{"id":13389,"date":"2025-02-03T09:00:19","date_gmt":"2025-02-03T00:00:19","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=13389"},"modified":"2025-05-21T11:23:46","modified_gmt":"2025-05-21T02:23:46","slug":"menu_71","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_71\/","title":{"rendered":"Menu 71\u3000\u8179\u90e8\u81a8\u9686\u30fb\u816b\u7624\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<style>\r\n\/* indent *\/\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.list-indent li {\r\n    padding-left: 1em;\r\n    text-indent: -1.5em;\r\n    margin-bottom: 0!important;\r\n}\r\n\r\n.sp {\r\n    display: none;\r\n}\r\n\r\n@media screen and (max-width: 425px){\r\n.sp {\r\n    display: block;\r\n}\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>\u8179\u90e8\u81a8\u9686\u30fb\u816b\u7624\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u304a\u8179\u304c\u81a8\u3089\u3080\u300c<strong>\u8179\u90e8\u81a8\u9686<\/strong>\u300d\u3068\u304a\u8179\u306e\u3057\u3053\u308a\u3067\u3042\u308b\u300c<strong>\u8179\u90e8\u816b\u7624<\/strong>\u300d\u306f\u3001\u300c<strong>\u8179\u90e8\u81a8\u9686\u30fb\u816b\u7624<\/strong>\u300d\u3068\u3057\u3066\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u304a\u3051\u308b\u300c<strong>\u8a3a\u7642\u306e\u57fa\u672c<\/strong>\u300d\u3068\u3057\u3066\u8eab\u306b\u3064\u3051\u308b\u3079\u304d\u75c7\u72b6\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u305d\u306e\u9451\u5225\u75be\u60a3\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u306b\u306f\u65e5\u672c\u4eba\u306b\u306f\u6b63\u3057\u304f\u7406\u89e3\u3055\u308c\u3066\u3044\u306a\u3044\u3082\u306e\u304c\u591a\u304f\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f OSCE \u3067\u5fc5\u9808\u3068\u306a\u3063\u3066\u3044\u308b\u300c<strong>\u8179\u90e8\u8a3a\u5bdf<\/strong>\u300d\u3092\u82f1\u8a9e\u3067\u884c\u304a\u3046\u3068\u3059\u308b\u3068\u3001\u305d\u3053\u306b\u3082\u3088\u304f\u9593\u9055\u3048\u3089\u308c\u308b\u82f1\u8a9e\u8868\u73fe\u304c\u6570\u591a\u304f\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u300c<strong>\u8179\u90e8\u81a8\u9686\u30fb\u816b\u7624<\/strong>\u300d\u306e\u9451\u5225\u75be\u60a3\u3068\u300c<strong>\u8179\u90e8\u8a3a\u5bdf<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u3092\u3054\u7d39\u4ecb\u3044\u305f\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>lump, bump, bulge \u306e\u9055\u3044\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u304a\u8179\u304c\u81a8\u3089\u3080\u300c<strong>\u8179\u90e8\u81a8\u9686<\/strong>\u300d\u306f\u3001\u82f1\u56fd\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>abdominal distension<\/strong><\/span> \u3068 s \u3092\u4f7f\u3044\u3001\u7c73\u56fd\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>abdominal distention<\/strong><\/span> \u3068 t \u3092\u4f7f\u3063\u3066\u8868\u73fe\u3057\u307e\u3059\u3002\u305f\u3060 abdominal distension\/distention \u3068\u3044\u3046\u8868\u73fe\u306f\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u3042\u307e\u308a\u4f7f\u308f\u308c\u305a\u3001\u201cDoes your stomach feel <strong>bloated<\/strong>?\u201d \u306e\u3088\u3046\u306b <span style=\"background-color: #ffff33;\"><strong>bloated<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u304c\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u3053\u306e bloated \u307b\u3069\u4e00\u822c\u7684\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001 \u201cMy belly looks <strong>swollen<\/strong>.\u201d \u306e\u3088\u3046\u306b <span style=\"background-color: #ffff33;\"><strong>swollen<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u304c\u4f7f\u308f\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u4ed6\u306b\u3082 <strong>tightness<\/strong> \u3084 <strong>pressure<\/strong> \u306e\u3088\u3046\u306a\u8868\u73fe\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u300c<strong>\u30d9\u30eb\u30c8\u306e\u7a74\u3092\u5909\u3048\u3066\u7de9\u3081\u308b<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>loosen my belt a few notches<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u4fbf\u5229\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u304a\u8179\u306e\u3057\u3053\u308a\u3067\u3042\u308b\u300c<strong>\u8179\u90e8\u816b\u7624<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f <span style=\"background-color: #ffff33;\"><strong>abdominal mass<\/strong><\/span> \u3067\u3059\u3002\u305f\u3060 mass \u3068\u3044\u3046\u8868\u73fe\u306f\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u3042\u307e\u308a\u4f7f\u308f\u308c\u305a\u3001 \u201cHave you noticed any <strong>lumps<\/strong>, <strong>bumps<\/strong>, or <strong>bulges<\/strong> in your abdomen?