救急外来ドリル

出版社： 羊土社
著者：
発行日： 2021-07-20
分野： 臨床医学：一般  >  救命/救急
ISBN： 9784758123761
電子書籍版： 2021-07-20 （第1刷）
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腹痛、頭痛、マイナーエマージェンシーまで，研修医が苦手とするコモンな症候を救急のエキスパートが症例問題として出題！実臨床の流れに沿った解説で，救急外来で必要な思考回路を身につけよう！

目次

  • １　めまい
    　　めまいで動けない高齢男性／“ぐるぐる回るような”めまいの高齢男性／
    　　寝返りを打った後のめまい
    ２　嘔気・嘔吐
    　　嘔気を訴える若年女性／嘔気・嘔吐を訴える高齢女性／嘔気を訴える妊婦
    ３　意識障害
    　　片麻痺の高齢者／大量排便翌日の意識障害の高齢者／肝性脳症患者の意識障害
    ４　意識消失（失神，痙攣）・軽症頭部外傷
    　　軽症頭部外傷の高齢女性／自宅で倒れていた若年男性
    ５　麻痺・しびれ
    　　左片麻痺の高齢女性／一過性の“しびれ”を訴える高齢男性
    ６　呼吸困難
    　　夜寝られない高齢女性／発熱した高齢女性
    ７　小児救急 子どもを救うためのはじめの一歩
    　　吸気性喘鳴と犬吠様咳嗽を呈する子ども／思春期男児の下腹部痛／
    　　虐待かもしれない外傷の子ども
    ８　女性の救急 若い女性が救急外来に来たら…
    　　若年女性の下腹部痛／1週間続く下腹部痛／感冒様症状で受診した妊婦／
    　　避妊に失敗し，緊急避妊薬を希望
    ９　整形救急
    　　左鼠径部を痛がっている認知症患者／転倒して手を痛がっている高齢女性／
    　　椅子から落ち，尻餅をついた高齢男性／転倒して右肩を痛がっている70歳代男性
    10　頭痛
    　　突然発症の頭痛を主訴に来院した30歳代の女性／
    　　頭痛，嘔気を主訴に来院した 20 歳代の女性
    11　胸痛
    　　61歳タクシードライバーの胸痛／67歳女性，前胸部の激しい痛み
    12　腹痛
    　　心房細動のある高齢者の急な腹痛／高齢男性の波のある腹痛
    13　皮疹
    　　右下腿の皮膚発赤を主訴に来院した中年男性／全身に皮疹が出現した高齢女性／
    　　体幹の皮疹を主訴に来院した中年男性
    14　吐下血・血便
    　　吐血を認めた中年男性／血便を主訴に救急外来を受診した高齢女性
    15　動悸
    　　動悸を訴える中年男性／動悸を訴える若年女性／動悸を訴える若年男性
    16　発熱
    　　他に特に症状のない発熱を主訴に受診した高齢者／
    　　寒気を伴う発熱を主訴に受診した高齢者／真夏に発熱で受診する高齢男性
    17　マイナーエマージェンシー
    　　眼表面異物への対応／鼻出血への対応／虫が耳の中に入った!

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。

1 めまい

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2 嘔気・嘔吐

P.37 掲載の参考文献
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3 意識障害

P.53 掲載の参考文献
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4 意識消失 ( 失神, 痙攣 )・軽症頭部外傷

P.68 掲載の参考文献
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5 麻痺・しびれ

P.83 掲載の参考文献
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6 呼吸困難

P.96 掲載の参考文献
1) Wang CS, et al : Does this dyspneic patient in the emergency department have congestive heart failure? JAMA, 294 : 1944-1956, 2005 (PMID : 16234501)
 
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4) Lutfiyya MN, et al : Diagnosis and treatment of community-acquired pneumonia. Am Fam Physician, 73 : 442-450, 2006 (PMID : 16477891)
 
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7 小児救急 子どもを救うためのはじめの一歩

P.115 掲載の参考文献
1) 「PALSプロバイダーマニュアル AHAガイドライン 2015 準拠」 (American Heart Association/著), シナジー, 2018
 
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6) 竹井寛和, 他. 小児救急外来ただいま診断中! 第6回小児の腹痛. J-COSMO. 2 : 125-131, 2020
 
7) Barbosa JA, et al : Development and initial validation of a scoring system to diagnose testicular torsion in children. J Urol, 189 : 1859-1864, 2013 (PMID : 23103800)
 
8) Frohlich LC, et al : Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum. Acad Emerg Med, 24 : 1474-1482, 2017 (PMID : 28833896)
 
9) Friedman N, et al : Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion. J Pediatr Urol, 15 : 608.e1-608.e6, 2019 (PMID : 31455581)
 
10) Sharp VJ, et al : Testicular torsion : diagnosis, evaluation, and management. Am Fam Physician, 88 : 835-840, 2013 (PMID : 24364548)
 
11) 奥山眞紀子, 他 : 厚生労働省科学研究費補助金子ども家庭総合研究事業 虐待対応連携における医療機関の役割 (予防, 医学的アセスメントなど) に関する研究 一般医療機関における子ども虐待初期対応ガイド. https://beams.childfirst.or.jp/shared/pdf/BEAMS_Stage1.pdf
 
