val'), 'clear') shd.set(qn('w:color'), 'auto') shd.set(qn('w:fill'), hex_color) tcPr.append(shd) def add_table_with_header(doc, headers, col_widths_inches): table = doc.add_table(rows=1, cols=len(headers)) table.style = 'Table Grid' hdr_cells = table.rows[0].cells for i, (h, w) in enumerate(zip(headers, col_widths_inches)): hdr_cells[i].width = Inches(w) hdr_cells[i].text = h for para in hdr_cells[i].paragraphs: for run in para.runs: run.bold = True run.font.color.rgb = RGBColor(255, 255, 255) run.font.size = Pt(11) set_cell_bg(hdr_cells[i], '1F4E79') return table def add_data_row(table, values, col_widths_inches, bold_first=True): row = table.add_row() for i, (val, w) in enumerate(zip(values, col_widths_inches)): row.cells[i].width = Inches(w) row.cells[i].text = val for para in row.cells[i].paragraphs: for run in para.runs: run.font.size = Pt(10.5) if i == 0 and bold_first: run.bold = True doc = Document() section = doc.sections[0] section.top_margin = Inches(0.9) section.bottom_margin = Inches(0.9) section.left_margin = Inches(0.9) section.right_margin = Inches(0.9) style = doc.styles['Normal'] style.font.name = 'Arial' style.font.size = Pt(11) # ── TITLE ── p = doc.add_paragraph() p.alignment = WD_ALIGN_PARAGRAPH.CENTER run = p.add_run("BAILEY AND LOVE'S SHORT PRACTICE OF SURGERY — 28th EDITION") run.bold = True; run.font.size = Pt(17); run.font.color.rgb = RGBColor(31, 78, 121) p2 = doc.add_paragraph() p2.alignment = WD_ALIGN_PARAGRAPH.CENTER r2 = p2.add_run("Gold Standards | Investigations of Choice | First-Line Treatments") r2.bold = True; r2.font.size = Pt(13); r2.font.color.rgb = RGBColor(192, 0, 0) p3 = doc.add_paragraph() p3.alignment = WD_ALIGN_PARAGRAPH.CENTER p3.add_run("Compiled directly from the textbook for MBBS, MRCS & surgical exam revision").font.size = Pt(11) doc.add_page_break() COL3 = [2.2, 2.8, 2.0] # ═══════════════════════════════════════════════ # SECTION 1: GOLD STANDARD INVESTIGATIONS # ═══════════════════════════════════════════════ h = doc.add_heading('SECTION 1: GOLD STANDARD INVESTIGATIONS', level=1) for run in h.runs: run.font.color.rgb = RGBColor(31,78,121); run.font.size = Pt(15) doc.add_paragraph("Explicitly stated as 'gold standard' investigation in Bailey & Love 28th Edition.") doc.add_paragraph() t1 = add_table_with_header(doc, ['Condition / Disease', 'Gold Standard Investigation', 'Notes / Key Facts'], COL3) gs_inv = [ ('Achalasia / Oesophageal motility disorders', 'High-Resolution Manometry (HRM)', 'Gold standard for diagnosing achalasia and ALL oesophageal motility disorders'), ('Coronary artery disease (CAD) — anatomy', 'Selective Coronary Angiography', 'Gold standard for accurate diagnosis of presence, extent and location of CAD; assesses distal tree for CABG'), ('Pre-operative fitness / cardiopulmonary reserve', 'Cardiopulmonary Exercise Testing (CPET)', 'Gold standard measurement of fitness; VO2 and VCO2 measured during 10-min incremental exercise'), ('Spinal trauma', 'CT with 2D reconstruction', 'Remains gold standard; indicated for suspected or visible injuries on plain radiographs'), ('BPH surgical treatment (standard gland)', 'TURP (Transurethral Resection of Prostate)', 'Remains gold standard; HOLEP preferred for glands >35 g; new minimally invasive options emerging'), ('Localised renal cell carcinoma (RCC)', 'Radical Nephrectomy', 'Remains gold standard; partial nephrectomy / nephron-sparing surgery for tumours <4 cm'), ('Resectable liver tumours', 'Surgical Resection (anatomical)', 'Gold standard; ablation is adjunct only; anatomical resection preferred for HCC when liver function allows'), ('HCC pre-operative imaging', 'Triple-phase CT abdomen/pelvis + MRI liver', 'Standard of care; MRI with liver-specific contrast improves sensitivity for lesions <1 cm'), ('Multivessel CAD / diabetes / left main stem disease', 'Coronary Artery Bypass