\u201d \u306e\u3088\u3046\u306b <span style=\"background-color: #ffff33;\"><strong>lump<\/strong><\/span>, <span style=\"background-color: #ffff33;\"><strong>bump<\/strong><\/span>, and <span style=\"background-color: #ffff33;\"><strong>bulge<\/strong><\/span> \u306e\u3088\u3046\u306a\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>lump<\/strong><\/span> \u3068\u306f\u300c\uff08\u76ae\u819a\u306e\u4e0b\u306e\uff09<strong>\u3057\u3053\u308a<\/strong>\u300d\u306e\u3053\u3068\u3067\u3042\u308a\u3001\u8868\u9762\u306b\u73fe\u308c\u306a\u3044\u816b\u7624\u3092\u793a\u5506\u3059\u308b\u8868\u73fe\u3067\u3059\u3002\u8179\u90e8\u3060\u3051\u3067\u306a\u304f\u4e73\u817a\u306e\u300c\u3057\u3053\u308a\u300d\u306a\u3069\u306b\u3082\u3088\u304f\u4f7f\u308f\u308c\u308b\u8868\u73fe\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>bump<\/strong><\/span> \u3068\u306f\u300c\uff08\u5916\u7684\u8981\u56e0\u306b\u3088\u308b\uff09<strong>\u5c0f\u3055\u306a\u30b3\u30d6<\/strong>\u300d\u306e\u3053\u3068\u3067\u3042\u308a\u3001\u982d\u306b\u3067\u304d\u308b\u300c<strong>\u305f\u3093\u3053\u3076<\/strong>\u300d\u3082 <strong>bump<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u52d5\u8a5e\u306e bump \u306b\u306f\u300c\u3076\u3064\u304b\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u540d\u8a5e\u306e bump \u306b\u306f\u300c\u3076\u3064\u304b\u3063\u3066\u3067\u304d\u308b\u816b\u7624\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308b\u306e\u3067\u3059\u3002\u8eca\u306b\u3064\u3044\u3066\u3044\u308b\u300c\u30d0\u30f3\u30d1\u30fc\u300d\u306e\u82f1\u8a9e\u306f bumper \u3067\u3059\u304c\u3001\u3053\u308c\u306b\u306f\u300c\u8eca\u4e21\u672c\u4f53\u306b\u4ee3\u308f\u3063\u3066\u3076\u3064\u304b\u3063\u3066\u304f\u308c\u308b\u7269\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e lump \u3068 bump \u3092\u4f7f\u3046\u969b\u306b\u306f\u9806\u756a\u3082\u5927\u5207\u3067\u3059\u3002\u82f1\u8a9e\u3067\u306f \u201cHave you noticed any <strong>lumps<\/strong> or <strong>bump<\/strong>?\u201d \u306e\u3088\u3046\u306b\u3001<strong>\u5fc5\u305a lump \u2192 bump \u306e\u9806\u756a<\/strong>\u306b\u306a\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u9053\u8def\u3084\u30bd\u30d5\u30a1\u306a\u3069\u304c\u300c<strong>\u30b4\u30c4\u30b4\u30c4\u3057\u3066\u3044\u308b<\/strong>\u300d\u3068\u3044\u3046\u5834\u5408\u306b\u4f7f\u308f\u308c\u308b <strong>lumpy and dumpy<\/strong> \u3082 dumpy and lumpy \u3068\u3044\u3046\u8a9e\u9806\u306b\u306f\u306a\u3089\u306a\u3044\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>bulge<\/strong><\/span> \u3068\u306f\u300c\uff08\u5185\u5074\u304b\u3089\u62bc\u3055\u308c\u3066\u3067\u304d\u308b\uff09<strong>\u81a8\u3089\u307f<\/strong>\u300d\u306e\u3053\u3068\u3067\u3042\u308a\u3001\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u306a\u3069\u3001\u5185\u5074\u304b\u3089\u62bc\u3055\u308c\u3066\u8868\u9762\u306b\u73fe\u308c\u308b\u816b\u7624\u306a\u3069\u306b\u4f7f\u308f\u308c\u308b\u8868\u73fe\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b abdominal mass \u306f <strong>lump<\/strong>, <strong>bump<\/strong>, or <strong>bulge<\/strong> \u306e\u3044\u305a\u308c\u304b\u3067\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001\u3053\u306e3\u3064\u3092\u3057\u3063\u304b\u308a\u3068\u533a\u5225\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u899a\u3048\u3066\u304a\u304d\u305f\u3044\u300c\u8179\u90e8\u81a8\u9686\u300d\u306e 6 Fs <\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u307e\u305a\u3001\u300c<strong>\u8179\u90e8\u81a8\u9686<\/strong>\u300d<strong>abdominal distension\/distention<\/strong> \u306e\u9451\u5225\u75be\u60a3\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><a href=\"https:\/\/wp.meccari.jp\/eigocafe\/menu_67\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>Menu 