{"id":11688,"date":"2024-09-02T09:00:28","date_gmt":"2024-09-02T00:00:28","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=11688"},"modified":"2024-10-11T18:19:26","modified_gmt":"2024-10-11T09:19:26","slug":"menu_66","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_66\/","title":{"rendered":"Menu 66\u3000\u5410\u8840\u3068\u4e0b\u8840\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<style>\r\n.list-indent {\r\n    padding-bottom: 2rem;\r\n    padding-top: 0;\r\n    margin-top: 0;\r\n    margin-bottom: 0;\r\n    letter-spacing: 0.05em;\r\n    line-height: 1.8em;\r\n    font-size: 1em;\r\n}\r\n\r\n.list-indent li {\r\n    padding-left: 1em;\r\n    text-indent: -1.5em;\r\n    margin-bottom: 0!important;\r\n}\r\n<\/style>\r\n\r\n<img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/10\/eigocafe.jpg\" alt=\"\" width=\"1100\" height=\"275\" \/>\r\n<p><span style=\"font-size: large;\">\u3053\u3093\u306b\u3061\u306f\u3002\u300c<span style=\"color: #8b4513;\"><strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u5410\u8840\u3068\u4e0b\u8840\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u6d88\u5316\u7ba1\u51fa\u8840<\/strong>\u300d<strong>gastrointestinal (GI) bleeding<\/strong> \u304c\u3042\u308b\u3068\u300c<strong>\u5410\u8840<\/strong>\u300d\u3084\u300c<strong>\u4e0b\u8840<\/strong>\u300d\u3068\u3044\u3046\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306e\u300c<strong>\u8a3a\u7642\u306e\u57fa\u672c<\/strong>\u300d\u3067\u8eab\u306b\u3064\u3051\u308b\u3079\u304d\u75c7\u72b6\u3068\u3082\u306a\u3063\u3066\u3044\u308b\u3053\u308c\u30892\u3064\u306e\u75c7\u72b6\u3067\u3059\u304c\u3001\u95a2\u9023\u3059\u308b\u533b\u5b66\u82f1\u8a9e\u306f\u591a\u5c90\u306b\u6e21\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u300c<strong>\u5410\u8840\u3068\u4e0b\u8840\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>BRBPR\u3063\u3066\u4f55\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u300c<strong>\u60aa\u5fc3\u30fb\u5410\u304d\u6c17<\/strong>\u300d<strong>nausea<\/strong> \u306b\u306f\u533b\u5b66\u82f1\u8a9e\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u300c<strong>\u5614\u5410<\/strong>\u300d<strong>vomiting<\/strong> \u306b\u306f <span style=\"background-color: #ffff33;\"><strong>emesis<\/strong><\/span> \u3068\u3044\u3046\u533b\u5b66\u82f1\u8a9e\u304c\u3042\u308a\u307e\u3059\u3002GI bleeding \u304c\u539f\u56e0\u3067\u8840\u6db2\u3092\u300c<strong>\u53e3\u304b\u3089<\/strong>\u300d\u6392\u51fa\u3059\u308b\u3053\u3068\u3092\u300c<strong>\u5410\u8840<\/strong>\u300d\u3068\u8a00\u3044\u3001\u4e00\u822c\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>vomiting blood<\/strong><\/span> \u3068\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f emesis \u306b\u300c\u8840\u6db2\u300d\u3092\u610f\u5473\u3059\u308b hemato- \u3092\u3064\u3051\u3066 <span style=\"background-color: #ffff33;\"><strong>hematemesis<\/strong><\/span> \u3068\u8a00\u3044\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3001respiratory tract bleeding \u304c\u539f\u56e0\u3067\u8840\u6db2\u3092\u53e3\u304b\u3089\u6392\u51fa\u3059\u308b\u3053\u3068\u3092\u300c<strong>\u5580\u8840\u30fb\u8840\u75f0<\/strong>\u300d\u3068\u8a00\u3044\u3001\u4e00\u822c\u82f1\u8a9e\u3067\u306f <strong>coughing up blood<\/strong> \u3068\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f <strong>hemoptysis<\/strong> \u3068\u8a00\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066\u3001GI bleeding \u304c\u539f\u56e0\u3067\u8840\u6db2\u3092\u300c<strong>\u809b\u9580\u304b\u3089<\/strong>\u300d\u6392\u51fa\u3059\u308b\u3053\u3068\u3092\u300c<strong>\u4e0b\u8840<\/strong>\u300d\u3068\u8a00\u3044\u3001\u4e00\u822c\u82f1\u8a9e\u3067\u306f <strong>passing <span style=\"background-color: #ffff33;\">bright red blood per rectum<\/span><\/strong> \u3068\u8a00\u3044\u307e\u3059\u3002\u3053\u306e bright red blood per rectum \u306f\u305d\u306e\u982d\u6587\u5b57\u304b\u3089 <span style=\"background-color: #ffff33;\"><strong>BRBPR<\/strong><\/span>\uff08\u300c\u30d3\u30fc\u30fb\u30a2\u30fc\u30eb\u30fb\u30d3\u30fc\u30fb\u30d4\u30fc\u30fb\u30a2\u30fc\u30eb\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u533b\u5b66\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>hematochezia<\/strong><\/span> \u3068\u306a\u308a\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u8840\u4fbf<\/strong>\u300d\u3068\u3082\u8868\u73fe\u3055\u308c\u307e\u3059\u3002hemato- \u306f\u300c\u8840\u6db2\u300d\u3092\u610f\u5473\u3057\u3001-chez \u306f\u300c\u6392\u4fbf\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u306e\u3067\u3001hematochezia \u306f <strong>passing bloody stools<\/strong> \u3084\u3001\u5358\u306b <strong>bloody stools<\/strong> \u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u300c<strong>\u9ed2\u8272\u4fbf<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b <span style=\"background-color: #ffff33;\"><strong>melena<\/strong><\/span> \u3068\u533a\u5225\u3059\u308b\u6587\u8108\u3067\u4f7f\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3001<strong>BPBPR<\/strong>\u300c<strong>\u9bae\u8840\u4fbf<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u3002\u3061\u306a\u307f\u306b melena \u306e\u6b63\u3057\u3044\u767a\u97f3\u306f\u300c\u30e1<strong>\u30ea<\/strong>\u30a3\u30ca\u300d\u306a\u306e\u3067\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e\u591a\u304f\u306e\u533b\u7642\u8005\u306f\u3053\u306e\u6b63\u3057\u3044\u767a\u97f3\u306b\u9813\u7740\u3059\u308b\u3053\u3068\u306a\u304f\u3001\u300c<strong>\u30e1<\/strong>\u30ec\u30ca\u300d\u3084\u300c\u30e1<strong>\u30ec<\/strong>\u30ca\u300d\u306e\u3088\u3046\u306b\u81ea\u7531\u306b\u767a\u97f3\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u8089\u773c\u306b\u306f\u898b\u3048\u306a\u3044\u8840\u4fbf\u306e\u5834\u5408\u306b\u306f\u300c<strong>\u4fbf\u6f5c\u8840<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>occult blood in stools<\/strong><\/span> \u3068\u3044\u3046\u7528\u8a9e\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3001\u3053\u306e occult blood in stools \u3092\u78ba\u8a8d\u3059\u308b\u300c<strong>\u4fbf\u6f5c\u8840\u691c\u67fb<\/strong>\u300d\u306e\u3053\u3068\u3092 <span style=\"background-color: #ffff33;\"><strong>fecal occult blood test<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3053\u308c\u306f\u5b9a\u578b\u8868\u73fe\u3067\u3059\u306e\u3067\u3001\u982d\u6587\u5b57\u3067\u3042\u308b <span style=\"background-color: #ffff33;\"><strong>FOBT<\/strong><\/span>\uff08\u300c\u30a8\u30d5\u30fb\u30aa\u30fc\u30fb\u30d3\u30fc\u30fb\u30c6\u30a3\u30fc\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09 \u3068\u4e00\u7dd2\u306b\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u6574\u7406\u3057\u3066\u7406\u89e3\u3057\u3088\u3046\uff01\u5410\u8840\u3068\u4e0b\u8840\u306e\u5834\u5408\u306e\u51fa\u8840\u90e8\u4f4d<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u5410\u8840\u3068\u4e0b\u8840\u3067\u306f\u3001\u305d\u308c\u305e\u308c\u6d88\u5316\u7ba1\u306e\u3069\u3053\u304b\u3089\u51fa\u8840\u3057\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u7406\u89e3\u306e\u305f\u3081\u306b\u306f\u3001\u307e\u305a\u300c<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>upper gastrointestinal tract<\/strong><\/span> \u3068\u300c<strong>\u4e0b\u90e8\u6d88\u5316\u7ba1<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>lower gastrointestinal tract<\/strong><\/span> \u3092\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e2\u3064\u306e\u5883\u754c\u3068\u306a\u308b\u306e\u304c\u3001\u5341\u4e8c\u6307\u8178\u3068\u7a7a\u8178\u3092\u9694\u3066\u3066\u3044\u308b\u300c<strong>\u30c8\u30e9\u30a4\u30c4\u976d\u5e2f<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>ligament of Treitz<\/strong><\/span> \u3067\u3042\u308a\u3001\u3053\u306e\u976d\u5e2f\u3088\u308a\u53e3\u5074\u306e\u6d88\u5316\u7ba1\u304b\u3089\u306e\u51fa\u8840\u3092\u300c<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u51fa\u8840<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>upper GI bleeding<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u3053\u306e\u976d\u5e2f\u3088\u308a\u809b\u9580\u5074\u306e\u6d88\u5316\u7ba1\u304b\u3089\u306e\u51fa\u8840\u3092\u300c<strong>\u4e0b\u90e8\u6d88\u5316\u7ba1\u51fa\u8840<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>lower GI bleeding<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3001upper GI