日常診療のよろずお助けQ&A　上級編

出版社： 羊土社
著者：
発行日： 2007-05-01
分野： 臨床医学：一般  >  臨床医学一般
ISBN： 9784758106313
電子書籍版： 2007-05-01 （第2刷）
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ベストセラー『日常診療のよろずお助けQ&A100』に続く待望の第２弾が登場！今回は研修医の指導法から患者さんとのコミュニケーション、臨床現場で活かせるTipsまで、ポストレジデントの日ごろ聞くに聞けない疑問・悩みを解決します。林 寛之先生編集によるおなじみの軽快な語り口で、ちょっとした空き時間にもスラスラ読めます。気になるエビデンスもしっかり掲載！

目次

  • 日常診療のよろずお助けQ&A　上級編

    ―目次―

    １．指導・業務
    【Qの例】
    ［Ｑ］研修医に教える余裕なんてないのだけれど…
    ◆Teaching is learning twice
    ［Ｑ］怒っちゃいけないのですか？
    ◆最近の研修医は…
    ［Ｑ］エビデンスに飛びつく研修医，論文の鵜呑みに物申す
    ◆論文を臨床に適応するときの約束事
    ［Ｑ］お金の話は学問的ではないけれど
    ◆医療コストの請求方法は研修目標ではないのか
    etc.

    ２．臨床Tips
    【Qの例】
    ［Ｑ］アルブミン神話のウソ・ホント
    ◆アルブミン浪費大国日本
    ［Ｑ］鼻出血があれば高血圧が悪い証拠？
    ◆鼻血は血圧のせいではありません
    ［Ｑ］ERでの体重測定
    ◆自己申告は正確か？
    ［Ｑ］くり返し頭部CTを撮る意味はあるの？
    ◆軽症頭部外傷のフォローアップCT
    etc.

    ３．コミュニケーション
    【Qの例】
    ［Ｑ］文句を言った者勝ちってことはないんですか？
    ◆特殊なトリアージ
    ［Ｑ］何かあったらって何？
    ◆医者の常識は患者さんの非常識
    ［Ｑ］患者さんへの怒りを静める方法は？
    ◆怒っちゃいけないことはわかっているが…
    ［Ｑ］年功序列でなかなか文句も言えないが…
    ◆危険な上級医
    etc.

    ４．controversy
    【Qの例】
    ［Ｑ］超一流誌の論文だから大丈夫？
    ◆医学論文のその後は…
    ［Ｑ］その腹部Ｘ線本当に要るの？
    ◆ほんとに必要その風習
    ［Ｑ］ギプスはシーネに勝るのですか？
    ◆シーネだっていいことがある
    ［Ｑ］脳梗塞の診療は本当に急ぐのですか？
    ◆Brain attackと知ってはいるが…
    etc.

    ５．勉強法
    【Qの例】
    ［Ｑ］学会なんて屁の河童
    ◆学会総会は怖くない
    ［Ｑ］ACLS？ICLS？心肺蘇生法講習会花盛り
    ◆ここらでちょっと整理を
    ［Ｑ］インターネット利用術１：救急で役立つガイドライン
    ◆知っておトクのガイドライン
    ［Ｑ］あぁ，忙しや．でも読まないとね
    ◆文献に騙されずに正しく読む方法
    etc.

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 指導・業務

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2 臨床Tips

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P.101 掲載の参考文献
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P.121 掲載の参考文献
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P.127 掲載の参考文献
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P.129 掲載の参考文献
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P.131 掲載の参考文献
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P.133 掲載の参考文献
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P.135 掲載の参考文献
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P.137 掲載の参考文献
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P.142 掲載の参考文献
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P.145 掲載の参考文献
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P.147 掲載の参考文献
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P.149 掲載の参考文献
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P.150 掲載の参考文献
1) National Institute for Clinical Excellence. Head Injury. Triage, assessment, investigation and early management of head injury in infants, children and adults, Clinical Guideline 4. Developed by the National Collaborating Centre for Acute Care. London:NICE, 2003
 
