整形外科　日常診療のエッセンス　脊椎

出版社： メジカルビュー社
著者：
発行日： 2019-03-10
分野： 臨床医学：外科  >  整形外科学
ISBN： 9784758318662
電子書籍版： 2019-03-10 （第1版第1刷）
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商品紹介

日常診療の中で経験する頻度の多い、脊椎由来の疾患のプロファイル、注意点、診断確定、手術療法のターニングポイント等を、症例画像やイラストを交えて解説する。若手医師のために外来で必要な基礎知識と診察の進め方も掲載。

目次

  • I　外来で必要な基礎知識
    　脊椎の解剖
    　　頚椎の解剖／胸椎の解剖／腰椎の解剖
    　痛みの評価
    　　痛みの量的評価尺度／痛みの質的評価
    　痛みのメカニズム
    　　痛覚投射経路／急性痛と慢性痛／痛みを発生機序から分類する

    II　診察の進め方
    　問診
    　　受診の目的／主訴の把握／病歴の作成／部位別にみた脊椎疾患に関する問診
    　理学所見の評価
    　　視診／触診／脊柱所見／神経学的所見
    　鑑別疾患上重要な手技
    　　内臓系に由来する腰背部痛／心因性に由来する腰背部痛／
    　　脊柱ならびに傍脊柱以外の運動器に由来する腰背部痛
    　画像検査の意義と限界（血液検査も含む）
    　　単純X 線／CT／MRI／脊髄腔造影／神経根造影，椎間板造影／症例供覧
    　再診時の注意点
    　　初診時以降の経過の確認／身体診察の実施／画像所見の再確認／診断の見直し／
    　　治療方針の確認／病状・治療方針に対する理解の確認
    　患者への接し方
    　　とにかく第一印象を大事にしよう

    III　疾患別治療法
    【脊椎（全体）】
    　　脊柱側弯症
    　　胸椎の外傷
    　　後縦靱帯骨化症，黄色靱帯骨化症
    　　骨粗鬆症と骨粗鬆症性脊椎椎体骨折
    【頚椎】
    　　頚椎症性神経根症，頚椎症性脊髄症
    　　頚椎椎間板ヘルニア
    　　関節リウマチに伴う頚椎病変
    　　頚椎の外傷　
    　　頚部痛
    【腰椎】
    　　急性腰痛症
    　　慢性腰痛症
    　　腰部脊柱管狭窄症
    　　腰椎椎間板ヘルニア
    　　腰椎の外傷

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

I 外来で必要な基礎知識

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II 診察の進め方

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III 疾患別治療法

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