bleeding \u3068 lower GI bleeding \u306f\u305d\u308c\u305e\u308c\u4e0b\u8a18\u306e\u3088\u3046\u306a\u75c7\u72b6\u3092\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p>\r\n    <span style=\"font-size: large;\">\r\n    <strong><span style=\"background-color: #ffff33;\">Upper<\/span> GI Bleeding<\/strong> \u2192 <span style=\"background-color: #ffff33;\"><strong>Hematemesis<\/strong><\/span> and\/or <span style=\"background-color: #ffff33;\"><strong>Melena<\/strong><\/span><br>\r\n    <strong><span style=\"background-color: #ffff33;\">Lower<\/span> GI Bleeding<\/strong> \u2192 <span style=\"background-color: #ffff33;\"><strong>Hematochezia<\/strong><\/span> or <span style=\"background-color: #ffff33;\"><strong>Occult Blood in Stools<\/strong><\/span>\r\n    <\/span>\r\n<\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>Upper GI bleeding<\/strong><\/span> \u306f\u300c<strong>\u98df\u9053<\/strong>\u300d<strong>esophagus<\/strong>\u30fb\u300c<strong>\u80c3<\/strong>\u300d<strong>stomach<\/strong>\u30fb\u300c<strong>\u5341\u4e8c\u6307\u8178<\/strong>\u300d<strong>duodenum<\/strong> \u304b\u3089\u306e\u51fa\u8840\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u53e3\u5074\u304b\u3089\u51fa\u308b <strong>hematemesis<\/strong> \u306e\u8840\u306f <strong>bright red blood<\/strong> \u306e\u5834\u5408\u3082\u3042\u308c\u3070\u3001\u80c3\u9178\u306b\u3088\u3063\u3066\u9178\u5316\u3055\u308c\u3066 <strong>coffee ground blood<\/strong> \u306e\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u809b\u9580\u5074\u304b\u3089\u51fa\u308b\u8840\u306f\u80c3\u9178\u306b\u3088\u3063\u3066 digested blood \u3068\u306a\u308a\u3001\u4fbf\u3068\u3057\u3066\u306f <strong>melena<\/strong> \u3068\u306a\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u307e\u305f\u3001\u3053\u306e melena \u306f hematemesis \u3068\u540c\u6642\u306b\u751f\u3058\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u305f\u3060\u5927\u91cf\u306e\u51fa\u8840\u306e\u5834\u5408\u3001\u51fa\u8840\u3057\u305f\u8840\u6db2\u304c\u5168\u3066 digested blood \u3068\u306a\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u4fbf\u3068\u3057\u3066\u306f <strong>hematochezia<\/strong> \u3068\u306a\u308b\u5834\u5408\u3082\u3042\u308b\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>Lower GI bleeding<\/strong><\/span> \u306f\u300c<strong>\u7a7a\u8178<\/strong>\u300d<strong>jejunum<\/strong>\u30fb\u300c<strong>\u56de\u8178<\/strong>\u300d<strong>ileum<\/strong>\u30fb\u300c<strong>\u76f2\u8178<\/strong>\u300d<strong>cecum<\/strong>\u30fb\u300c<strong>\u7d50\u8178<\/strong>\u300d<strong>colon<\/strong>\u30fb\u300c<strong>\u76f4\u8178<\/strong>\u300d<strong>rectum<\/strong>\u30fb\u300c<strong>\u809b\u9580<\/strong>\u300d<strong>anus<\/strong> \u304b\u3089\u306e\u51fa\u8840\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">lower GI bleeding \u3067\u306f\u53e3\u5074\u304b\u3089\u51fa\u308b hematemesis \u3068\u306a\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u306a\u304f\u3001<strong>bright red blood per rectum (BRBPR)<\/strong> \u3068\u306a\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u305d\u3057\u3066\u51fa\u8840\u91cf\u304c\u5c11\u306a\u3044\u5834\u5408\u306b\u306f BRBPR \u3067\u306f\u306a\u304f <strong>occult blood in stools<\/strong> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e lower GI bleeding \u3067\u306f \u201c<strong>Is the blood mixed with your stool, or is it separate?<\/strong>\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u304c\u91cd\u8981\u3067\u3059\u3002\u7d76\u5bfe\u3068\u3044\u3046\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001<strong>\u53e3\u5074\u304b\u3089\u306e\u51fa\u8840<\/strong>\u3067\u3042\u308c\u3070<strong>\u8840\u6db2\u3068\u4fbf\u306f\u6df7\u5408\u3059\u308b\u50be\u5411<\/strong>\u306b\u3001\u305d\u3057\u3066<strong>\u809b\u9580\u5074\u304b\u3089\u306e\u51fa\u8840<\/strong>\u3067\u3042\u308c\u3070<strong>\u8840\u6db2\u3068\u4fbf\u306f\u3042\u307e\u308a\u6df7\u5408\u3057\u306a\u3044\u50be\u5411<\/strong>\u306b\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4ee5\u4e0a\u306e\u5185\u5bb9\u3092\u75c7\u72b6\u5225\u306b\u8003\u3048\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p>\r\n    <span style=\"font-size: large;\">\r\n    <strong>Hematemesis<\/strong> \u2192 <strong>upper GI bleeding<\/strong> \u304c\u539f\u56e0\u3002melena \u3082\u4f75\u767a\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3042\u308a\u3002<br>\r\n    <strong>Melena<\/strong> \u2192 <strong>upper GI bleeding<\/strong> \u304c\u539f\u56e0\u3002hematochezia \u3082\u4f75\u767a\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3042\u308a\u3002<br>\r\n    <strong>Hematochezia<\/strong> \u2192 <strong>lower GI bleeding<\/strong>\uff08\u3082\u3057\u304f\u306f\u5927\u91cf\u306e upper GI bleeding\uff09\u304c\u539f\u56e0\u3002<br>\r\n    <strong>Occult Blood Stools<\/strong> \u2192 \u3054\u304f\u5c11\u91cf\u306e <strong>lower GI bleeding<\/strong> \u304c\u539f\u56e0\u3002\r\n    <\/span>\r\n<\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u5410\u8840\u3068\u4e0b\u8840\u306e\u8a3a\u65ad\u306b\u5f53\u305f\u3063\u3066\u306f\u3001\u307e\u305a\u51fa\u8840\u90e8\u4f4d\u3092\u6574\u7406\u3057\u3066\u7406\u89e3\u3057\u3066\u304a\u304f\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>Upper GI Bleeding \u306e\u9451\u5225\u75be\u60a3\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u3053\u3053\u304b\u3089 upper GI bleeding \u306e\u9451\u5225\u75be\u60a3\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\u983b\u5ea6\u5225\u306b\u7d39\u4ecb\u3057\u3066\u3082\u826f\u3044\u306e\u3067\u3059\u304c\u3001\u5b66\u751f\u306e\u7686\u3055\u3093\u306f\u53e3\u5074\u304b\u3089\u90e8\u4f4d\u5225\u306b\u899a\u3048\u3066\u304a\u304f\u65b9\u304c\u899a\u3048\u3084\u3059\u3044\u3068\u601d\u3044\u307e\u3059\u306e\u3067\u3001\u3053\u3053\u3067\u306f esophagus \u2192 stomach \u2192 duodenum \u306e\u9806\u3067\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u98df\u9053<\/strong>\u300d<strong>esophagus<\/strong> \u3067 upper GI bleeding \u3092\u5f15\u304d\u8d77\u3053\u3059\u75be\u60a3\u3068\u3057\u3066\u306f\u4e0b\u8a18\u3092\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u98df\u9053\u9759\u8108\u7624\u300d<span style=\"background-color: #ffff33;\">esophageal varices<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300cMallory-Weiss \u75c7\u5019\u7fa4\u300d<span style=\"background-color: #ffff33;\">Mallory-Weiss syndrome<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u98df\u9053\u708e\u300d<span style=\"background-color: #ffff33;\">esophagitis<\/span><\/strong><\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u98df\u9053\u9759\u8108\u7624<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>esophageal varices<\/strong><\/span>\uff08varices \u306f\u300c<strong>\u30f4\u30a1<\/strong>\u30ea\u30b7\u30a3\u30ba\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u300c<strong>\u809d\u786c\u5909<\/strong>\u300d<strong>cirrhosis<\/strong>\uff08\u300c\u30b5<strong>\u30ed\u30a5<\/strong>\u30b7\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306b\u3088\u308b\u300c<strong>\u9580\u8108\u5727\u4ea2\u9032\u75c7<\/strong>\u300d<strong>portal hypertension<\/strong> \u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>Mallory-Weiss \u75c7\u5019\u7fa4<\/strong>\u300d\u3067\u3042\u308b <span style=\"background-color: #ffff33;\"><strong>Mallory-Weiss syndrome<\/strong><\/span> \u306e\u767a\u97f3\u306f\u3001\u82f1\u8a9e\u3067\u306f\u300c<strong>\u30de<\/strong>\u30ed\u30ea\u30fc\u30fb<strong>\u30ef<\/strong>\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306f partial-thickness mucosal lacerations at gastroesophageal junction\u300c\u98df\u9053\u80c3\u63a5\u5408\u90e8\u306b\u304a\u3051\u308b\u90e8\u5206\u7684\u80a5\u539a\u3092\u4f34\u3046\u7c98\u819c\u88c2\u50b7\u300d\u3067\u3042\u308a\u3001transmural distal esophageal rupture with pneumomediastinum\u300c\u7e26\u9694\u6c17\u816b\u3092\u4f34\u3046\u9060\u4f4d\u98df\u9053\u306e\u5168\u5c64\u7834\u88c2\u300d\u3067\u3042\u308b <strong>Boerhaave syndrome<\/strong>\uff08\u300c<strong>\u30dc<\/strong>\u30fc\u30cf\u30a1\u30d6\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068\u306f\u7570\u306a\u308a\u307e\u3059\u3002\u3069\u3061\u3089\u3082 <strong>violent vomiting<\/strong> and\/or <strong>retching<\/strong> \u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u307e\u3059\u3002\u3053\u306e