Grafting (CABG)', 'Remains gold standard over PCI with drug-eluting stents in these patient groups'), ('End-stage heart failure', 'Heart Transplantation', 'Remains gold standard surgical treatment; resynchronisation pacemakers/ICD improve symptoms but many progress'), ('Pancreas transplantation — organ preservation', 'Static Cold Storage (SCS)', 'Remains gold standard of preservation; machine perfusion under active research'), ('Cancer staging confirmation', 'Histopathological specimen (biopsy)', 'Pathological specimen is gold standard; imaging supplements but does not replace it'), ('Oral cavity SCC resection', '1-cm clinical margin resection (circumferential)', 'Gold standard in OCSCC; vital structures permitting'), ('Endometrial cancer histological diagnosis', 'Hysterectomy specimen (endometrial sampling)', 'Historically gold standard; limited in fertility-preserving cases'), ('GI NETs — diagnosis', 'Upper GI Endoscopy + biopsy; EUS for depth', 'Gold standard; CT/SRS/68Ga-DOTATOC PET for staging'), ('Intraoperative liver assessment', 'Intraoperative Ultrasonography (IUS)', 'Standard of care for hepatobiliary surgery; used with bimanual palpation; detects additional 10% vs palpation alone'), ('Colorectal liver metastases', 'Parenchyma-sparing anatomical resection', 'Now standard of care; non-anatomical multi-segmentectomy / metastasectomy acceptable'), ('Cystic adventitial / myxomatous popliteal disease', 'Duplex Ultrasound Scan', 'Investigation of choice; treatment: decompression or excision with interposition vein graft'), ('THR bearing surface (classic)', 'Metal-on-high-density polyethylene (Charnley 1961)', 'Classic hard-on-soft bearing surface; gold standard for decades; low coefficient of friction'), ] for r in gs_inv: add_data_row(t1, r, COL3) doc.add_paragraph() # ═══════════════════════════════════════════════ # SECTION 2: INVESTIGATIONS OF CHOICE # ═══════════════════════════════════════════════ h2 = doc.add_heading('SECTION 2: INVESTIGATIONS OF CHOICE', level=1) for run in h2.runs: run.font.color.rgb = RGBColor(31,78,121); run.font.size = Pt(15) doc.add_paragraph("Explicitly stated as 'investigation of choice' in Bailey & Love 28th Edition.") doc.add_paragraph() t2 = add_table_with_header(doc, ['Condition / Disease', 'Investigation of Choice', 'Notes / Key Facts'], COL3) inv_choice = [ ('Osteoarthritis hip / knee', 'Plain radiographs (weight-bearing)', 'Shows: joint space narrowing, subchondral sclerosis, osteophytes, subchondral cysts; MRI for soft tissue detail'), ('Urolithiasis (renal / ureteric stones)', 'Non-contrast CT (NCCT) KUB', 'Has replaced IVU; identifies stone location, size, obstruction; dose 5.1–10 mSv'), ('Liver trauma — haemodynamically stable patient', 'CT Scan (contrast-enhanced)', 'Grades injury; guides management: non-operative vs angio-embolisation vs surgery'), ('Jaundice — initial workup', 'Ultrasonography (USS)', 'Initial investigation; determines bile duct dilatation, gallstones, liver metastases, hepatic parenchymal disease'), ('Thyroid discrete swelling / nodule', 'FNAC (Fine-Needle Aspiration Cytology)', 'Simple, quick, outpatient; excellent compliance; sensitivity excellent; readily repeatable; developed in Scandinavia'), ('Acute osteomyelitis (early)', 'MRI', 'Investigation of choice; plain XR may be normal for up to 1 week; WCC and CRP usually raised'), ('Bone infection — early diagnosis', 'MRI', 'Usually investigation of choice; ESR/CRP neither sensitive nor specific alone'), ('Neck lymphadenopathy (head & neck cancer)', 'Ultrasound-guided FNAC or core biopsy', 'First-line biopsy; sensitivity 89–98%; now standard of care in most units; CT/PET-CT for staging'), ('Hypopharyngeal dysphagia / swallowing disorders', 'Videofluoroscopy', 'Assesses bolus passage from oral cavity to stomach; multiple textures; detects aspiration'), ('Sigmoid / colonic