67<\/strong><\/span><\/a> \u3067\u3082\u3054\u7d39\u4ecb\u3057\u305f\u3088\u3046\u306b\u3001abdominal distension\/distention \u306e\u539f\u56e0\u3068\u3057\u3066\u306f <strong>6 Fs<\/strong> \u3068\u3044\u3046 <strong>mnemonics<\/strong>\u300c<strong>\u8a9e\u5442\u5408\u308f\u305b\u30fb\u6697\u8a18\u6cd5<\/strong>\u300d\u304c\u4fbf\u5229\u3067\u3059\u3002<\/span><\/p>\r\n<p style=\"padding-bottom: 0.5rem;\"><span style=\"font-size: large;\"><strong>6 Fs of Abdominal Distension Causes:<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em>Fat<\/strong>: Accumulation of abdominal adiposity<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>Fluid<\/strong>: Presence of excess fluid, as in ascites<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>Flatus<\/strong>: Buildup of gas in the intestines<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>Feces<\/strong>: Impaction or accumulation in the intestines<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>Fetus<\/strong>: Pregnancy-related distension<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em>Fatal Tumor<\/strong>: Malignant growths that can cause enlargement<\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\"><strong>Fat<\/strong>\u300c<strong>\u8102\u80aa<\/strong>\u300d\u306b\u95a2\u3057\u3066\u306f\u3001\u300c<strong>\u5185\u81d3\u8102\u80aa<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>visceral adipose<\/strong><\/span> \u3068\u300c<strong>\u76ae\u4e0b\u8102\u80aa<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>subcutaneous adipose<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3092\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Fluid<\/strong>\u300c<strong>\u6db2\u4f53<\/strong>\u300d\u3068\u3057\u3066\u306f\u300c<strong>\u8179\u6c34<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>ascites<\/strong><\/span> \u304c\u91cd\u8981\u3067\u3059\u3002\u3053\u306e ascites \u304c\u3042\u308b\u72b6\u614b\u3067\u306f\u300c<strong>\u7279\u767a\u6027\u7d30\u83cc\u6027\u8179\u819c\u708e<\/strong>\u300d\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308a\u307e\u3059\u304c\u3001\u3053\u306e\u82f1\u8a9e\u306f <span style=\"background-color: #ffff33;\"><strong>spontaneous bacterial peritonitis (SBP)<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u65e5\u672c\u8a9e\u306e\u300c\u7279\u767a\u6027\u300d\u306b\u5f15\u304d\u305a\u3089\u308c\u3066 idiopathic \u3092\u4f7f\u308f\u305a\u3001\u300c<strong>\u81ea\u767a\u6027<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b <strong>spontaneous<\/strong> \u3092\u4f7f\u3046\u3068\u3044\u3046\u3053\u3068\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Flatus<\/strong>\u300c<strong>\u30ac\u30b9<\/strong>\u300d\u3068 <strong>Feces<\/strong>\u300c<strong>\u5927\u4fbf<\/strong>\u300d\u304c\u6e9c\u307e\u308b\u539f\u56e0\u3068\u3057\u3066\u306f\u300c<strong>\u8178\u9589\u585e<\/strong>\u300d\u304c\u91cd\u8981\u3067\u3059\u3002\u65e5\u672c\u3067\u306f\u300c\u8178\u9589\u585e\u300d\u306e\u3053\u3068\u3092\u300c\u30a4\u30ec\u30a6\u30b9\u300d\u3068\u8868\u73fe\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u82f1\u8a9e\u306e <span style=\"background-color: #ffff33;\"><strong>ileus<\/strong><\/span> \u306f\u300c<strong>\u9ebb\u75fa\u6027\u8178\u9589\u585e<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>paralytic bowel obstruction<\/strong><\/span> \u3092\u610f\u5473\u3057\u307e\u3059\u3002\u300c<strong>\u8178\u9589\u585e<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f <span style=\"background-color: #ffff33;\"><strong>bowel obstruction<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u306e\u3067\u9593\u9055\u3048\u306a\u3044\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002\u307e\u305f flatus \u3068\u3088\u304f\u4f3c\u305f\u8868\u73fe\u3068\u3057\u3066 <span style=\"background-color: #ffff33;\"><strong>flatulence<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002<span style=\"background-color: #ffff33;\"><strong>flatus<\/strong><\/span> \u306f\u300c<strong>\u30ac\u30b9\u305d\u306e\u3082\u306e<\/strong>\u300d\u3084\u300c<strong>\u30aa\u30ca\u30e9\u3092\u3059\u308b\u884c\u70ba<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u304c\u3001<span style=\"background-color: #ffff33;\"><strong>flatulence<\/strong><\/span> \u306b\u306f\u300c<strong>\u30ac\u30b9\u306e\u904e\u5270\u84c4\u7a4d<\/strong>\u300d\u3084\u300c<strong>\u30ac\u30b9\u304c\u6e9c\u307e\u308b\u3053\u3068\u306b\u3088\u308b\u4e0d\u5feb\u611f<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Fetus<\/strong>\u300c<strong>\u80ce\u5150<\/strong>\u300d\u306f\u598a\u5a20\u306b\u3088\u308b\u8179\u90e8\u306e\u81a8\u9686\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u305d\u3057\u3066 <strong>Fatal Mass<\/strong>\u300c<strong>\u81f4\u547d\u7684\u306a\u816b\u7624<\/strong>\u300d\u3068\u3057\u3066\u306f\u8179\u90e8\u306b\u3067\u304d\u308b\u69d8\u3005\u306a\u60aa\u6027\u816b\u760d\u3092\u8003\u3048\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u304b\u306a\u308a\u5927\u96d1\u628a\u306a\u5206\u985e\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001abdominal distension\/distention \u306e\u539f\u56e0\u3068\u3057\u3066\u3001\u3053\u306e 6 Fs \u306f\u82f1\u8a9e\u570f\u3067\u306f\u8ab0\u3082\u304c\u77e5\u3063\u3066\u3044\u308b\u4fbf\u5229\u306a\u3082\u306e\u3067\u3059\u306e\u3067\u3001\u3057\u3063\u304b\u308a\u3068\u8eab\u306b\u3064\u3051\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u300c\u5916\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u300d\u300c\u5185\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u300d\u300c\u5d4c\u9813\u300d\u300c\u7d5e\u627c\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u6b21\u306b\u300c<strong>\u8179\u90e8\u816b\u7624<\/strong>\u300d<strong>abdominal mass<\/strong> \u306e\u9451\u5225\u75be\u60a3\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u3067\u3082\u4e0a\u8ff0\u306e 6 Fs \u304c\u4f7f\u3048\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u308c\u306b\u52a0\u3048\u3066\u60aa\u6027\u816b\u760d\u3067\u306f\u306a\u3044 mass \u3067\u3042\u308b\u300c<strong>\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>inguinal hernia<\/strong><\/span> \u3082\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u306f\u3053\u306e inguinal hernia \u3068\u3044\u3046\u75c5\u540d\u3092\u5358\u306b <span style=\"background-color: #ffff33;\"><strong>hernia<\/strong><\/span> \u3068\u547c\u3093\u3060\u308a\u3001hernia in the <strong>groin<\/strong> \u306e\u3088\u3046\u306b inguinal \u3092\u4f7f\u308f\u305a\u306b <span style=\"background-color: #ffff33;\"><strong>groin<\/strong><\/span> \u3092\u4f7f\u3063\u3066\u8868\u73fe\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u75c7\u72b6\u3068\u3057\u3066\u306f\u3001\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u306f\u5148\u8ff0\u3057\u305f lump \u3084 bulge \u3092\u4f7f\u3063\u3066 \u201cI have a <strong>lump<\/strong> in my groin.\u201d \u3084 \u201cThere\u2019s a <strong>bulge<\/strong> that comes and goes in my groin.\u201d \u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u3002\u3053\u306e\u4ed6\u306b\u3082 \u201cSomething is <strong>popping out<\/strong> in my groin area.\u201d \u306e\u3088\u3046\u306b <strong>popping out<\/strong>\u300c<strong>\u98db\u3073\u51fa\u308b<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u3082\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u3067\u306f\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u3092\u300c<strong>\u4e0b\u8179\u58c1\u52d5\u8108<\/strong>\u300d<strong>inferior epigastric artery<\/strong> \u306e\u5916\u5074\u306e\u300c<strong>\u5916\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d\u3068\u3001\u5185\u5074\u306e\u300c<strong>\u5185\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d\u306b\u5206\u985e\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f\u3053\u308c\u306b\u76f8\u5f53\u3059\u308b lateral inguinal hernia \u3068 medial inguinal hernia \u3068\u3044\u3046\u8868\u73fe\u3092\u3042\u307e\u308a\u4f7f\u3044\u307e\u305b\u3093\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u5916\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d\u306f\u300c\uff08<strong>\u8179\u819c<\/strong>\uff09<strong>\u9798\u72b6\u7a81\u8d77<\/strong>\u300d<strong>processus vaginalis<\/strong> \u3068\u3044\u3046\u8179\u819c\u306e\u907a\u6b8b\u304c\u5b58\u5728\u3059\u308b\u5834\u5408\u306b\u767a\u751f\u3057\u307e\u3059\u3002\u3053\u3053\u3067\u306f\u5185\u5bb9\u7269\u304c\u8179\u58c1\u3092\u76f4\u63a5\u7a81\u304d\u7834\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u300c<strong>\u9f20\u5f84\u7ba1<\/strong>\u300d<strong>inguinal