retching \u3068\u306f\u300c<strong>\u7a7a\u5410\u304d<\/strong>\u300d\u306e\u3053\u3068\u3067\u3001<strong>dry heaves<\/strong> \u3084 <strong>dry heaving<\/strong> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\u80cc\u666f\u306b\u306f <strong>alcoholism<\/strong> \u306e\u4ed6\u3001<span style=\"background-color: #ffff33;\"><strong>bulimia nervosa<\/strong><\/span>\u300c<strong>\u795e\u7d4c\u6027\u904e\u98df\u75c7<\/strong>\u300d\u3084 <span style=\"background-color: #ffff33;\"><strong>hyperemesis gravidarum<\/strong><\/span>\u300c<strong>\u598a\u5a20\u60aa\u963b\uff08\u304a\u305d\uff09<\/strong>\u300d\u306a\u3069\u3082\u3042\u308b\u306e\u3067\u3001history taking \u3067\u3053\u308c\u3089\u306e\u6709\u7121\u3092\u78ba\u304b\u3081\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u80c3<\/strong>\u300d<strong>stomach<\/strong> \u3068\u300c<strong>\u5341\u4e8c\u6307\u8178<\/strong>\u300d<strong>duodenum<\/strong> \u3067 upper GI bleeding \u3092\u5f15\u304d\u8d77\u3053\u3059\u75be\u60a3\u3068\u3057\u3066\u306f\u4e0b\u8a18\u3092\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u6d88\u5316\u6027\u6f70\u760d\u300d<span style=\"background-color: #ffff33;\">peptic ulcers<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u80c3\u708e\u300d<span style=\"background-color: #ffff33;\">gastritis<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u80c3\u764c\u300d<span style=\"background-color: #ffff33;\">gastric cancer<\/span><\/strong><\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3046\u3061\u300c<strong>\u6d88\u5316\u6027\u6f70\u760d<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>peptic ulcers<\/strong><\/span> \u306f\u300c<strong>\u80c3\u6f70\u760d<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>gastric ulcer<\/strong><\/span> \u3068\u300c<strong>\u5341\u4e8c\u6307\u8178\u6f70\u760d<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>duodenal ulcer<\/strong><\/span> \u306e2\u3064\u304c\u3042\u308a\u307e\u3059\u304c\u3001<strong>G<\/strong>astric ulcer \u3067\u306f the pan can be <strong>G<\/strong>reater with meals \u3068\u306a\u308b\u306e\u306b\u5bfe\u3057\u3001<strong>D<\/strong>uodenal ulcer \u3067\u306f the pan <strong>D<\/strong>ecreases with meals \u3068\u306a\u308a\u307e\u3059\u3002\u305d\u308c\u305e\u308c <strong>G<\/strong> \u3068 <strong>D<\/strong> \u3092\u4f7f\u3063\u3066\u899a\u3048\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>Lower GI Bleeding \u306e\u9451\u5225\u75be\u60a3\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u6b21\u306b lower GI bleeding \u306e\u9451\u5225\u75be\u60a3\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\u3053\u306e lower GI bleeding \u3067\u306f\u7d30\u304b\u3044\u90e8\u4f4d\u306b\u62d8\u3089\u305a\u3001\u4e0b\u8a18\u306e\u75be\u60a3\u3092\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u708e\u75c7\u6027\u8178\u75be\u60a3\u300d<span style=\"background-color: #ffff33;\">inflammatory bowel disease (IBD)<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u8178\u9593\u819c\u865a\u8840\u300d<span style=\"background-color: #ffff33;\">mesenteric ischemia<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u61a9\u5ba4\u51fa\u8840\u300d<span style=\"background-color: #ffff33;\">diverticular bleeding<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u5927\u8178\u30dd\u30ea\u30fc\u30d7\u300d<span style=\"background-color: #ffff33;\">colonic polyps<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u5927\u8178\u764c\u300d<span style=\"background-color: #ffff33;\">colorectal cancer<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u75d4\u6838\u300d<span style=\"background-color: #ffff33;\">hemorrhoids<\/span><\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>\u300c\u88c2\u809b\u300d<span style=\"background-color: #ffff33;\">anal fissure<\/span><\/strong><\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u708e\u75c7\u6027\u8178\u75be\u60a3<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>inflammatory bowel disease (IBD)<\/strong><\/span> \u306b\u306f\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u901a\u308a\u300c<strong>\u30af\u30ed\u30fc\u30f3\u75c5<\/strong>\u300d<strong>Crohn