プライマリ・ケアの現場で役立つ　もっと!一発診断100

出版社： 文光堂
著者：
発行日： 2016-06-01
分野： 臨床医学：一般  >  プライマリケア
ISBN： 9784830610219
電子書籍版： 2016-06-01 （第1版第2刷）
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2011年の発売以来，プライマリ・ケアに携わる医師に大きな支持を得てきた好評書の第２弾．「救急の現場や外来で，一人にじっくり時間をかけていられない…」「地域の診療所で，十分な検査機器・設備が整っていない…」，そんな時でも病歴や身体所見からパターン認識を行い診断に迫る一発診断（snap diagnosis）ができれば不要な検査や時間のロスなく診断効率を上げることができる．本書は日常よく出会う100のcaseとその一発診断を紹介．シンプルな記述とビジュアルな構成で診断のポイントを明快に伝える１冊．

目次

  • プライマリ・ケアの現場で役立つ　もっと！一発診断100

    ―目次―

    はじめに
    〜診断エラー研究の進歩で一発診断はさらにパワーアップ〜

    総論“診断のプロセス”と“その過程で陥りやすい罠”を
    　　　理解して正しく考えよう！
    　　　─ それが一発診断上達のコツ ─
    各論
    1　全身症状からの一発診断
    　1 反応が鈍いです…と糖尿病患者の家族が
    　2 急にぼーっとして反応がないんです…と60歳代女性が
    　3 痙攣がおさまらないんです…と10歳代女性が
    　4 体がだるくて力が入らないんです…と70歳代女性が
    　5 さっきから同じことばかり聞くようになったんです…と家族が
    　6 おじいさんの動作が緩慢で反応が鈍いんです…と家族が
    　7 夜中に飲食しているようなんです…と60歳代女性が
    　8 睡眠中に大声をあげたりしてるらしいんです…と60歳代男性が
    　9 体をこわばらせて上を向いているんです…と10歳代女性が
    　10 入院中に急に意識が悪くなったんです…と70歳代男性が
    　11 入所者が冷や汗をかいて反応がないんです…と介護職員が
    　12 いつもより反応が鈍いんです…
    　　　と症候性てんかんのある患者が
    　13 熱が出て寒気がするんです…と70歳代男性が
    　14 薬を増やしてから落ち着きがないんです…と70歳代女性が
    　15 熱が出て，息苦しいんです…と80歳代男性が
    　16 毎月熱が出るんです…と7歳の女児が
    2　頭頸部領域での一発診断
    　17 鎮痛薬を飲んでいるのに頭痛がひどくなるんです…
    　　　と70歳代女性が
    　18 頭が痛くて目が覚めるんです…と60歳代女性が
    　19 炭起こし中に頭痛を訴えて気を失ったんです…
    　　　と30歳代男性が
    　20 下まぶたがピクピクするんです…と20歳代女性が
    　21 眼が痛いんです…と80歳代男性が
    　22 眼の周りにぶつぶつが出てきたんです…と50歳代男性が
    　23 数日前から目が黄色いんです…と40歳代女性が
    　24 健診でビリルビンが高いって言われたんです…
    　　　と30歳代男性が
    　25 すぐ風邪を引くんです…と70歳代女性が
    　26 喉がかゆいんです…と30歳代男性が
    　27 喉まで酸っぱい水が上がるんです…と30歳代男性が
    　28 喉がイガイガして，咳が出るんです…と30歳代女性が
    　29 喉がヒリヒリするんです…と60歳代男性が
    　30 喉が痛いんです…と40歳代女性が
    　31 喉が痛いんです…と70歳代男性が
    　32 歯茎が腫れてきたんです…と70歳代女性が
    　33 舌がヒリヒリするんです…と70歳代女性が
    　34 2週間前から首が痛いんです…と40歳代男性が
    　35 首が痛くて物が飲み込めません…と60歳代女性が
    　36 左耳が痛い…と7歳の男児が
    　37 耳の後ろが痛いんです…と70歳代男性が
    　38 何かイボのようなものがあるんです…と60歳代女性が
    3　胸部領域での一発診断
    　39 胸が痛くて苦しいんです…と喘息の既往のある30歳代男性が
    　40 食事のたびにゼーゼーしているんです…と寝たきり患者が
    　41 胸が苦しくて気が遠くなりそうです…と透析患者が
    　42 健診で心雑音を指摘されたんです…と20歳代男性が
    　43 動悸とめまいがするんです…と70歳代男性が
    　44 健診で胸部異常陰影を指摘されたんです…と70歳代女性が
    　45 胸が痛いんです…と40歳代男性が