2) Shravat, B. P. et al.:NICE guideline for the management of head injury:an audit demonstrating its impact on a district general hospital, with a cost analysis for England and Wales. Emerg. Med. J., 23:109-113, 2006
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3) Brown, F. D. et al.:Why do children vomit after minor head injury? Emerg. Med. J., 17:268-271, 2000
 
4) Barnard, J.:Vomiting and serious head injury in children. Emerg. Med. J., 17:400-402, 2000
 
5) Macgregor, D. M. et al.; CT or not CT-that is the question. Whether it is better to evaluate clinically and x ray than to undertake a CT head scan! Emerg. Med. J., 22:541-543, 2005
 
P.152 掲載の参考文献
1) Lee, J. M. et al.: Biphasic anaphylactic reactions in pediatrics. Pediatrics, 106 : 762-766, 2000
 
2) Smit, de V. et al.: Anaphylaxis presentations to an emergency department in Hong Kong : incidence and predictors of biphasic reactions. J. Emerg. Med., 28 : 381-388, 2005
 
3) Brazil, E. et al.:"Not so immediate" hypersensitivity-the danger of biphasic anaphylactic reactions. J. Accid. Emerg. Med., 15 : 252-253, 1998
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4) Brady, W. J. Jr. et al.: Multiphasic anaphylaxis : an uncommon event in the emergency department. Acad. Emerg. Med., 4 : 193-197, 1997
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P.154 掲載の参考文献
1) Lu, K. C. et al.: Effects of potassium supplementation on the recovery of thyrotoxic periodic paralysis. Am. J. Emerg. Med., 22 : 544-547, 2004
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2) Lin, S. H. et al.: Laboratory tests to determine the cause of hypokalemia and paralysis. Arch. Intern. Med., 164 : 1561-1566, 2004
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3) Lin, S. H. et al.: A simple and rapid approach to hypokalemic paralysis. Am. J. Emerg. Med., 21 : 487-491, 2003
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3 コミュニケーション

P.159 掲載の参考文献
1) 林 寛之. Dr.林の当直裏御法度. 三輪書店, 2006
 
P.162 掲載の参考文献
1) Maddox, T. G.: Adverse reactions to contrast material: recognition, prevention, and treatment. Am. Fam. Physician, 66 : 1229-1234, 2002
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2) Hagan, J. B.: Anaphylactoid and adverse reactions to radiocontrast agents. Immunol. Allergy. Clin. North. Am., 24 : 507-519, 2004
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3) Ewan, P. W.: Anaphylaxis. ABC of allergies. BMJ, 316 : 1442-1445, 1998
 
P.165 掲載の参考文献
1) Hendey, G. W. et al.:Overnight and postcall errors in medication orders. Acad. Emerg. Med., 12:629-634, 2005
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1) Lewis, T.: Using the NO TEARS tool for medication review. BMJ, 329 : 434, 2004
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P.168 掲載の参考文献
1) Lang, E. V. et al.: Can word hurt? Patient-provider interactions during invasive procedures. Pain, 114 : 303, 2005
 
P.170 掲載の参考文献
1) Bergus, G. R. et al.: Presenting risks and benefits to patients. J. Gen. Intern. Med., 17 : 612-617, 2002
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P.175 掲載の参考文献
1) Gittelman, M. A. et al.: Common medical terms defined by parents : Are we speaking the same language? Pediatr. Emerg. Care., 20 : 754-758, 2004
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2) Lerner, E. B. et al.: Medical communication : do our patients understand? Am. J. Emerg. Med., 18 : 764-766, 2000
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P.178 掲載の参考文献
1) Christakis, D. A. et al.: Association between parental satisfaction and antibiotic prescription for children with cough and cold symptoms. Pediatr. Infect. Dis. J., 24 : 774-777, 2005
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2) Huang, N. et al.: Antibiotic prescribing for children with nasopharyngitis(common colds), upper respiratory infections, and bronchitis who have health-professional parents. Pediatrics, 116 : 826-832, 2005
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3) Spandorfer, P. R. et al.: Oral versus intravenous rehydration of moderately dehydrated children : a randomized, controlled trial. Pediatrics, 115 : 295-301, 2005
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4) Merenstein, D. et al.: An assessment of the shared-decision model in parents of children with acute otitis media. Pediatrics, 116 : 1267-1275, 2005
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P.184 掲載の参考文献
1) Beach, M. C. et al.: Are physicians' attitudes of respect accurately perceived by patients and associated with more positive communication behaviors ? Patient Educ. Couns., 62 : 347-354, 2006
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2) Wellness, Stress, and the Impaired Physician. Richard Goldberg : Rosen's Emergency Medicine, 6th edition. Concepts and Clinical Practice. pp3174-3179, Mosby, 2005
 