volvulus', 'CT Scan', 'Now imaging of choice; plain XR shows classic coffee bean / dilated loop; CT confirms and may show ischaemia'), ('Nasopharyngeal carcinoma (NPC)', 'MRI', 'Imaging of choice; assesses brain parenchyma, cavernous sinus, cranial foramina; CT/PET-CT for staging'), ('Pulmonary masses (chest)', 'CT (multi-phase)', 'Imaging of choice for pulmonary mass characterisation and staging'), ('Hydronephrosis / renal masses', 'Intravenous Urogram (IVU)', 'Classically used; now largely replaced by CT urogram; dose 1–5 mSv'), ('Vesicoureteric reflux (VUR)', 'Micturating Cystourethrogram (MCU)', 'Grades VUR; also evaluates bladder and urethral anatomy'), ('Gallbladder disease / gallstones', 'Ultrasound (USS)', 'Identifies gallstones, wall thickening, pericholecystic fluid, bile duct dilatation'), ('Voiding dysfunction / BOO', 'Urodynamic studies', 'Demonstrates raised voiding pressures and diminished flow rate; necessary for accurate diagnosis'), ('Hydrocephalus (first-line)', 'CT Scan', 'First-line investigation; LP can confirm raised CSF pressure in communicating type but dangerous in obstruction'), ('Subarachnoid haemorrhage', 'Plain CT + Lumbar puncture (if CT negative)', 'First-line investigations; LP detects xanthochromia if CT negative; most SAH from aneurysm in circle of Willis'), ('Malignant hypopharyngeal tumour', 'Rigid pharyngoscopy + oesophagoscopy + biopsy under GA', 'Preferred investigation; full systematic neck assessment; FNAC for suspicious nodes'), ('Peripheral arterial disease (PAD)', 'Duplex Ultrasound → CT/MR Angiography', 'Confirms presence/severity of PAD; defines anatomical location; assesses suitability for intervention'), ('Bone anatomy / congenital spinal deformity', 'CT Scan (± 3D reconstruction)', 'Best test for bone anatomy; remember radiation dose to lumbar spine is significant'), ('Liver abscess', 'CT Scan + CT-guided percutaneous drainage', 'CT for diagnosis and guidance; treatment: CT-guided drainage + antibiotics; surgery if unsuccessful'), ('Deep vein thrombosis (DVT)', 'Duplex Ultrasound (compression USS)', 'Non-invasive; confirms clot; assesses extent; guides anticoagulation decision'), ] for r in inv_choice: add_data_row(t2, r, COL3) doc.add_paragraph() # ═══════════════════════════════════════════════ # SECTION 3: FIRST-LINE & TREATMENT OF CHOICE # ═══════════════════════════════════════════════ h3 = doc.add_heading('SECTION 3: FIRST-LINE TREATMENTS & TREATMENTS OF CHOICE', level=1) for run in h3.runs: run.font.color.rgb = RGBColor(31,78,121); run.font.size = Pt(15) doc.add_paragraph("Explicitly stated as 'first-line', 'first line', 'treatment of choice', or 'drug of choice' in Bailey & Love 28th Edition.") doc.add_paragraph() t3 = add_table_with_header(doc, ['Condition / Disease', 'First-Line / Treatment of Choice', 'Notes / Key Facts'], COL3) tx_choice = [ ('Erectile dysfunction (ED)', 'PDE5 inhibitors (sildenafil, tadalafil)', 'First-line treatment; identify vascular risk factors; penile implants for refractory ED'), ('Spontaneous bacterial peritonitis (SBP)', 'IV Cefotaxime (3rd-gen cephalosporin)', 'First-line; avoids aminoglycoside renal toxicity; alternatives: amoxicillin/clavulanic acid, ciprofloxacin'), ('Metastatic / advanced prostate cancer', 'Hormone ablation (androgen deprivation therapy)', 'First-line palliative therapy; chemotherapy used when ADT fails'), ('Ascariasis / intestinal helminthiasis (obstruction)', 'Anthelminthics (conservative medical)', 'First-line even in obstruction; surgery last resort for acute abdomen'), ('Coagulopathic haemorrhage (massive transfusion)', 'Fresh Frozen Plasma (FFP)', 'First-line therapy for coagulopathy; contains all clotting factors; Rh-positive FFP may be given to Rh-negative women'), ('Ischaemic priapism', 'Aspiration of corpora cavernosa', 'First-line; if fails → intracavernosal phenylephrine (alpha