{"id":14657,"date":"2025-05-01T09:00:16","date_gmt":"2025-05-01T00:00:16","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=14657"},"modified":"2025-04-30T12:00:45","modified_gmt":"2025-04-30T03:00:45","slug":"menu_74","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_74\/","title":{"rendered":"Menu 74\u3000\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u5b9f\u8df5\u7de8"},"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-h_indent,\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.ul_p-l {\r\n    padding-left: 1.5em;\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>\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u5b9f\u8df5\u7de8<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u6d77\u5916\u3067\u306e\u81e8\u5e8a\u5b9f\u7fd2\u306b\u304a\u3044\u3066\u5fc5\u8981\u3068\u306a\u308b\u533b\u5b66\u82f1\u8a9e\u30b9\u30ad\u30eb\u306f\u300c<strong>\u533b\u7642\u9762\u63a5<\/strong>\u300d\u300c<strong>\u30ab\u30eb\u30c6\u8a18\u8f09<\/strong>\u300d\u3068\u300c<strong>\u75c7\u4f8b\u5831\u544a = \u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u300d\u306e3\u3064\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e3\u3064\u306e\u4e2d\u3067\u6700\u3082\u91cd\u8981\u5ea6\u304c\u9ad8\u304f\u3001\u307e\u305f\u96e3\u6613\u5ea6\u3082\u9ad8\u3044\u306e\u304c\u300c<strong>\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u300d\u306e\u30b9\u30ad\u30eb\u3067\u3059\u3002\u3053\u306e\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u3082\u300c<a href=\"\/eigocafe\/menu_30\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>Menu 30 \u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u57fa\u790e\u7de8<\/strong><\/span><\/a>\u300d\u3068\u300c<a href=\"\/eigocafe\/menu_49\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>Menu 49  \u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u4e2d\u7d1a\u7de8<\/strong><\/span><\/a>\u300d\u306b\u304a\u3044\u3066\u3001\u3053\u306e\u96e3\u3057\u3044\u30b9\u30ad\u30eb\u306e\u7fd2\u5f97\u65b9\u6cd5\u306b\u3064\u3044\u3066\u3054\u7d39\u4ecb\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u5b9f\u969b\u306e\u533b\u7642\u73fe\u5834\u306b\u304a\u3044\u3066\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u5b9f\u8df5\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u305f\u3081\u306b\u306f\u3001\u3082\u30461\u3064\u30ec\u30d9\u30eb\u30a2\u30c3\u30d7\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u306e\u5b9f\u8df5\u304c\u53ef\u80fd\u3068\u306a\u308b\u300c<strong>\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u5b9f\u8df5\u7de8<\/strong>\u300d\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>\u6b8b\u5ff5\u306a\u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3068\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u901a\u7528\u3059\u308b\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u8003\u3048\u308b\u4e0a\u3067\u3001\u300c<strong>\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u901a\u7528\u3057\u306a\u3044\u6b8b\u5ff5\u306a\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u300d\u3092\u8003\u3048\u308b\u3053\u3068\u306f\u6709\u7528\u3067\u3059\u3002\u79c1\u304c\u3053\u308c\u307e\u3067\u906d\u9047\u3057\u3066\u304d\u305f\u300c<strong>\u6b8b\u5ff5\u306a\u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u300d\u306b\u306f\u4e0b\u8a18\u306e3\u3064\u306e\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    <span style=\"color: #1e90ff;\"><strong>Random-Walk