4 controversy

P.191 掲載の参考文献
1) Sanchez, A. R.: Tetracycline and other tetracycline-derivative staining of the teeth and oral cavity. Int. J. Dermatol., 43 : 709-715, 2004
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2) Cascio, A. et al.: No findings of dental defects in children treated with minocycline. Antimicrob. Agents Chemother., 48 : 2739-2741, 2004
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3) Morozumi, M. et al.: Emergence of macrolide-resistant Mycoplasma pneumoniae with a 23S rRNA gene mutation. Antimicrob. Agents Chemother., 49 : 2302-2306, 2005
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4) Schwarzer, S. et al.: Tetracycline : studies on absorption, distribution, excretion, and clinical trial in children. J. Pediatr., 43 : 285-292, 1954
 
5) Smith, A. L.: Tetracycline : Studies on absorption, distribution, excretion and clinical trial in children. J. Pediatr., 145 : 207, 2004
 
P.193 掲載の参考文献
1) Ioannidis, J. P.: Contradicted and initially stronger effects in highly cited clinical research. JAMA, 294 : 218-228, 2005
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P.195 掲載の参考文献
1) Andrews, A. H. et al.: Ineffectiveness of routine abdominal radiography in patients with gastrointestinal hemorrhage admitted to an intensive care unit. J. Clin. Gastroenterol., 39 : 228-231, 2005
 
2) Feyler, S. et al.: Plain abdominal radiographs in acute medical emergencies : an abused investigation? Postgrad. Med. J., 78 : 94-96, 2002
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1) Fleshner, P. R. et al.: A prospective, randomized trial of short versus long tubes in adhesive small-bowel obstruction. Am. J. Surg., 170 : 366-370, 1995
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2) Gowen, G. F. et al.: Long tube decompression is successful in 90% of patients with adhesive small bowel obstruction. Am. J. Surg., 185 : 512-515, 2003
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P.201 掲載の参考文献
1) Plinkt, A. C. et al.: A randomized, controlled trial of removable splinting versus casting for wrist buckle fractures in children．Pediatrics, 117 : 691-697, 2006
 
P.204 掲載の参考文献
1) Bilello, J. F. et al.: Occult traumatic hemothorax : when can sleeping dogs lie ? Am. J. Surg., 190 : 841-844, 2005
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2) Stafford, R. E. et al.: Incidence and management of occult hemothoraces. Am. J. Surg., 192 : 722-726, 2006
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3) Brasel, K. J. et al.: Treatment of occult pneumothoraces from blunt trauma. J. Trauma, 46 : 987-991, 1999
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4) Molnar, T. F. et al.: Changing dogmas : history of development in treatment modalities of traumatic pneumothorax, hemothorax, and posttraumatic empyema thoracis. Ann. Thorac. Surg., 77 : 372-378, 2004
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P.208 掲載の参考文献
1) Suzuki, M. et al.: Nicardipine, a calcium antagonist, does not aggravate intracerebral haemorrhage in an intracerebral haemorrhage model in rats. J. Pharm. Pharmacol., 57 : 483-488, 2005
 
2) Sorimachi, T. et al.: Rapid administration of antifibrinolytics and strict blood pressure control for intracerebral hemorrhage. Neurosurgery, 57 : 837-844, 2005
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3) Nishiyama, T. et al.: Continuous nicardipine infusion to control blood pressure after evacuation of acute cerebral hemorrhage. Can. J. Anaesth., 47 : 1196-1201, 2000
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4) Gaab, M. R. et al.: Intracranial effects of nicardipine. Br. J. Clin. Pharmacol., 20 (Suppl 1): 67S-74S, 1985
 