canal<\/strong> \u3092\u901a\u3063\u3066\u8179\u58c1\u3092\u300c<strong>\u9593\u63a5\u7684<\/strong>\u300d\u306b\u7a81\u304d\u7834\u308b\u306e\u3067\u3001\u3053\u306e\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u306f <span style=\"background-color: #ffff33;\"><strong>indirect inguinal hernia<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u7279\u306b\u7537\u5150\u306b\u591a\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066\u300c<strong>\u5185\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d\u306f\u3001\u8179\u58c1\u304c\u8106\u5f31\u306a <strong>Hesselbach&#8217;s triangle<\/strong> \u3092\u5185\u5bb9\u7269\u304c\u300c<strong>\u76f4\u63a5\u7684<\/strong>\u300d\u306b\u7a81\u304d\u7834\u308b\u3053\u3068\u3067\u751f\u3058\u308b\u306e\u3067\u3001<span style=\"background-color: #ffff33;\"><strong>direct inguinal hernia<\/strong><\/span> \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002heavy lifting, coughing, and constipation \u306a\u3069\u304c\u304d\u3063\u304b\u3051\u306b\u306a\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u300c<strong>\u5916\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>indirect inguinal hernia<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u300c<strong>\u5185\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d\u306f <span style=\"background-color: #ffff33;\"><strong>direct inguinal hernia<\/strong><\/span> \u3068\u547c\u3070\u308c\u308b\u306e\u304c\u4e00\u822c\u7684\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u3001\u7a81\u304d\u51fa\u305f\u30d8\u30eb\u30cb\u30a2\u304c\u5143\u306b\u623b\u3089\u306a\u304f\u306a\u3063\u305f\u72b6\u614b\u3092\u300c<strong>\u5d4c\u9813\uff08\u304b\u3093\u3068\u3093\uff09\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>incarcerated hernia<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u306b\u306f \u201cCan you push the lump\/bulge back in?\u201d \u3084 \u201cDoes the lump\/bulge stay out even when you lie down?\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u3092\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u5d4c\u9813\u30d8\u30eb\u30cb\u30a2\u304c\u9032\u884c\u3057\u3066\u5185\u5bb9\u7269\u306b\u8840\u6d41\u304c\u906e\u65ad\u3055\u308c\u305f\u72b6\u614b\u3092\u300c<strong>\u7d5e\u627c\uff08\u3053\u3046\u3084\u304f\uff09\u30d8\u30eb\u30cb\u30a2<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>strangulated hernia<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u306b\u306f \u201cIs the lump\/bulge very painful?\u201d \u3084 \u201cIs the lump\/bulge red, warm, or swollen?\u201d \u306e\u4ed6\u3001\u201cDo you feel sick or have you vomited?\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u3092\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u82f1\u8a9e\u3067 OSCE \u306e\u300c\u8179\u90e8\u8a3a\u5bdf\u300d\u3092\u3084\u3063\u3066\u307f\u3088\u3046\uff01<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u6700\u5f8c\u306b\u3001\u65e5\u672c\u306e Pre-CC OSCE \u306b\u304a\u3051\u308b\u300c<strong>\u8179\u90e8\u8a3a\u5bdf<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>abdominal examination<\/strong><\/span> \u3092\u82f1\u8a9e\u3067\u884c\u3046\u5834\u5408\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><a href=\"https:\/\/geekymedics.com\/abdominal-examination\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u3053\u3061\u3089<\/strong><\/span><\/a>\u306e Geeky Medics \u3068\u3044\u3046\u30b5\u30a4\u30c8\u3067\u306f\u3001\u82f1\u56fd\u306e OSCE \u3067\u306e\u9805\u76ee\u304c\u8a73\u7d30\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u9806\u5e8f\u3082\u542b\u3081\u3066\u65e5\u672c\u306e OSCE \u3068\u306f\u69d8\u3005\u306a\u70b9\u3067\u7570\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u3053\u3053\u3067\u306f\u65e5\u672c\u306e Pre-CC OSCE \u3067\u306e\u8179\u90e8\u8a3a\u5bdf\u3092\u82f1\u8a9e\u3067\u884c\u3046\u969b\u306b\u3001\u3069\u306e\u3088\u3046\u306a\u82f1\u8a9e\u8868\u73fe\u3092\u4f7f\u3046\u306e\u304b\u3092\u3054\u7d39\u4ecb\u3057\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p style=\"font-size: large; padding-bottom: 0.5rem;\">\r\n    <span style=\"color: #3366ff;\"><strong>Introduction: \u5c0e\u5165<\/strong><\/span><br>\r\n    \u307e\u305a\u306f\u6328\u62f6\u30fb\u81ea\u5df1\u7d39\u4ecb\u3067\u3059\u3002\u60a3\u8005\u3055\u3093\u306e\u6c0f\u540d\uff08\u30d5\u30eb\u30cd\u30fc\u30e0\uff09\u3068\u751f\u5e74\u6708\u65e5\u306f\u8ab2\u984c\u7528\u7d19\u306b\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u305d\u308c\u3089\u3092\u60a3\u8005\u3055\u3093\u306b\u53e3\u982d\u3067\u8ff0\u3079\u3066\u3082\u3089\u3044\u78ba\u8a8d\u3057\u307e\u3059\u3002\u8179\u75db\u306a\u3069\u306e\u75c7\u72b6\u306e\u6709\u7121\u3082\u3053\u3053\u3067\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u305d\u308c\u3089\u304c\u6e08\u3093\u3060\u3089\u30d9\u30c3\u30c9\u306b\u4ef0\u5411\u3051\u306b\u5bdd\u3066\u3082\u3089\u3044\u3001\u8179\u90e8\u3092\u51fa\u3057\u3066\u3082\u3089\u3044\u307e\u3057\u3087\u3046\u3002\r\n<\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cGood morning\/afternoon, my name is [Your Name]. I am one of the medical students at this hospital. I would like to perform an abdominal examination today. Would that be all right with you?\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cMay I confirm your full name and date of birth?\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cDo you have any pain or discomfort in your abdomen?\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease lie on your back on the bed and expose your abdomen.\u201d<\/li>\r\n<\/ul>\r\n<p style=\"font-size: large;\">\r\n    <span style=\"color: #3366ff;\"><strong>Inspection: \u8996\u8a3a<\/strong><\/span><br>\r\n    \u8996\u8a3a\u3067\u306f\u60a3\u8005\u3055\u3093\u306b\u6b21\u306e\u3088\u3046\u306b\u8ff0\u3079\u307e\u3059\u3002<br>\r\n    <span style=\"color: #3366ff;\">\u201cFirst, I\u2019ll take a close look at your abdomen. Please try to relax and breathe normally.\u201d<\/span>\r\n<\/p>\r\n<p style=\"padding-bottom: 1rem;\"><span style=\"font-size: large;\">\u305d\u3057\u3066\u8a66\u9a13\u5b98\u306b\u8996\u8a3a\u306e\u6240\u898b\u3092\u8ff0\u3079\u3066\u3044\u304d\u307e\u3059\u3002\u305d\u3053\u3067\u306f\u300c<strong>\u8179\u90e8\u306e\u5f62\u72b6<\/strong>\u300d\u300c<strong>\u76ae\u819a<\/strong>\u300d\u300c<strong>\u305d\u306e\u4ed6<\/strong>\u300d\u306b\u5206\u3051\u3066\u3001\u4e0b\u8a18\u306e\u6240\u898b\u306e\u6709\u7121\u3092\u8ff0\u3079\u3066\u3044\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n<p style=\"padding-bottom: 0;\"><span style=\"font-size: large;\"><strong><span style=\"background-color: #ffff33;\">Abdominal contour<\/span>: \u8179\u90e8\u306e\u5f62\u72b6<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; padding-bottom: 1rem;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Asymmetry: \u5de6\u53f3\u975e\u5bfe\u79f0<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Lateral protrusion: \u6a2a\u3078\u306e\u5f35\u308a\u51fa\u3057<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Distension\/distention: \u81a8\u9686<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Retraction: \u9665\u51f9<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Mass: \u816b\u7624<\/li>\r\n<\/ul>\r\n<p style=\"padding-bottom: 0;\"><span style=\"font-size: large;\"><strong><span style=\"background-color: #ffff33;\">Skin<\/span>: \u76ae\u819a<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; padding-bottom: 1rem;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Rash: \u76ae\u75b9<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Discoloration: \u7740\u8272\u6591<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Striae: \u76ae\u819a\u7dda\u6761<\/li>\r\n<\/ul>\r\n<p style=\"padding-bottom: 0;\"><span style=\"font-size: large;\"><strong><span style=\"background-color: #ffff33;\">Miscellaneous<\/span>: \u305d\u306e\u4ed6<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; padding-bottom: 0.5rem;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u624b\u8853\u7622\u75d5: surgical scar<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u9759\u8108\u6012\u5f35: venous distension\/distention<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u62cd\u52d5: pulsations<\/li>\r\n<\/ul>\r\n<p style=\" padding-bottom: 0.5rem;\"><span style=\"font-size: large;\">\u3053\u308c\u3089\u304c\u8a8d\u3081\u3089\u308c\u306a\u3051\u308c\u3070\u8a66\u9a13\u5b98\u306b\u6b21\u306e\u3088\u3046\u306b\u8ff0\u3079\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cOn inspection, the abdomen shows no asymmetry, lateral protrusion, distension, retraction, or masses.