Presentation<\/strong><\/span><br>\r\n    \u3053\u308c\u306f\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u300c<strong>\u578b<\/strong>\u300d\u306b\u6cbf\u3063\u3066\u304a\u3089\u305a\u3001\u7cfb\u7d71\u7acb\u3063\u3066\u3044\u306a\u3044\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u3059\u3002\r\n<\/p>\r\n<p style=\"font-size: large; padding-bottom: 0.5rem;\">\u65e5\u672c\u306e\u533b\u5b66\u751f\u306e\u533b\u7642\u9762\u63a5\u3092\u89b3\u5bdf\u3057\u3066\u3044\u308b\u3068\u3001\u4e0b\u8a18\u306e\u300c<strong>\u8a9e\u5442\u5408\u308f\u305b<\/strong>\u300d\u3092\u4f7f\u3046\u65b9\u304c\u591a\u3044\u3068\u611f\u3058\u3066\u3044\u307e\u3059\u3002<\/p>\r\n<p><span style=\"font-size: large;\">\r\n    O: Onset<br>\r\n    P: Provoking &#038; Palliating Factors<br>\r\n    Q: Quality<br>\r\n    R: Region &#038; Radiation<br>\r\n    S: Severity<br>\r\n    T: Timing<br>\r\n    \u304b\uff1a\u5bb6\u65cf\u6b74<br>\r\n    \u304d\uff1a\u65e2\u5f80\u6b74<br>\r\n    \u304f\uff1a\u85ac\uff06\u30a2\u30ec\u30eb\u30ae\u30fc<br>\r\n    \u3051\uff1a\u5065\u5eb7\u8a3a\u65ad<br>\r\n    \u3053\uff1a\u6d77\u5916\u6e21\u822a\u6b74<br>\r\n    \u3055\uff1a\u9152&#038;\u30bf\u30d0\u30b3<br>\r\n    \u3057\uff1a\u8077\u696d\u30fb\u98df\u4e8b<br>\r\n    \u3059\uff1a\u7761\u7720<br>\r\n    \u305b\uff1a\u6027\u6d3b\u52d5<br>\r\n    \u305d\uff1a\u305d\u306e\u4ed6\u89e3\u91c8\u30e2\u30c7\u30eb\u306a\u3069<\/span>\r\n<\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u308c\u3092<strong>\u305d\u306e\u307e\u307e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u3082\u5fdc\u7528\u3057\u3066\u3044\u308b<\/strong>\u5b66\u751f\u3055\u3093\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3001<span style=\"color: #fe3d45;\"><strong>\u3053\u306e\u8a9e\u5442\u5408\u308f\u305b\u306f\u533b\u7642\u9762\u63a5\u3060\u3051\u3067\u306a\u304f\u3001\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u3044\u3066\u3082\u5168\u304f\u901a\u7528\u3057\u306a\u3044<\/strong><\/span>\u3060\u3051\u3067\u306a\u304f\u3001<span style=\"color: #fe3d45;\"><strong>\u4f7f\u3063\u305f\u5834\u5408\u306b\u306f\u305d\u306e\u5b66\u751f\u306e\u5370\u8c61\u304c\u304b\u306a\u308a\u60aa\u304f\u306a\u308a\u307e\u3059<\/strong><\/span>\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3046\u3044\u3063\u305f\u5b89\u76f4\u306a\u8a9e\u5442\u5408\u308f\u305b\u306f\u5b66\u751f\u76ee\u7dda\u3067\u306f\u8a66\u9a13\u5bfe\u7b56\u3068\u3057\u3066\u4fbf\u5229\u306a\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u304c\u3001\u533b\u7642\u9762\u63a5\u3084\u75c7\u4f8b\u5831\u544a\u3067\u306f\u300c<span style=\"color: #fe3d45;\"><strong>\u9806\u5e8f\u3082\u91cd\u8981\uff01<\/strong><\/span>\u300d\u306a\u306e\u3067\u3059\u3002\u4e0a\u8a18\u306e\u8a9e\u5442\u5408\u308f\u305b\u306e\u9805\u76ee\u3067\u82f1\u8a9e\u3067\u306e\u533b\u7642\u9762\u63a5\u3084\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3063\u305f\u5834\u5408\u3001\u300c<strong>\u3042\u306a\u305f\u306f\u3069\u3053\u3067\u305d\u3093\u306a\uff08\u3072\u3069\u3044\uff09\u6559\u80b2\u3092\u53d7\u3051\u3066\u304d\u305f\u306e\uff1f<\/strong>\u300d\u3068\uff08\u672c\u6c17\u3067\uff09\u8efd\u8511\u3055\u308c\u307e\u3059\u306e\u3067\u3001\u5341\u5206\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u533b\u7642\u9762\u63a5\u3082\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3082\u6c7a\u307e\u3063\u305f\u9805\u76ee\u3092\u6c7a\u307e\u3063\u305f\u9806\u5e8f\u3067\u8ff0\u3079\u3066\u3044\u304f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u300c<strong>\u4f55\u3092\u3069\u306e\u9806\u5e8f\u3067\u8ff0\u3079\u3066\u3044\u304f\u3079\u304d\u304b\u308f\u304b\u3089\u306a\u3044<\/strong>\u300d\u3068\u3044\u3046\u5834\u5408\u3001\u305d\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306f <span style=\"color: #1e90ff;\"><strong>Random-Walk Presentation<\/strong><\/span> \u3068\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u300c\u4f55\u3092\u3069\u306e\u9806\u5e8f\u3067\u8ff0\u3079\u3066\u3044\u304f\u3079\u304d\u304b\u308f\u304b\u3089\u306a\u3044\u300d\u3068\u3044\u3046\u65b9\u306f\u3001\u300c<a href=\"\/eigocafe\/menu_30\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u57fa\u790e\u7de8<\/strong><\/span><\/a>\u300d\u3092\u8aad\u3093\u3067\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u300c<strong>\u578b<\/strong>\u300d\u3092\u8eab\u306b\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    <span style=\"color: #1e90ff;\"><strong>Cherry-Picking Presentation<\/strong><\/span><br>\r\n    \u3053\u308c\u306f\u533b\u5b66\u751f\u304c\u90fd\u5408\u306e\u3088\u3044\u60c5\u5831\u3060\u3051\u3092\u62fe\u3063\u3066\u5831\u544a\u3057\u3001\u8a3a\u65ad\u306b\u5fc5\u8981\u306a\u60c5\u5831\u304c\u5341\u5206\u306b\u63d0\u4f9b\u3055\u308c\u306a\u3044\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u3059\u3002\r\n<\/p>\r\n<p><span style=\"font-size: large;\">\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u76ee\u7684\u306f\u300c<strong>\u60a3\u8005\u60c5\u5831\u306e\u4e26\u5217\u5316<\/strong>\u300d\u3067\u3059\u3002\u6307\u5c0e\u533b\u306b\u3068\u3063\u3066\u306f\u533b\u5b66\u751f\u306e\u6559\u80b2\u3060\u3051\u3067\u306a\u304f\u3001\u5bfe\u8c61\u3068\u306a\u308b\u60a3\u8005\u306e\u8a3a\u65ad\u3084\u6cbb\u7642\u306b\u5fc5\u8981\u306a\u60c5\u5831\u53ce\u96c6\u306e\u5834\u3067\u3082\u3042\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u533b\u5b66\u751f\u304c\u81ea\u5206\u306e\u5224\u65ad\u3067\u300c<strong>\u3053\u308c\u306f\u8ff0\u3079\u306a\u304f\u3066\u3082\u554f\u984c\u306a\u3044<\/strong>\u300d\u3068\u5224\u65ad\u3057\u3066\u3082\u3001\u6307\u5c0e\u533b\u306b\u3068\u3063\u3066\u306f\u300c<span style=\"color: #fe3d45;\"><strong>\u305d\u306e\u60c5\u5831\u3092\u524a\u9664\u3055\u308c\u3066\u306f\u56f0\u308b\uff01<\/strong><\/span>\u300d\u3068\u306a\u308b\u5834\u5408\u3082\u3042\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u73fe\u75c5\u6b74<\/strong>\u300d<strong>History of Present Illness<\/strong> \u306b\u95a2\u3057\u3066\u3082\u3053\u306e\u3088\u3046\u306a\u3053\u3068\u306f\u8d77\u3053\u308a\u307e\u3059\u304c\u3001\u7279\u306b\u300c<strong>\u793e\u4f1a\u6b74<\/strong>\u300d<strong>Social History<\/strong> \u3084\u300c<strong>\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u300d<strong>Physical Examination<\/strong> \u306b\u95a2\u3057\u3066\u306f\u3001\u6307\u5c0e\u533b\u304b\u3089\u898b\u3066\u300c<strong>\u305d\u3053\u306f\u7701\u7565\u3057\u3066\u3082\u3089\u3044\u305f\u304f\u306a\u3044\u3093\u3060\u3051\u3069\u2026<\/strong>\u300d\u3068\u611f\u3058\u308b\u3053\u3068\u304c\u591a\u304f\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u300c<strong>\u9670\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d<span style=\"color: #fe3d45;\"><strong>pertinent negatives<\/strong><\/span> \u3082\u8ff0\u3079\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e pertinent negatives \u3092\u542b\u3081\u3066\u300c<strong>\u3069\u306e\u9805\u76ee\u3092\u3069\u3093\u306a\u82f1\u8a9e\u8868\u73fe\u3067\u8ff0\u3079\u3066\u3044\u304f\u3079\u304d\u304b\u308f\u304b\u3089\u306a\u3044<\/strong>\u300d\u3068\u3044\u3046\u65b9\u306f\u3001\u300c<a href=\"\/eigocafe\/menu_49\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u4e2d\u7d1a\u7de8<\/strong><\/span><\/a>\u300d\u3092\u8aad\u3093\u3067\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u8ff0\u3079\u308b\u3079\u304d\u9805\u76ee\u3068\u305d\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u8eab\u306b\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    <span style=\"color: #1e90ff;\"><strong>Parrot-Style Presentation<\/strong><\/span><br>\r\n    \u3053\u308c\u306f\u60a3\u8005\u306e\u8a00\u3063\u305f\u3053\u3068\u3092 <strong>parrot<\/strong>\u300c<strong>\u30aa\u30a6\u30e0<\/strong>\u300d\u306e\u3088\u3046\u306b\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\u3060\u3051\u306e\u5831\u544a\u3067\u3001\u8a3a\u65ad\u306b\u95a2\u3059\u308b\u60c5\u5831\u306e\u610f\u5473\u3065\u3051\u304c\u306a\u3044\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u3059\u3002\r\n<\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e Parrot-Style Presentation \u306f\u300c<a href=\"\/eigocafe\/menu_30\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u57fa\u790e\u7de8<\/strong><\/span><\/a>\u300d\u3068\u300c<a href=\"\/eigocafe\/menu_49\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u4e2d\u7d1a\u7de8<\/strong><\/span><\/a>\u300d\u3092\u5fe0\u5b9f\u306b\u5b88\u3063\u3066\u3044\u308b<strong>\u3060\u3051<\/strong>\u306e\u65b9\u306b\u3082\u591a\u304f\u898b\u3089\u308c\u308b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u3001<strong>Newspaper-Style Presentation<\/strong> \u3068\u3082\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e <strong>Parrot-Style Presentation<\/strong> \u3067\u306f\u3001\u533b\u5b66\u751f\u306f\u60a3\u8005\u306e\u8a71\u3057\u305f\u5185\u5bb9\u3092\u305d\u306e\u307e\u307e\u7e70\u308a\u8fd4\u3059\u3060\u3051\u3067\u300c<strong>\u3053\u306e\u60c5\u5831\u306f\u306a\u305c\u91cd\u8981\u306a\u306e\u304b<\/strong>\u300d\u3068\u3044\u3046\u81e8\u5e8a\u7684\u5224\u65ad\u3092\u884c\u3063\u3066\u3044\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u63d0\u4f9b\u3055\u308c\u308b\u60c5\u5831\u306b\u512a\u5148\u9806\u4f4d\u306f\u306a\u304f\u3001\u805e\u304d\u624b\u306f\u8a3a\u65ad\u306b\u5fc5\u8981\u306a\u60c5\u5831\u3092\u81ea\u5206\u3067\u63a2\u3057\u306a\u304c\u3089\u805e\u304f\u5fc5\u8981\u304c\u3042\u308b\u305f\u3081\u3001\u5927\u304d\u306a\u8a8d\u77e5\u7684\u8ca0\u62c5\u304c\u304b\u304b\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u3053\u306e\u3088\u3046\u306a Parrot-Style Presentation \u306f\u300c<strong>\u8a3a\u65ad\u306f\u805e\u3044\u3066\u3044\u308b\u6307\u5c0e\u533b\u306e\u5148\u751f\u304c\u884c\u3063\u3066\u304f\u3060\u3055\u3044<\/strong>\u300d\u3068\u5319\u3092\u6295\u3052\u305f\u3088\u3046\u306a\u611f\u3058\u3068\u306a\u308a\u3001\u975e\u5e38\u306b\u5370\u8c61\u304c\u60aa\u304f\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4ee5\u4e0a\u3092\u7c21\u5358\u306b\u307e\u3068\u3081\u308b\u3068\u3001\u300c\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u4e0d\u6163\u308c\u306a\u521d\u5b66\u8005\u306f\u3001\u307e\u305a <span style=\"color: #1e90ff;\"><strong>Random-Walk Presentation<\/strong><\/span> \u306b\u9665\u308a\u304c\u3061\u3067\u3059\u3002\u305d\u3053\u304b\u3089\u300c<strong>\u578b<\/strong>\u300d\u3092\u5b66\u3093\u3067\u3082\u3001\u5fc5\u8981\u306a\u60c5\u5831\u3092\u7701\u3044\u3066\u81ea\u5206\u306b\u90fd\u5408\u306e\u826f\u3044\u5185\u5bb9\u3060\u3051\u3092\u5831\u544a\u3059\u308b <span style=\"color: #1e90ff;\"><strong>Cherry-Picking Presentation<\/strong><\/span> \u306b\u306a\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u305f\u3068\u3048\u300c\u578b\u300d\u306b\u6cbf\u3063\u3066\u3059\u3079\u3066\u306e\u9805\u76ee\u3092\u4e01\u5be7\u306b\u8ff0\u3079\u305f\u3068\u3057\u3066\u3082\u3001\u81e8\u5e8a\u7684\u5224\u65ad\u3092\u52a0\u3048\u305a\u306b\u60a3\u8005\u306e\u8a71\u3057\u305f\u5185\u5bb9\u3092\u305d\u306e\u307e\u307e\u4f1d\u3048\u308b\u3060\u3051\u3067\u306f\u3001<span style=\"color: #1e90ff;\"><strong>Parrot-Style Presentation<\/strong><\/span> \u306b\u306a\u3063\u3066\u3057\u307e\u3044\u3001\u805e\u304d\u624b\u306b\u5927\u304d\u306a\u8a8d\u77e5\u7684\u8ca0\u8377\u3092\u4e0e\u3048\u307e\u3059\u3002\u300d\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u7406\u60f3\u7684\u306a Diagnostic Framing Presentation \u306b\u3059\u308b\u305f\u3081\u306e4\u3064\u306e\u30b9\u30c6\u30c3\u30d7<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3053\u308c\u3089\u306e\u6b8b\u5ff5\u306a\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u5bfe\u3057\u3066\u3001\u7406\u60f3\u7684\u306a\u8a3a\u65ad\u5fd7\u5411\u578b\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u3053\u3068\u3092 <span style=\"color: #1e90ff;\"><strong>Diagnostic Framing Presentation<\/strong><\/span> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u82f1\u8a9e\u570f\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u5b9f\u8df5\u3059\u308b\u969b\u306b\u306f\u3001\u3053\u306e Diagnostic Framing Presentation \u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u3053\u306e Diagnostic Framing Presentation \u3092\u884c\u3046\u306b\u306f\u3001\u3069\u306e\u3088\u3046\u306a\u70b9\u306b\u6ce8\u610f\u3059\u308c\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\uff1f\u3053\u3053\u3067\u306f\u305d\u306e\u5177\u4f53\u7684\u306a4\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p class=\"list-h_indent\" style=\"font-size: large; padding-bottom: 0\"><span style=\"color: #1e90ff;\"><strong>1. Patient Information: Use a One-Liner with Semantic Qualifiers<\/strong><\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    \u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u3044\u3066\u6700\u521d\u306e\u9805\u76ee\u3068\u306a\u308b <span style=\"color: #fe3d45;\"><strong>Patient Information<\/strong><\/span> \u3067\u3059\u304c\u3001\u300c<a href=\"\/eigocafe\/menu_30\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u57fa\u790e\u7de8<\/strong><\/span><\/a>\u300d\u3067\u3082\u793a\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u3001\u4e0b\u8a18\u306e\u9805\u76ee\u3092\u5165\u308c\u305f\u300c<strong>\u30a4\u30f3\u30d1\u30af\u30c8\u306e\u3042\u308b1\u884c\u306e\u6587<\/strong>\u300d<span style=\"color: #fe3d45;\"><strong>one-liner<\/strong><\/span> \u3067\u8868\u73fe\u3059\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\r\n<\/p>\r\n<p style=\"padding-bottom: 0\"><span style=\"font-size: large;\"><strong>Patient Information: Basic One-Liner<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Age: \u5e74\u9f62<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Sex: \u6027\u5225<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Pertinent risk factors: \u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u306e\u3042\u308b\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Duration