disease<\/strong> \u3068\u300c<strong>\u6f70\u760d\u6027\u5927\u8178\u708e<\/strong>\u300d<strong>ulcerative colitis<\/strong> \u306e2\u3064\u304c\u3042\u308a\u307e\u3059\u304c\u3001hematemesis \u304c\u591a\u3044\u306e\u306f ulcerative colitis \u306e\u65b9\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<span style=\"background-color: #ffff33;\"><strong>\u8178\u9593\u819c\u865a\u8840<\/strong><\/span>\u300d<span style=\"background-color: #ffff33;\"><strong>mesenteric ischemia<\/strong><\/span> \u306f\u300c\u8178\u9593\u819c\u52d5\u8108\u300dmesenteric artery \u306e\u865a\u8840\u306b\u3088\u308b\u75be\u60a3\u3067\u3059\u3002\u65e5\u672c\u3067\u306f\u300c\u865a\u8840\u6027\u5927\u8178\u708e\u300dischemic colitis \u306e\u3088\u3046\u306b\u547c\u3070\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>mesenteric ischemia<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>intestinal ischemia<\/strong><\/span> \u306e\u3088\u3046\u306a\u8868\u73fe\u306e\u65b9\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u61a9\u5ba4<\/strong>\u300d<strong>diverticulum<\/strong>\uff08\u8907\u6570\u5f62\u306f <strong>diverticula<\/strong>\uff09\u3068\u306f blind pouch protruding from the alimentary tract that communicates with the lumen of the gut \u3067\u3042\u308a\u3001\u6d88\u5316\u7ba1\u306e\u5168\u3066\u306e\u5c64\uff08\u7c98\u819c\u30fb\u7c98\u819c\u4e0b\u5c64\u30fb\u7b4b\u5c64\uff09\u5168\u3066\u304c\u98db\u3073\u51fa\u3066\u3044\u308b\u3082\u306e\u3092 \u201ctrue\u201d diverticulum \u3068\u3001\u305d\u3057\u3066\u7c98\u819c\u5c64\u3068\u7c98\u819c\u4e0b\u5c64\u306e\u307f\u304c\u98db\u3073\u51fa\u3066\u3044\u308b\u3082\u306e\u3092 \u201cfalse\u201d diverticulum\/pseudodiverticulum \u3068\u547c\u3073\u307e\u3059\u3002\u300c<strong>\u61a9\u5ba4\u75c7<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>diverticulosis<\/strong><\/span> \u3068\u306f\u3001\u3053\u306e \u201cfalse\u201d diverticulum\/pseudodiverticulum \u304c\u5f8c\u5929\u7684\u306b\u751f\u3058\u305f\u72b6\u614b\u3067\u3042\u308a\u3001\u307e\u305f\u300c<strong>\u61a9\u5ba4\u708e<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>diverticulitis<\/strong><\/span> \u3068\u306f\u3001\u3053\u306e \u201cfalse\u201d diverticulum\/pseudodiverticulum \u306b\u708e\u75c7\u304c\u751f\u3058\u305f\u72b6\u614b\u3068\u8a00\u3048\u307e\u3059\u3002\u305d\u3057\u3066\u300c<strong>\u61a9\u5ba4\u51fa\u8840<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>diverticular bleeding<\/strong><\/span> \u3068\u306f\u3001 diverticulitis \u3068\u540c\u69d8\u306b diverticulosis \u306e\u5408\u4f75\u75c7\u3067\u3042\u308a\u3001pseudodiverticula \u304b\u3089\u51fa\u8840\u3057\u3066\u3044\u308b\u72b6\u614b\u3068\u8a00\u3048\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u5927\u8178\u30dd\u30ea\u30fc\u30d7<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>colonic polyps<\/strong><\/span> \u3068\u300c<strong>\u5927\u8178\u764c<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>colorectal cancer<\/strong><\/span> \u306f\u5c11\u91cf\u306e lower GI bleeding \u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001hematochezia \u3092\u8d77\u3053\u3059\u3053\u3068\u306f\u5c11\u306a\u304f\u3001occult blood stools \u3068\u306a\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066\u3001\u300c<strong>\u75d4\u6838<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>hemorrhoids<\/strong><\/span> \u3084\u300c<strong>\u88c2\u809b<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>anal fissure<\/strong><\/span> \u306f BRBPR \u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u65e5\u672c\u8a9e\u3067\u306f hemorrhoids \u306e\u3053\u3068\u3092 \u201chemo\u201d \u306e\u3088\u3046\u306b\u7701\u7565\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u82f1\u8a9e\u3067\u306f\u901a\u7528\u3057\u307e\u305b\u3093\u3002hemorrhoids \u306b\u306f <span style=\"background-color: #ffff33;\"><strong>piles<\/strong><\/span> \u3068\u3044\u3046\u4e00\u822c\u82f1\u8a9e\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u3053\u3061\u3089\u3092\u4f7f\u3048\u308b\u3088\u3046\u306b\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>NG tube? EGD? Large-bore