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cThe skin is free of rashes, discoloration, or striae.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cNo surgical scars, venous distension, or pulsations are noted.\u201d<\/li>\r\n<\/ul>\r\n<p style=\"font-size: large; padding-bottom: 0.5rem;\">\r\n    <span style=\"color: #3366ff;\"><strong>Auscultation: \u8074\u8a3a<\/strong><\/span><br>\r\n    \u8074\u8a3a\u3067\u306f <strong>peristalsis<\/strong>\u300c<strong>\u8815\u52d5\u904b\u52d5<\/strong>\u300d\u306b\u3088\u308b <strong>bowel sounds<\/strong>\u300c<strong>\u8178\u8815\u52d5\u97f3<\/strong>\u300d\u3068\u3001<strong>bruits<\/strong>\u300c<strong>\u8840\u7ba1\u96d1\u97f3<\/strong>\u300d\u306e\u6709\u7121\u3092\u8074\u53d6\u3057\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u4f1d\u3048\u307e\u3057\u3087\u3046\u3002\r\n<\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI\u2019m going to listen to your abdomen.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease let me know if the stethoscope feels too cold.\u201d<\/li>\r\n<\/ul>\r\n<p style=\"font-size: large; padding-bottom: 0.5rem;\">\r\n    <span style=\"color: #3366ff;\"><strong>Percussion: \u6253\u8a3a<\/strong><\/span><br>\r\n    \u6253\u8a3a\u3067\u306f\u8179\u90e89\u9818\u57df\u3067\u300c<strong>\u9f13\u97f3<\/strong>\u300d<strong>resonant sounds<\/strong> \u306e\u6709\u7121\u3092\u78ba\u8a8d\u3059\u308b\u4ed6\u3001\u300c\u809d\u81d3\u306e\u5927\u304d\u3055\u300d\u3068\u300c\u813e\u816b\u306e\u6709\u7121\u300d\u3092\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\r\n<\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI\u2019m going to tap on your abdomen now to check for any fluid or gas in your abdomen.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease let me know if my hands feel too cold.\u201d<\/li>\r\n    <li style=\"padding-bottom: 0.5rem;\"><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease let me know if you feel any pain or discomfort.\u201d<\/li>\r\n\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI will now tap to check the size of your liver.\u201d<\/li>\r\n    <li style=\"padding-bottom: 0.5rem;\"><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease stay relaxed and breathe normally.\u201d<\/li>\r\n\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI will tap to check your spleen now.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cLet me know if anything feels uncomfortable.\u201d<\/li>\r\n<\/ul>\r\n<p style=\"font-size: large; padding-bottom: 0.5rem;\">\r\n    <span style=\"color: #3366ff;\"><strong>Palpation: \u89e6\u8a3a<\/strong><\/span><br>\r\n    \u89e6\u8a3a\u3067\u306f\u3001\u307e\u305a 1 cm \u672a\u6e80\u306e\u300c<strong>\u6d45\u3044\u89e6\u8a3a<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>light palpation<\/strong><\/span> \u306b\u3066\u300c<strong>\u5727\u75db<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>tenderness<\/strong><\/span>\u3001\u300c<strong>\u7b4b\u6027\u9632\u5fa1<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>guarding<\/strong><\/span>\u3001\u305d\u3057\u3066\u300c<strong>\u5927\u304d\u306a\u816b\u7624<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>large mass<\/strong><\/span> \u306e\u6709\u7121\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u3053\u3053\u3067\u306f\u5229\u304d\u624b\u306e4\u672c\u306e\u6307\u3092\u63c3\u3048\u3001tenderness, guarding, or large masses \u304c\u306a\u3044\u304b\u3069\u3046\u304b\u3092\u63a2\u308b\u3088\u3046\u306b\u89e6\u3063\u3066\u3044\u304d\u307e\u3059\u3002\r\n<\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff; padding-bottom: 1rem;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI\u2019m going to press gently on your abdomen.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease let me know if you feel any pain or discomfort.