    　46 部活中に胸が痛くなったんです…と既往のない10歳代男性が
    　47 胸が苦しいんです…と70歳代男性が
    4　腹部・腰部領域での一発診断
    　48 みぞおちと背中が痛いんです…と80歳代女性が
    　49 数年前からお腹が痛いんです…と30歳代男性が
    　50 急にお腹が膨らんできたんです…と術後間もない男性が
    　51 お腹が膨らんで，便秘になってきたんです…と60歳代男性が
    　52 お腹が張って苦しいんです…と80歳代男性が
    　53 ずっと前からお腹が痛いんです…と70歳代女性が
    　54 刺身を食べてからお腹が痛いんです…と20歳代男性が
    　55 3日前から突然お腹が痛いんです…と40歳代男性が
    　56 1週間前からお腹が痛いんです…と糖尿病の60歳代男性が
    　57 腹痛，下痢が治らないんです…と60歳代女性が
    　58 昨日胃癌検診を受けて，夜からお腹が痛いんです…
    　　　と60歳代男性が
    　59 腹痛が続いてるんです…と3歳の女児が
    　60 吐いて，熱が出てきたんです…と80歳代の寝たきり男性が
    　61 熱があってお腹が痛いんです…と9歳の男児が
    　62 腹痛と下痢が続いているんです…と20歳代女性が
    　63 熱が出てお腹が痛いんです…と20歳代女性が
    　64 最近食後に吐くことが多いんです…
    　　　と20歳代のやせ気味の女性が
    　65 下腹部が痛い…と18歳の女子高校生が
    　66 便秘がちで市販薬を毎日飲んでいます…と70歳代女性が
    　67 右の脇腹が痛いんです…と糖尿病の60歳代男性が
    　68 吐血を繰り返しているんです…と大動脈弁狭窄症の患者が
    　69 便に血が混じるんです…と30歳代女性が
    　70 下血したんです…と80歳代男性が
    　71 臍から膿が出てきたんです…と20歳代男性が
    　72 腰と太ももが痛いんです…と50歳代男性が
    　73 腰が痛くて吐きそうです…と20歳代男性が
    5　泌尿器・生殖器・臀部領域での一発診断
    　74 お尻が痛いんです…と30歳代女性が 中川紘明
    　75 突然，お尻が赤く腫れたんです…と生後1ヶ月の男児が
    　76 熱がずっと下がらないんです…と施設入所中の90歳代女性が
    　77 おしっこが出づらくて下着に血がつくんです…
    　　　と60歳代女性が
    　78 お腹が痛くて，おしっこが真っ赤なんです…と70歳代女性が
    　79 おしっこの色が濃くなってきたんです…
    　　　と風邪薬を飲み始めた患者が
    6　四肢領域での一発診断
    　80 朝だけ両腕がぴくぴく動くんです…と10歳代の男性が
    　81 指がゆがんでるんです…と80歳代の女性が
    　82 手がこわばって，指を伸ばしにくいんです…と糖尿病患者が
    　83 突然，指が曲がったまま伸びなくなったんです…
    　　　と30歳代男性が
    　84 夜になると膝が痛むんです…と60歳代女性が
    　85 膝が痛いんです…と70歳代男性が
    　86 足の裏がしびれて痛いんです…と70歳代女性が
    　87 足の裏が痛いんです…と30歳代女性が
    　88 踵が痛いんです…と10歳の男児が
    　89 夕方になると足が腫れてくるんです…と30歳代女性が
    　90 ふくらはぎが痛くて眠れないんです…と70歳代男性が
    　91 足が腫れて痛いんです…と70歳代男性が
    　92 2週間前から足が腫れてきたんです…と70歳代女性が
    　93 突然歩かなくなったんです…と1歳の男児が
    7　皮膚領域での一発診断
    　94 健診で脂質異常症を指摘されて受診した50歳代男性が
    　95 急に指が痛くなって，赤色になったんです…と50歳代女性が
    　96 背中がかゆいんです…と持病のない70 歳代女性が
    　97 背中が痛がゆいんです…と70歳代男性が
    　98 えびを食べた後に走っていたら蕁麻疹が出たんです…
    　　　と10歳代男性が
    　99 ぶつぶつが出たんです…と既往のない20歳代男性が
    　100 お腹にぽつぽつとしたできものがあるんです…
    　　　　と8歳の女児が

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総論 "診断のプロセス" と "その過程で陥りやすい罠" を理解して正しく考えよう ! - それが一発診断上達のコツ -

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