12) 「子ども虐待の画像診断 エビデンスに基づく医学診断と調査・捜査のために」 (ポール・K・クラインマン/編, 小熊栄二/監, 溝口史剛/監訳), pp25-55, 明石書店, 2016
 
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14) Kemp AM, et al : Neuroimaging : what neuroradiological features distinguish abusive from non-abusive head trauma? A systematic review. Arch Dis Child, 96 : 1103-1112, 2011 (PMID : 21965812)
 
15) Piteau SJ, et al : Clinical and radiographic characteristics associated with abusive and nonabusive head trauma : a systematic review. Pediatrics, 130 : 315-323, 2012 (PMID : 22778309)
 
16) Pierce MC, et al : Bruising characteristics discriminating physical child abuse from accidental trauma. Pediatrics, 125 : 67-74, 2010 (PMID : 19969620)
 
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1) 厚生労働省 平成30 年度「高齢者虐待の防止, 高齢者の養護者に対する支援等に関する法律」に基づく対応状況等に関する調査結果 : https://www.mhlw.go.jp/stf/houdou/0000196989_00002.html
 

8 女性の救急 若い女性が救急外来に来たら…

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3) 森浩介 : 異所性妊娠破裂. 「救急超音波診 救急診療にエコーを活用する」 (森村尚登/監, 本多英喜/編, J-POCKEYS開発ワーキングチーム/著), pp115-117, 羊土社, 2016
 
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9 整形救急

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3) 鈴川芽久美, 他 : 要介護高齢者における転倒と骨折の発生状況. 日本老年医学会雑誌, 46 : 334-340, 2009
 
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10 頭痛

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9) Doukas A, et al : Misdiagnosis of acute subarachnoid hemorrhage in the era of multimodal diagnostic options. Am J Emerg Med, 37 : 2079-2083, 2019 (PMID : 30876772)
 
10) Perry JJ, et al : Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule. Stroke, 51 : 424-430, 2020 (PMID : 31805846)
 
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18) 坂本壮. 見逃せない救急・見逃さない救急 それって本当に片頭痛?! プライマリ・ケア. 5 : 19-24, 2020
 
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11 胸痛

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8) Park SW, et al : Association of painless acute aortic dissection with increased mortality. Mayo Clin Proc, 79 : 1252-1257, 2004 (PMID : 15473405)
 
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3) 「救急検査ケースファイル」 (舩越拓/編著) メディカ出版, 2021
 

12 腹痛

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4) Weisbord SD, et al : Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. N Engl J Med, 378 : 603-614, 2018
 
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13 皮疹

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4) Stevens DL & Bryant AE : Necrotizing Soft-Tissue Infections. N Engl J Med, 377 : 2253-2265, 2017 (PMID : 29211672)
 
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6) Simons FE : Anaphylaxis, killer allergy : long-term management in the community. J Allergy Clin Immunol, 117 : 367-377, 2006 (PMID : 16461138)
 
7) Gonzalez-Perez A, et al : Anaphylaxis epidemiology in patients with and patients without asthma : a United Kingdom database review. J Allergy Clin Immunol, 125 : 1098-1104.e1, 2010 (PMID : 20392483)
 
8) 日本アレルギー学会 : アナフィラキシーガイドライン 第1版. 2014 https://anaphylaxis-guideline.jp/pdf/anaphylaxis_guideline.PDF
 
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12) Roujeau JC : Immune mechanisms in drug allergy. Allergol Int, 55 : 27-33, 2006 (PMID : 17075283)
 
13) Shehab N, et al : Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis, 47 : 735-743, 2008 (PMID : 18694344)
 
14) Stern RS : Clinical practice. Exanthematous drug eruptions. N Engl J Med, 366 : 2492-2501, 2012 (PMID : 22738099)
 

14 吐下血・血便

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15 動悸

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2) 「救急外来 ただいま診断中! 」 (坂本壮/著), 中外医学社, 2015
 

16 発熱

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3) Coburn B, et al : Does this adult patient with suspected bacteremia require blood cultures? JAMA, 308 : 502-511, 2012 (PMID : 22851117)
 
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5) Raith EP, et al : Prognostic Accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for In-Hospital Mortality Among Adults With Suspected Infection Admitted to the Intensive Care Unit. JAMA, 317 : 290-300, 2017 (PMID : 28114553)
 
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17 マイナーエマージェンシー

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8) T&Aマイナーエマージェンシーコース https://minoremergency.club/ twitterアカウント@Triage_Action
 
9) 耳鼻咽喉科プラクティス (以下のサイトに随時概要が掲載されます) https://www.primary-care.or.jp/seminar_h/index.html
 
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2) Staab JP, et al : Diagnostic criteria for persistent postural-perceptual dizziness (PPPD) : Consensus document of the committee for the Classification of Vestibular Disorders of the Barany Society. J Vestib Res, 27 : 191-208, 2017 (PMID : 29036855)
 

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