臨床診断学の勉強会｜内科【日本赤十字社】姫路赤十字病院

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臨床診断学の勉強会【履歴】

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臨床診断学の勉強会【履歴】

医学論文抄読会

当院内科では、医学雑誌New England Journal of Medicineに毎週掲載されるCase Recordsを丁寧に読み込み、論理的な臨床診断の考え方を学んでいます。詳細に検討された医学論文を毎週読むことで、医学的知識が豊富になるだけでなく、一流と言われる医師の臨床論考の過程をたどることは、日常臨床における論理的思考法を身につける上でも非常に役に立ちます。特に月はじめに掲載されるClinical Problem-Solvingについては、研修医をpresentor役とdiscussor役、各科専門医をファシリテイターにした、問題解決型のカンファレンスの教材に使用しています。以下に、New England journal of MedicineのClinical Problem-Solvingを使用した、当院の問題解決型カンファレンスの記事を掲載します。参考にしてください。

2022/04/19Craving Answers
2022/04/12Confusion and Representative Restraint: An Exercise in Clinical Reasoning 錯乱状態と典型例による拘束臨床的推論に関する考察
2022/04/12Confusion and Representative Restraint: An Exercise in Clinical Reasoning TTP

2022/03/22Case 5-2022: A 65-Year-Old Woman with Rapidly Progressive Weakness in the Right Arm and Recurrent Falls
2022/03/15Case 4-2022: A 55-Year-Old Man with Bilateral Hearing Loss and Eye Redness 梅毒
2022/03/15Case 4-2022: A 55-Year-Old Man with Bilateral Hearing Loss and Eye Redness 両耳難聴と目の充血の55歳男性
2022/03/08Calm before the Storm

2022/02/22Confused about Confusion
2022/02/15Buried Deep
2022/02/08Case 40-2021: A 9-Year-Old Boy with Transient Weakness, Facial Droop, and Slurred Speech

2022/01/11A “Fluid” Diagnosis

2021/12/28A 50-Year-Old Woman with Pain in the Left Upper Quadrant and Hypoxemia
2021/12/21Falling Through the Cracks 一過性意識消失（失神）
2021/12/21Falling Through the Cracks 4日前に転倒し頭痛が続く61歳男性
2021/12/14Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures 痙攣（てんかん）
2021/12/14Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures 意識状態の変化と痙攣の38歳男性
2021/12/07Copycat

2021/11/30Hearts and Minds AMA
2021/11/30Hearts and Minds 重度の胸骨裏面痛を呈した多リスク因子の70歳男性
2021/11/09Case 31-2021: A 21-Year-Old Man with Sore Throat, Epistaxis, and Oropharyngeal Petechiae 汎血球減少
2021/11/09Case 31-2021: A 21-Year-Old Man with Sore Throat, Epistaxis, and Oropharyngeal Petechiae 咽頭痛，鼻出血，口腔咽頭の点状出血の21歳男性
2021/11/02Hard to Swallow 危険な咽頭痛
2021/11/02Hard to Swallow 咽頭痛，倦怠感，咳、悪寒の20歳女性

2021/10/11Inadequate Support

2021/09/28Case 25-2021: A 48-Year-Old Man with Fatigue and Leg Swelling
2021/09/21Case 24-2021: A 63-Year-Old Woman with Fever, Sore Throat, and Confusion
2021/09/14Turning Purple with Pain
2021/09/07Case 23-2021: A 41-Year-Old Woman with Bloody Stools and Thrombocytopenia

2021/08/31Case 22-2021: A 64-Year-Old Woman with Cognitive Impairment, Headache, and Memory Loss
2021/08/24Case 21-2021: A 33-Year-Old Pregnant Woman with Fever, Abdominal Pain, and Headache
2021/08/10A Brewing Back Pain
2021/08/03Case 19-2021: A 54-Year-Old Man with Irritability, Confusion, and Odd Behaviors

2021/07/27Case 18-2021: An 81-Year-Old Man with Cough, Fever, and Shortness of Breath
2021/07/20Case 17-2021: An 82-Year-Old Woman with Pain, Swelling, and Ecchymosis of the Left Arm
2021/07/13Hypertensive Heartbreak

2021/04/27Case 8-2021 A 34-Year-Old Woman with Cholangiocarcinoma
2021/04/20Case 7-2021 A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash
2021/04/13A Treacherous Course

2020/09/2920200929-Reversible Cause of Neuropathy and Monoclonal Gammopathy of Renal Significance
2020/09/0820200825-Case 27-2020: A 53-Year-Old Woman with Headache and Gait Imbalance
2020/09/0120200901-Case 26-2020: A 60-Year-Old Woman with Altered Mental Status and Weakness on the Left Side

2020/08/25Led Astray
2020/08/18Case 25-2020: A 47-Year-Old Woman with a Lung Mass
2020/08/04Case 24-2020: A 44-Year-Old Woman with Chest Pain, Dyspnea, and Shock

2020/07/28A Fiery Pivot -Clinical Care Conundrums-
2020/07/21Cryptic Cachexia 謎の悪液質
2020/07/14A Protean Protein -Clinical Care Conundrums-
2020/07/07Last Resort -Clinical Care Conundrums-

2020/06/30Case 18-2020: A 73-Year-Old Man with Hypoxemic Respiratory Failure and Cardiac Dysfunction
2020/06/23The Game Is Afoot
2020/06/16Case 17-2020: A 68-Year-Old Man with Covid-19 and Acute Kidney Injury
2020/06/09Case 15-2020: A 79-Year-Old Man with Hyponatremia and Involuntary Movements of the Arm and Face
2020/06/02Hiding in the Water

2020/04/28Case 11-2020 顔面下垂，構音障害，腎不全の37歳男性
2020/04/21Case 10-2020 汎血球減少症と急性腎不全の83歳男性
2020/04/14Missing the Target 左下腹部痛，その後腹部・腰・鼠径部の激痛が出現した58歳男性

2020/03/31CASE 9-2020 息切れ・咳嗽・低酸素血症の64歳男性
2020/03/24Case 8-2020 腹痛と血便が再発する89歳男性
2020/03/17Under Our Very Eyes心臓移植から7週間後に発熱した64歳男性
2020/03/10Case 6-2020 高血糖の34歳女性
2020/03/03A Rapid Change in Pressure 6週間の増悪する労作時呼吸困難の74歳女性

2020/02/18Case 3-2020：44歳の男性，体重減少，下痢，腹痛

2020/01/28When the Cause Is Not Crystal Clear 繰り返す転倒・めまい・傾眠の慢性腎不全の55歳女性
2020/01/21Case 40-2019 頭痛の26歳帰国女性
2020/01/14Case 38-2019 呼吸困難と胸部画像の異常の20歳男性
2020/01/07Facing uncertaint 1年前からの掻痒のある顔面発疹の57歳女性

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