agonist); if fails → surgical cavernosal shunt'), ('Raised ICP (head injury) — medical', 'Sedation optimisation + controlled ventilation + serum sodium control', 'First-line ICP control; paralysis and EVD are adjuncts; barbiturate coma/hypothermia/craniectomy: limited evidence'), ('Varicocele — symptomatic', 'Percutaneous embolisation of gonadal veins', 'Usual first-line; surgical ligation is alternative; caution: risk of overtreatment in adolescents'), ('Pre-operative hyperthyroidism preparation', 'Carbimazole 30–40 mg/day', 'Drug of choice; render euthyroid in 8–12 weeks; Lugol\'s iodine added 10 days pre-op to reduce vascularity'), ('Prosthetic heart valve anticoagulation', 'Warfarin (target INR per valve type/position)', 'Drug of choice; INR target adapted to patient risk and valve thrombogenicity; lower INR target for aortic valves'), ('Acute coronary syndromes (ACS) / acute MI', 'Primary PCI (Percutaneous Coronary Intervention) + drug-eluting stent', 'Treatment of choice for ACS; dual antiplatelet therapy for 12 months post-stent'), ('Oral cavity SCC', 'Surgical resection with 1-cm margin', 'Gold standard; adjuvant RT/CRT for high-risk features (margin, LVI, PNI, N2+ disease)'), ('Warthin\'s tumour (parotid)', 'Surgical excision with adequate margin', 'Treatment of choice; recurrences very rare; may be due to multifocal tumours'), ('Adrenal/retroperitoneal cyst (symptomatic)', 'Laparoscopic excision', 'Treatment of choice; excellent prognosis; recurrences rare'), ('Bulbar urethral trauma', 'Delayed urethroplasty', 'Surgical treatment of choice; immediate management: suprapubic cystostomy if catheter fails to drain'), ('Chlamydial epididymo-orchitis / prostatitis', 'Doxycycline', 'Drug of choice when Chlamydia suspected; alpha-blockers and anti-inflammatories as adjuncts'), ('Grade 3 NEC / poorly differentiated NET', 'Platinum-based chemotherapy (cisplatin/etoposide)', 'Treatment of choice for high-grade neuroendocrine carcinoma'), ('Localised GI NET (no nodal metastases)', 'Surgical resection (endoscopic or open)', 'Treatment of choice in absence of lymph node metastases'), ('Choledochal cyst', 'Excision of cyst + Roux-en-Y hepaticojejunostomy', 'Treatment of choice; avoids malignant transformation risk of simple drainage procedures'), ('Urinary incontinence — dependent on cause', 'Individualised per underlying mechanism', 'Treatment of choice depends on cause; can be combined; MDT discussion if initial therapy fails'), ('BPH — large gland (>35 g)', 'HOLEP (Holmium Laser Enucleation of Prostate)', 'Better outcome for large glands; TURP remains gold standard for standard-sized glands'), ('Achalasia', 'Laparoscopic Heller myotomy OR pneumatic balloon dilatation', 'Both are gold standard options; POEM emerging alternative; botulinum toxin for high surgical risk'), ('Carbon monoxide poisoning (burn / inhalation)', 'High-flow 100% oxygen therapy', 'CO binds Hb 250x more avidly than O2; treatment is early high-concentration O2; hyperbaric O2 for severe cases'), ('Resectable colorectal liver metastases', 'Hepatic resection (parenchyma-sparing preferred)', 'Treatment of choice; portal vein embolisation for inadequate FLR; perioperative chemotherapy improves outcome'), ('Hepatocellular carcinoma (HCC) — resectable', 'Anatomical hepatic resection', 'Treatment of choice; liver transplantation for cirrhotic patients within Milan criteria; ablation for non-resectable'), ('Ruptured AAA', 'Emergency open repair or EVAR (if anatomy suitable)', 'Haemodynamic control; permissive hypotension; EVAR preferred in anatomically suitable patients'), ('Acute limb ischaemia', 'Emergency revascularisation (embolectomy / bypass / thrombolysis)', 'Time-critical; embolectomy for embolic occlusion; on-table angiogram guides approach'), ] for r in tx_choice: add_data_row(t3, r, COL3) doc.add_paragraph() # ═══════════════════════════════════════════════ # SECTION 4: RADIOLOGY APPLICATIONS # ═══════════════════════════════════════════════ h4 = doc.add_heading('SECTION 4: RADIOLOGY — IMAGING MODALITIES & SURGICAL APPLICATIONS', level=1) for run in h4.runs: run.font.color.rgb = RGBColor(31,78,121); run.font.size = Pt(15) doc.add_paragraph('Based on Bailey & Love Chapter 8 (Principles of Radiology) and TOS S1-037 to S1-043.') doc.add_paragraph() t4 = add_table_with_header(doc, ['Imaging Modality', 'Key Surgical Diagnoses / Applications', 'Dose (mSv)'], [2.5, 3.5, 1.0]) rad_data = [ ('Chest X-ray (CXR)', 'Pneumothorax, pneumonia, pleural effusion, cardiomegaly, pulmonary oedema, rib fractures, surgical emphysema, neoplastic disease, chronic inflammatory conditions', '<1'), ('Skull X-ray', 'Fractures, lytic/sclerotic lesions, intracranial calcifications, pituitary fossa abnormalities, paranasal sinus pathology', '<1'), ('Abdominal X-ray (AXR)', 'Free gas under diaphragm (perforation), renal/ureteric calculi, gallstones, bowel obstruction (dilated loops), hepatomegaly/splenomegaly signs', '<1'), ('Spine X-ray', 'Normal anatomy, disc space narrowing/reduction, vertebral collapse, fractures, spondylolisthesis', '<1'), ('Barium Meal / Double-contrast UGI', 'Gastric outlet obstruction, filling defects, stomach masses, oesophageal varices, oesophageal strictures', 'Low'), ('Barium Enema / Follow-through', 'Intussusception, colonic defects, malabsorption patterns, strictures, ulcerative colitis, diverticular disease, colonic ulcers', 'Low'), ('Intravenous Urogram (IVU)', 'Hydronephrosis, renal masses, ureteric calculi, renal anatomy and collecting system', '1–5'), ('Micturating Cystourethrogram (MCU)', 'Vesicoureteric reflux (VUR) grading, posterior urethral valves, bladder diverticula, urethral strictures', 'Low'), ('Cholecystogram', 'Gallbladder disease, gallstones, cholecystitis, GB polyps', 'Low'), ('Ultrasound (USS)', 'Gallstones, hepatic lesions, renal masses, AAA, DVT, thyroid nodules, scrotal pathology, FAST scan in trauma', '0'), ('CT — standard', 'Trauma (polytrauma), abdominal pathology, staging of cancer, PE, mesenteric ischaemia', '1–10'), ('CT — extensive/multi-phase', 'HCC staging, aortic dissection, colorectal liver metastases, pulmonary masses', '>10'), ('MRI', 'CNS tumours, spinal cord injury, osteomyelitis, NPC, soft tissue sarcoma, liver lesions, joint pathology, rectal cancer staging', '0'), ('PET-CT', 'Distant metastases detection, unknown primary head & neck, post-treatment surveillance, lymphoma staging', '>10'), ('Echocardiography', 'Cardiac function, valve disease, pericardial effusion, wall motion abnormality, congenital heart disease, endocarditis', '0'), ('Coronary Angiography', 'Extent/severity/location of coronary stenosis; distal tree quality; suitability for CABG vs PCI', 'Moderate'), ('Duplex Ultrasound', 'PAD, carotid stenosis, DVT, varicocele, cystic adventitial disease of popliteal artery', '0'), ('Nuclear Medicine (bone scan)', 'Bone metastases, osteomyelitis, stress fractures, avascular necrosis', '1–5'), ('Interventional Radiology (IR)', 'Embolisation (haemorrhage, varicocele, hepatic artery), angioplasty/stenting, CT-guided drainage, TIPSS', 'Variable'), ] for r in rad_data: add_data_row(t4, r, [2.5, 3.5, 1.0]) doc.add_paragraph() # ═══════════════════════════════════════════════ # SECTION 5: RAPID REVISION BULLETS # ═══════════════════════════════════════════════ h5 = doc.add_heading('SECTION 5: RAPID REVISION — HIGH-YIELD BULLET POINTS', level=1) for run in h5.runs: run.font.color.rgb = RGBColor(31,78,121); run.font.size = Pt(15) doc.add_paragraph() bullets_data = [ ('KEY GOLD STANDARD INVESTIGATIONS', [ 'HRM = gold standard for Achalasia / oesophageal motility disorders', 'Selective coronary angiography = gold standard for CAD anatomy', 'CPET = gold standard for pre-operative