of the chief complaint: \u4e3b\u8a34\u306e\u6301\u7d9a\u6642\u9593<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Chief complaint: \u4e3b\u8a34<\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u3057\u304b\u3057 Diagnostic Framing Presentation \u3067\u306f\u3001\u6700\u5f8c\u306e Chief Complaint \u3092 <span style=\"color: #fe3d45;\"><strong>semantic qualifiers<\/strong><\/span> \u3067\u4fee\u98fe\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p style=\"padding-bottom: 0\"><span style=\"font-size: large; color: #fe3d45;\"><strong>Patient Information: One-Liner with Semantic Qualifiers<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Age: \u5e74\u9f62<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Sex: \u6027\u5225<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Pertinent risk factors: \u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u306e\u3042\u308b\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Duration of the chief complaint: \u4e3b\u8a34\u306e\u6301\u7d9a\u6642\u9593<\/li>\r\n    <li><strong><span style=\"color: #fe3d45;\">\u2022<em>\u3000<\/em>Chief complaint modified with semantic qualifiers: semantic qualifiers \u3067\u4fee\u98fe\u3055\u308c\u305f\u4e3b\u8a34<\/span><\/strong><\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>semantic qualifiers<\/strong><\/span> \u3068\u306f\u3001<span style=\"color: #fe3d45;\"><strong>descriptive terms that classify clinical findings to refine differential diagnosis<\/strong><\/span>\u300c<strong>\u9451\u5225\u8a3a\u65ad\u3092\u7d5e\u308b\u305f\u3081\u306b\u3001\u81e8\u5e8a\u6240\u898b\u3092\u5206\u985e\u30fb\u7279\u5fb4\u3065\u3051\u308b\u533b\u5b66\u7528\u8a9e<\/strong>\u300d\u306e\u3053\u3068\u3067\u3042\u308a\u3001\u79c1\u306f\u901a\u5e38\u300c<strong>\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u3092\u4e0e\u3048\u308b\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u3068\u3057\u3066\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e One-Liner with Semantic Qualifiers \u3068\u306f\u3001 \u5177\u4f53\u7684\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u3082\u306e\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Case 1<\/strong>: The patient is a 34-year-old man with no significant medical history, who presented with a <span style=\"color: #fe3d45;\"><strong>gradual<\/strong><\/span>-onset, <span style=\"color: #fe3d45;\"><strong>bilateral squeezing<\/strong><\/span> headache with <span style=\"color: #fe3d45;\"><strong>distracting intensity<\/strong><\/span>, persistent for several hours, sometimes <span style=\"color: #fe3d45;\"><strong>relieved with physical activity<\/strong><\/span>.<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Case 2<\/strong>: The patient is a 29-year-old woman with a history of <span style=\"color: #fe3d45;\"><strong>recurrent<\/strong><\/span> headaches, who presented with a six-hour history of <span style=\"color: #fe3d45;\"><strong>gradual<\/strong><\/span>-onset <span style=\"color: #fe3d45;\"><strong>unilateral pulsating<\/strong><\/span> headache with <span style=\"color: #fe3d45;\"><strong>disabling<\/strong><\/span> intensity, associated with <span style=\"color: #fe3d45;\"><strong>nausea, photophobia<\/strong><\/span>, and prior episodes with <span style=\"color: #fe3d45;\"><strong>aura<\/strong><\/span>.