IV catheters? \u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u91cd\u8981\u5358\u8a9e<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u6700\u5f8c\u306b\u3001\u5410\u8840\u3068\u4e0b\u8840\u306b\u95a2\u3059\u308b\u305d\u306e\u4ed6\u306e\u91cd\u8981\u306a\u8868\u73fe\u3082\u898b\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u5410\u8840\u3084\u4e0b\u8840\u304c\u3042\u308b\u5834\u5408\u3001vital signs \u3067 blood pressure \u3084 heart rate \u3092\u78ba\u8a8d\u3057\u3066 <strong>hypovolemic shock<\/strong>\u300c<strong>\u5faa\u74b0\u8840\u6db2\u91cf\u6e1b\u5c11\u6027\u30b7\u30e7\u30c3\u30af<\/strong>\u300d\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002\u3053\u306e\u3088\u3046\u306b\u51fa\u8840\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306b\u306f \u8840\u884c\u52d5\u614b\u304c\u5b89\u5b9a\u3057\u3066\u3044\u308b\u306e\u304b\u3001\u4e0d\u5b89\u5b9a\u3068\u306a\u3063\u3066\u3044\u308b\u306e\u304b\u3092\u78ba\u8a8d\u3059\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u308c\u3089\u3092\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>hemodynamically stable<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>hemodynamically unstable<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">Upper GI bleeding \u306e\u5834\u5408\u306b\u306f\u300c<strong>\u80c3\u7ba1<\/strong>\u300d\u3092\u9f3b\u304b\u3089\u633f\u5165\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>nasogastric tube<\/strong><\/span> \u3068\u8a00\u3044\u3001\u81e8\u5e8a\u5834\u9762\u3067\u306f\u7565\u8a9e\u3092\u4f7f\u3063\u3066 <span style=\"background-color: #ffff33;\"><strong>NG tube<\/strong><\/span> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u5410\u8840\u306e\u5834\u5408\u306b\u306f\u300c<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/strong>\u300d\u304c\u8a3a\u65ad\u30fb\u6cbb\u7642\u306e\u3069\u3061\u3089\u306b\u304a\u3044\u3066\u3082\u91cd\u8981\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>EGD<\/strong><\/span> \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f <span style=\"background-color: #ffff33;\"><strong>esophagogastroduodenoscopy<\/strong><\/span> \u306e\u7565\u8a9e\u306a\u306e\u3067\u3059\u304c\u3001\u9577\u3059\u304e\u308b\u306e\u3067\u7686 EGD \u3068\u7565\u8a9e\u3067\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4e0b\u8840\u306e\u5834\u5408\u306b\u306f\u300c<strong>\u4e0b\u90e8\u6d88\u5316\u7ba1\uff08\u5927\u8178\uff09\u5185\u8996\u93e1<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>colonoscopy<\/strong><\/span> \u304c\u91cd\u8981\u3067\u3059\u304c\u3001\u300c<strong>\u76f4\u8178\u6307\u8a3a<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>digital rectal examination (DRE)<\/strong><\/span> \u3082\u5fd8\u308c\u3066\u306f\u3044\u3051\u307e\u305b\u3093\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f hemodynamically unstable \u306e\u60a3\u8005\u3055\u3093\u306e\u5834\u5408\u3001\u8840\u884c\u52d5\u614b\u3092\u6025\u901f\u306b\u56de\u5fa9\u3055\u305b\u308b\u5fc5\u8981\u304c\u3042\u308b\u305f\u3081\u3001\u300c<strong>\u5927\u5f84\u30ab\u30c6\u30fc\u30c6\u30eb<\/strong>\u300d\u3084\u300c<strong>\u592a\u3044\u7559\u7f6e\u91dd<\/strong>\u300d\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u305d\u3046\u3044\u3063\u305f\u3082\u306e\u3092\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>large-bore IV catheters<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>large cannula<\/strong><\/span> \u306a\u3069\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u306e <strong>bore<\/strong> \u306b\u306f\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u300c\u9000\u5c48\u3055\u305b\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u3060\u3051\u3067\u306a\u304f\u3001\u300c\u7a74\u3092\u958b\u3051\u308b\u300d\u3084\u300c\u7a74\u306e\u5185\u5f84\u300d\u306e\u3088\u3046\u306a\u610f\u5473\u3082\u3042\u308a\u307e\u3059\u3002\u7a74\u3092\u958b\u3051\u308b\u3053\u3068\u3092\u65e5\u672c\u8a9e\u3067\u3082\u300c\u30dc\u30fc\u30ea\u30f3\u30b0\u300d\u3068\u8a00\u3044\u307e\u3059\u304c\u3001\u305d\u308c\u306f boring \u306e\u3053\u3068\u306a\u306e\u3067\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e bore \u306f\u300c<strong>\u30a4\u30ce\u30b7\u30b7<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b <strong>boar<\/strong> \u3068\u5168\u304f\u540c\u3058\u767a\u97f3\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u3082\u3046\u4e00\u5ea6\u3001\u5410\u8840\u3068\u4e0b\u8840\u306e\u51fa\u8840\u90e8\u4f4d\u3068\u305d\u308c\u305e\u308c\u306e\u9451\u5225\u75be\u60a3\u3092\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p>\r\n    <span style=\"font-size: large;\">\r\n    <strong>Hematemesis<\/strong> \u2192 <strong>upper GI bleeding<\/strong> \u304c\u539f\u56e0\u3002melena \u3082\u4f75\u767a\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3042\u308a\u3002<br>\r\n    <strong>Melena<\/strong> \u2192 <strong>upper GI bleeding<\/strong> \u304c\u539f\u56e0\u3002hematochezia \u3082\u4f75\u767a\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3042\u308a\u3002<br>\r\n    <strong>Hematochezia<\/strong> \u2192 <strong>lower GI bleeding<\/strong>\uff08\u3082\u3057\u304f\u306f\u5927\u91cf\u306e upper GI bleeding\uff09\u304c\u539f\u56e0\u3002<br>\r\n    <strong>Occult Blood Stools<\/strong> \u2192 \u3054\u304f\u5c11\u91cf\u306e <strong>lower GI bleeding<\/strong> \u304c\u539f\u56e0\u3002\r\n    <\/span>\r\n<\/p>\r\n<p style=\"padding-bottom: 0;\"><span style=\"font-size: large;\"><strong>Upper GI Bleeding \u306e\u9451\u5225\u75be\u60a3<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u98df\u9053\u9759\u8108\u7624\u300desophageal varices<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300cMallory-Weiss \u75c7\u5019\u7fa4\u300dMallory-Weiss syndrome<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u98df\u9053\u708e\u300desophagitis<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u6d88\u5316\u6027\u6f70\u760d\u300dpeptic ulcers<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u80c3\u708e\u300dgastritis<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u80c3\u764c\u300dgastric cancer<\/li>\r\n<\/ul>\r\n<p style=\"padding-bottom: 0;\"><span style=\"font-size: large;\"><strong>Lower GI Bleeding \u306e\u9451\u5225\u75be\u60a3<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u708e\u75c7\u6027\u8178\u75be\u60a3\u300dinflammatory bowel disease (IBD)<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u8178\u9593\u819c\u865a\u8840\u300dmesenteric ischemia<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u61a9\u5ba4\u51fa\u8840\u300ddiverticular bleeding<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u5927\u8178\u30dd\u30ea\u30fc\u30d7\u300dcolonic polyps<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u5927\u8178\u764c\u300dcolorectal cancer<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u75d4\u6838\u300dhemorrhoids<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u300c\u88c2\u809b\u300danal fissure<\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u3001\u8aad\u8005\u306e\u7686\u3055\u307e\u304c\u3053\u306e\u9023\u8f09\u3067\u53d6\u308a\u4e0a\u3052\u3066\u307b\u3057\u3044\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3057\u3066\u3044\u307e\u3059\u3002<a href=\"https:\/\/55auto.biz\/mec-form\/regires.php?tno=275\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u3088\u308a\u304a\u9001\u308a\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"text-align: right;\">\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u5410\u8840\u3068\u4e0b\u8840\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3067\u3059\u3002 \u300c\u6d88\u5316\u7ba1\u51fa\u8840\u300dgastroin","protected":false},"author":14,"featured_media":11689,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-11688","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/11688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=11688"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/11688\/revisions"}],"predecessor-version":[{"id":11690,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/11688\/revisions\/11690"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/11689"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=11688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=11688"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=11688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}