fitness assessment', 'CT with 2D reconstruction = gold standard in spinal trauma', 'MRI = gold standard / investigation of choice for osteomyelitis', 'Pathological specimen = gold standard for cancer staging (not imaging)', ]), ('KEY GOLD STANDARD TREATMENTS', [ 'CABG = gold standard for multivessel CAD / diabetics (over PCI)', 'TURP = gold standard for BPH (HOLEP for glands >35 g)', 'Radical nephrectomy = gold standard for localised RCC', 'Surgical resection = gold standard for resectable liver tumours', 'Heart transplantation = gold standard for end-stage heart failure', 'Anatomical hepatic resection = gold standard for HCC', 'Laparoscopic Heller myotomy or pneumatic dilatation = gold standard options for achalasia', 'SCS (static cold storage) = gold standard for pancreas transplant preservation', ]), ('KEY FIRST-LINE / DRUGS OF CHOICE', [ 'PDE5 inhibitors (sildenafil) = first-line for Erectile Dysfunction', 'IV Cefotaxime = first-line for SBP (avoids aminoglycoside nephrotoxicity)', 'Hormone ablation (ADT) = first-line for metastatic prostate cancer', 'FFP = first-line for coagulopathic haemorrhage in massive transfusion', 'Corpora aspiration = first-line for ischaemic priapism', 'Carbimazole = drug of choice for pre-op hyperthyroidism preparation', 'Warfarin = drug of choice for anticoagulation with prosthetic heart valve', 'Doxycycline = drug of choice for Chlamydial infection', 'Platinum-based chemotherapy = treatment of choice for Grade 3 NEC', 'Anthelminthics = first-line even in Ascariasis obstruction (surgery is last resort)', '100% O2 = treatment for CO poisoning (CO binds Hb 250x more avidly than O2)', ]), ('RADIATION DOSE BANDS (Bailey & Love Table 8.1)', [ '0 mSv → Ultrasound, MRI (no ionising radiation)', '<1 mSv → CXR, limb/pelvis/spine XR, mammography', '1–5 mSv → IVU, bone scan (NM), CT head and neck', '5.1–10 mSv → CT KUB, cardiac nuclear medicine', '>10 mSv → Extensive CT studies, some PET/CT studies', ]), ('INVESTIGATIONS THAT HAVE BEEN REPLACED', [ 'IVU replaced by NCCT for urolithiasis diagnosis', 'Barium swallow largely replaced by OGD + biopsy for upper GI malignancy', 'Plain XR largely replaced by CT for trauma imaging', 'Open biopsy largely replaced by ultrasound-guided FNAC or core biopsy', ]), ] for title, items in bullets_data: p_h = doc.add_paragraph() r = p_h.add_run(title) r.bold = True; r.font.size = Pt(12); r.font.color.rgb = RGBColor(31,78,121) for item in items: bp = doc.add_paragraph(style='List Bullet') bp.add_run(item).font.size = Pt(10.5) doc.add_paragraph() # Footer pf = doc.add_paragraph() pf.alignment = WD_ALIGN_PARAGRAPH.CENTER rf = pf.add_run("Source: Bailey and Love's Short Practice of Surgery, 28th Edition | For examination revision use only") rf.italic = True; rf.font.size = Pt(9); rf.font.color.rgb = RGBColor(128,128,128) out = '/tmp/workspace/bailey-gold-standards/BaileyLove28_GoldStandards.docx' doc.save(out) print(f"SUCCESS: {out}") PYEOF python3 /tmp/workspace/bailey-gold-standards/generate.py

python3 -c " import pdfplumber pdf_path = '/tmp/workspace/attachments/9beaafcd-8324-4c4c-8191-b2f01456a985/Final Year MBBS Syllabus (2026).pdf' with pdfplumber.open(pdf_path) as pdf: print(f'Total pages: {len(pdf.pages)}') # Find Surgery pages for i, page in enumerate(pdf.pages): text = page.extract_text() or '' if 'Surgery' in text or 'SURGERY' in text or 'surgery' in text: print(f'--- PAGE {i+1} ---') print(text[:2000]) print() if i > 60: break " 2>&1 | head -300

python3 -c " import pdfplumber pdf_path = '/tmp/workspace/attachments/9beaafcd-8324-4c4c-8191-b2f01456a985/Final Year MBBS Syllabus (2026).pdf' with pdfplumber.open(pdf_path) as pdf: # Extract Surgery section pages 17-68 (index 16-67) for i in range(16, 68): page = pdf.pages[i] text = page.extract_text() or '' if text.strip(): print(f'=== PAGE {i+1} ===') print(text) print() " 2>&1