<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3069\u3061\u3089\u306e\u75c7\u4f8b\u3082 headache \u304c\u4e3b\u8a34\u3067\u3059\u304c\u3001Case 1\u3067\u306f <strong>tension headache<\/strong>\u300c<strong>\u7dca\u5f35\u6027\u982d\u75db<\/strong>\u300d\u3092\u793a\u5506\u3059\u308b semantic qualifiers \u304c\u3001Case 2 \u3067\u306f <strong>migraine<\/strong>\u300c<strong>\u7247\uff08\u504f\uff09\u982d\u75db<\/strong>\u300d\u3092\u793a\u5506\u3059\u308b semantic qualifiers \u304c\u305d\u308c\u305e\u308c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u307e\u305a\u306f\u6700\u521d\u306e\u9805\u76ee\u3067\u3042\u308b Patient Information \u306b\u304a\u3044\u3066\u3001\u3069\u306e\u3088\u3046\u306a\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u3066\u3044\u308b\u306e\u304b\u3092\u660e\u78ba\u306b\u793a\u5506\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u306b Chief Complaint \u3092 semantic qualifiers \u3067\u4fee\u98fe\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u5fc3\u304c\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p class=\"list-h_indent\" style=\"font-size: large; padding-bottom: 0\"><span style=\"color: #1e90ff;\"><strong>2. HPI: Focus on Pertinent Positives &#038; Negatives for Differential Diagnosis<\/strong><\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    \u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u6700\u91cd\u8981\u306a\u306e\u304c <span style=\"color: #fe3d45;\"><strong>History of Present Illness<\/strong><\/span>\u300c<strong>\u73fe\u75c5\u6b74<\/strong>\u300d\u3067\u3059\u3002\u3053\u3053\u3067\u306f\u4e0b\u8a18\u306e\u9805\u76ee\u306b\u6cbf\u3063\u3066\u8ff0\u3079\u308b\u3088\u3046\u306b\u5fc3\u304c\u3051\u307e\u3057\u3087\u3046\u3002\r\n<\/p>\r\n<p style=\"padding-bottom: 0\"><span style=\"font-size: large;\"><strong>History of Present Illness (HPI)<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Chronological changes of the chief complaint<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Detailed information about the chief complaint<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Symptoms associated with the chief complaint<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Patient\u2019s concerns<\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u307e\u305f HPI \u3067\u306f\u300c<strong>\u967d\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u3067\u3042\u308b <span style=\"color: #fe3d45;\"><strong>pertinent positives<\/strong><\/span> \u3068\u300c<strong>\u9670\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u3067\u3042\u308b <span style=\"color: #fe3d45;\"><strong>pertinent negatives<\/strong><\/span> \u3092\u8ff0\u3079\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u308c\u3089\u306e\u4e21\u65b9\u3001\u7279\u306b \u4e0b\u8a18\u306b\u8d64\u5b57\u3067\u793a\u3057\u3066\u3044\u308bpertinent negatives \u3092\u8ff0\u3079\u306a\u3044\u533b\u5b66\u751f\u304c\u591a\u3044\u306e\u3067\u3001\u6ce8\u610f\u3057\u3066\u8ff0\u3079\u308b\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    <strong>Patient Information with Semantic Qualifiers<\/strong><br>\r\n    A 58-year-old man with poorly controlled hypertension and hyperlipidemia presented with progressively worsening, exertion-induced, substernal chest pressure over the past four days.