内科

臨床診断学の勉強会

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。

Case 7-2022: A 65-Year-Old Woman with Depression, Recurrent Falls, and Inability to Care for Herself

N Engl J Med 2022; 386: 977-986.


2022/4/26抄読

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Craving Answers

N Engl J Med 2022; 386: 880-886.


2022/4/19抄読

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Confusion and Representative Restraint: An Exercise in Clinical Reasoning

J Gen Intern Med 2022; DOI: 10.1007/s11606-021-07219-0.


2022/4/12抄読

TTPPDF

錯乱状態と典型例による拘束 臨床的推論に関する考察PDF

Case 5-2022: A 65-Year-Old Woman with Rapidly Progressive Weakness in the Right Arm and Recurrent Falls

N Engl J Med 2022; 386: 674-687.


2022/3/22抄読

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Case 4-2022: A 55-Year-Old Man with Bilateral Hearing Loss and Eye Redness

N Engl J Med 2022; 386: 583-590.


2022/3/15抄読

両耳難聴と目の充血の55歳男性 PDF

梅毒 PDF

Calm before the Storm

N Engl J Med 2022; 386: 479-485.


2022/3/8抄読

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Confused about Confusion

N Engl J Med 2022; 386: 80-87.


2022/2/22抄読

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Buried Deep

J Hosp Med 2021; 16: 757-762.


2022/2/15抄読

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Case 40-2021: A 9-Year-Old Boy with Transient Weakness, Facial Droop, and Slurred Speech

N Engl J Med 2021; 385: 2563-2572.


2022/2/8抄読

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A “Fluid” Diagnosis

N Engl J Med 2021; 385: 2180-2185.


2022/1/11抄読

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A 50-Year-Old Woman with Pain in the Left Upper Quadrant and Hypoxemia

N Engl J Med 2021; 385: 1995-2001.


2021/12/28抄読

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Falling Through the Cracks

J Hosp Med 2021; 16: 694-698.


2021/12/21抄読

4日前に転倒し頭痛が続く61歳男性 PDF

一過性意識消失(失神) PDF

Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures

N Engl J Med 2021; 385: 1894-1902.


2021/12/14抄読

意識状態の変化と痙攣の38歳男性 PDF

痙攣(てんかん) PDF

Copycat

N Engl J Med 2021; 385: 1797-1802.


2021/12/7抄読

PDF

Hearts and Minds

J Gen Intern Med 2021; DOI: 10.1007/s11606-020-06575-7.


2021/11/30抄読

重度の胸骨裏面痛を呈した多リスク因子の70歳男性 PDF

AMA PDF

Case 31-2021: A 21-Year-Old Man with Sore Throat, Epistaxis, and Oropharyngeal Petechiae

N Engl J Med 2021; 385: 1511-1520.


2021/11/9抄読

咽頭痛,鼻出血,口腔咽頭の点状出血の21歳男性 PDF

汎血球減少 PDF

Hard to Swallow

N Engl J Med 2021; 385: 1421-1427.


2021/11/2抄読

咽頭痛,倦怠感,咳、悪寒の20歳女性 PDF

危険な咽頭痛 PDF

A Painful Coincidence

J Hosp Med 2021; 16: 371-375.


2021/10/19抄読

PDF

Inadequate Support

N Engl J Med 2021; 385: 938-944.


2021/10/11抄読

PDF

Case 25-2021: A 48-Year-Old Man with Fatigue and Leg Swelling

N Engl J Med 2021; 385: 745-754.


2021/09/28抄読

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Case 24-2021: A 63-Year-Old Woman with Fever, Sore Throat, and Confusion

N Engl J Med 2021; 385: 641-648.


2021/09/21抄読

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Turning Purple with Pain

N Engl J Med 2021; 385: 549-554.


2021/09/14抄読

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Case 23-2021: A 41-Year-Old Woman with Bloody Stools and Thrombocytopenia

N Engl J Med 2021; 385: 451-460.


2021/09/07抄読

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Case 22-2021: A 64-Year-Old Woman with Cognitive Impairment, Headache, and Memory Loss

N Engl J Med 2021; 385: 358-368.


2021/08/31抄読

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Case 21-2021: A 33-Year-Old Pregnant Woman with Fever, Abdominal Pain, and Headache

N Engl J Med 2021; 385: 265-274.


2021/08/24抄読

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A Brewing Back Pain

N Engl J Med 2021; 385: 66-72.


2021/08/10抄読

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Case 19-2021: A 54-Year-Old Man with Irritability, Confusion, and Odd Behaviors

N Engl J Med 2021; 384: 2438-2445.


2021/08/03抄読

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Case 18-2021: An 81-Year-Old Man with Cough, Fever, and Shortness of Breath

N Engl J Med 2021; 384: 2332-2340.


2021/07/27抄読

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Case 17-2021: An 82-Year-Old Woman with Pain, Swelling, and Ecchymosis of the Left Arm

N Engl J Med 2021; 384: 2242-2250.


2021/07/20抄読

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Hypertensive Heartbreak

N Engl J Med 2021; 384: 2145-2152.


2021/07/13抄読

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臨床診断学の勉強会の履歴はこちら