5) Qureshi, A. I. et al.: Treatment of acute hypertension in patients with intracerebral hemorrhage using American Heart Association guidelines. Crit. Care. Med., 34 : 1975-1980, 2006
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6) Denise, H. et al.: Effect of vasoactive therapy on cerebral circulation. Crit. Care. Clin., 22 : 221-243, 2006
 
P.212 掲載の参考文献
1) The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group : Tissue plasminogen activator for acute ischemic stroke. N. Engl. J. Med., 333 : 1581-1587, 1995
 
2) Katzan, I. L. et al.: Use of tissue-type plasminogen activator for acute ischemic stroke : the Cleveland area experience. JAMA, 283 : 1151-1158, 2000
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3) Katzan, I. L. et al.: Quality improvement and tissue-type plasminogen activator for acute ischemic stroke : a Cleveland update. Stroke, 34 : 799-800, 2003
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4) Adams, H. P. Jr. et al.: Guidelines for the early management of patients with ischemic stroke : A scientific statement from the stroke council of the American Stroke Association. Stroke, 34 : 1056-1083, 2003
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5) Adams, H. et al.: Guidelines for the early management of patients with ischemic stroke : 2005 guidelines update a scientific statement from the stroke council of the American Heart Association/American Stroke Association. Stroke, 36 : 916-923, 2005
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6) 日本脳卒中学会 ホームページ http://www.jsts.gr.jp/
 
7) Brown, D. L. et al.: Survey of emergency physicians about recombinant tissue plasminogen activator for acute ischemic stroke. Ann. Emerg. Med., 46 : 56-60, 2005
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8) Reed, S. D. et al.: Treatment with tissue plasminogen activator and inpatient mortality rates for patients with ischemic stroke treated in community hospitals. Stroke, 32 : 1832-1840, 2001
PubMed
9) NINDS ホームページ http://www.ninds.nih.gov/doctors/stroke_scale_training.htm
 
P.214 掲載の参考文献
1) http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm
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2) http://hica.jp/cdcguideline/icri.pdf
 
3) Raad, I. I. et al.: Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infect. Control Hosp. Epidemiol., 15 : 231-238, 1994
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4) Hu, K. K. et al.: Using maximal sterile barriers to prevent central venous catheter-related infection : a systematic evidence-based review. Am. J. Infect. Control, 32 : 142-146, 2004
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5) Rubinson, L. et al.: Why is it that internists do not follow guidelines for preventing intravascular catheter infections ? Infect. Control Hosp. Epidemiol., 26 : 525-533, 2005
 
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1) Kawabata, A. et al.: Inhibition by intravenously administered sodium bicarbonate of neuronal activity in medial vestibular nucleus neurons. Jpn. J. Pharmacol., 54 : 383-389, 1990
PubMed
2) 高橋一夫, 他: 「めまいにメイロン(R)は本当に効くのかどうか教えてください」 治療, 86: 120-122, 2004
 
3) Swartz, R.: Treatment of vertigo. Am. Fam. Physician, 71 : 1115-1122, 2005
PubMed

5 勉強法

P.223 掲載の参考文献
1) 日本救急医学会 ICLS: http://www.icls-web.com/
 
2) 日本蘇生協議会 JRC: http://jrc.umin.ac.jp/
 
3) 日本ACLS協会: http://acls.jp/
 
P.227 掲載の参考文献
1) Annane, D. et al.: Corticosteroids for severe sepsis and septic shock : a systematic review and meta-analysis : BMJ, 329 : 480, 2004
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2) http://www.cochrane.org/reviews/en/
 
3) http://www.cochrane.org/reviews/en/ab002243.html
 
4) Annane, D. et al.: Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock. JAMA, 288 : 862-871, 2002
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P.228 掲載の参考文献
1) Barone, J. E. & Madlinger, R. V.; Should an Allen test be performed before radial artery cannulation? J. Trauma, 61:468-470, 2006
PubMed
P.247 掲載の参考文献
1) Fleherty, R. J.: A Simple Method for Evaluating the Clinical Literature. Fam. Practice. Management, 11 : 47-52, 2004 (本文引用なし)
 

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