\u201d<\/li>\r\n<\/ul>\r\n<p style=\" padding-bottom: 0.5rem;\"><span style=\"font-size: large;\">\u6b21\u306b 1 cm \u4ee5\u4e0a\u306e\u300c<strong>\u6df1\u3044\u89e6\u8a3a<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>deep palpation<\/strong><\/span> \u306b\u3066\u300c<strong>\u5c0f\u3055\u306a\u816b\u7624<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>small mass<\/strong><\/span> \u306e\u6709\u7121\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u3053\u3053\u3067\u306f\u5229\u304d\u624b\u306e4\u672c\u306e\u6307\u3092\u63c3\u3048\u3066\u305d\u308c\u3089\u3092 sensor \u3068\u3057\u3066\u4f7f\u3044\u3001\u5229\u304d\u624b\u306e\u53cd\u5bfe\u306e\u624b\u3092 motor \u3068\u3057\u3066\u4f7f\u3044\u307e\u3059\u3002\u62bc\u3059\u969b\u306b\u306f\u63a2\u3089\u305a\u3001\u624b\u3092\u5f15\u3044\u3066\u304f\u308b\u969b\u306b small masses \u306e\u6709\u7121\u3092\u63a2\u308a\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI will press a little deeper now.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease relax your stomach muscles as much as possible.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease let me know if you feel any pain or discomfort.\u201d<\/li>\r\n<\/ul>\r\n<p style=\" padding-bottom: 0.5rem;\"><span style=\"font-size: large;\">\u305d\u3057\u3066\u300c<strong>\u809d\u81d3\u306e\u89e6\u8a3a<\/strong>\u300d<strong>liver palpation<\/strong> \u3068\u300c<strong>\u813e\u81d3\u306e\u89e6\u8a3a<\/strong>\u300d<strong>spleen palpation<\/strong> \u3067\u306f\u3001\u4e0b\u8a18\u306e\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large; color: #3366ff;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI\u2019m going to check your liver by pressing gently under your right rib cage.\u201d<\/li>\r\n    <li style=\"padding-bottom: 0.5rem;\"><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease take a deep breath in and then breathe out slowly.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cI\u2019m going to check your spleen by pressing gently under your left rib cage.\u201d<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>\u201cPlease take a deep breath in and hold it for a moment.\u201d<\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3001\u6253\u8a3a\u3084\u89e6\u8a3a\u306e\u969b\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>monitor the patient\u2019s face for signs of discomfort<\/strong><\/span> \u3068\u3044\u3046\u3053\u3068\u3082\u5fd8\u308c\u306a\u3044\u3067\u304f\u3060\u3055\u3044\u306d\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\u300c<strong>\u8179\u90e8\u81a8\u9686<\/strong>\u300d<strong>abdominal distension\/distention<\/strong> \u306e 6 Fs \u3092\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p style=\"padding-bottom: 0.5rem;\"><span style=\"font-size: large;\">6 Fs of Abdominal Distension Causes:<\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Fat: Accumulation of abdominal adiposity<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Fluid: Presence of excess fluid, as in ascites<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Flatus: Buildup of gas in the intestines<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Feces: Impaction or accumulation in the intestines<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Fetus: Pregnancy-related distension<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Fatal Tumor: Malignant growths that can cause enlargement<\/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<br class=\"sp\">\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\u8179\u90e8\u81a8\u9686\u30fb\u816b\u7624\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3067\u3059\u3002 \u304a\u8179\u304c\u81a8\u3089\u3080\u300c\u8179\u90e8\u81a8\u9686\u300d\u3068","protected":false},"author":14,"featured_media":13390,"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-13389","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\/13389","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=13389"}],"version-history":[{"count":3,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/13389\/revisions"}],"predecessor-version":[{"id":14847,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/13389\/revisions\/14847"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/13390"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=13389"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=13389"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=13389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}