\r\n<\/p>\r\n<p style=\"font-size: large;\">\r\n    <strong>History of Present Illness with Pertinent Positives &#038; Negatives for Differential Diagnosis<\/strong><br>\r\n    Four days prior to presentation, the patient began experiencing intermittent chest discomfort described as a dull, pressure-like sensation localized to the retrosternal area. These episodes occurred during moderate physical exertion, such as walking uphill, and consistently subsided within a few minutes of rest. At that time, the discomfort was mild, non-radiating, and lasted less than five minutes per episode.\r\n<\/p>\r\n<p><span style=\"font-size: large;\">Two days prior, the patient noticed that the episodes became more frequent and slightly more intense. The pain continued to appear with exertion but required longer periods of rest to resolve. There was still no radiation, and the discomfort remained non-pleuritic and non-positional. He reported no relief from over-the-counter analgesics.<\/span><\/p>\r\n<p><span style=\"font-size: large;\">On the day prior to admission, he experienced his most severe episode while carrying groceries up a short flight of stairs. The pain was moderate in intensity, lasted approximately 20 minutes, and was accompanied by a sense of breathlessness. He <span style=\"color: #fe3d45;\"><strong>denied diaphoresis<\/strong><\/span>, <span style=\"color: #fe3d45;\"><strong>nausea<\/strong><\/span>, <span style=\"color: #fe3d45;\"><strong>vomiting<\/strong><\/span>, <span style=\"color: #fe3d45;\"><strong>palpitations<\/strong><\/span>, or <span style=\"color: #fe3d45;\"><strong>lightheadedness<\/strong><\/span>. There was <span style=\"color: #fe3d45;\"><strong>no recent trauma<\/strong><\/span>, <span style=\"color: #fe3d45;\"><strong>cough<\/strong><\/span>, <span style=\"color: #fe3d45;\"><strong>fever<\/strong><\/span>, or <span style=\"color: #fe3d45;\"><strong>upper respiratory symptoms<\/strong><\/span>. The pain resolved spontaneously with rest.<\/span><\/p>\r\n<p><span style=\"font-size: large;\">Since that episode, he has been pain-free at rest but has avoided exertion due to fear of recurrence. He expresses growing anxiety about the possibility of a serious heart problem, particularly because his father had a myocardial infarction at a similar age.<\/span><\/p>\r\n<p class=\"list-h_indent\" style=\"font-size: large; padding-bottom: 0\"><span style=\"color: #1e90ff;\"><strong>3. PMH-ROS &#038; Physical Exam: Present Systematically<\/strong><\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    History of Present Illness \u3092\u8ff0\u3079\u305f\u5f8c\u306f\u3001<strong>Past Medical History<\/strong>\u300c<strong>\u65e2\u5f80\u6b74<\/strong>\u300d\u304b\u3089 <strong>Review of Systems<\/strong>\u300c<strong>\u30b7\u30b9\u30c6\u30e0\u30ec\u30d3\u30e5\u30fc<\/strong>\u300d\u307e\u3067\u3001\u5fc5\u8981\u306a\u9805\u76ee\u3092\u9069\u5207\u306a\u9806\u5e8f\u3067\u5168\u3066\u8ff0\u3079\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002\u307e\u305f <strong>Physical Examination<\/strong>\u300c<strong>\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u300d\u306b\u304a\u3044\u3066\u3082\u3001\u53d6\u5f97\u3057\u3066\u304d\u305f\u60c5\u5831\u306f\u5168\u3066\u8ff0\u3079\u3066\u304f\u3060\u3055\u3044\u3002\u3053\u3046\u3059\u308b\u3053\u3068\u3067 Cherry-Picking Presentation \u3068\u306a\u308b\u3053\u3068\u3092\u907f\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\r\n<\/p>\r\n<p class=\"list-h_indent\" style=\"font-size: large; padding-bottom: 0\"><span style=\"color: #1e90ff;\"><strong>4. Summary: Combine One-Liner + Pertinent Positives Modified by Semantic Qualifiers<\/strong><\/span><\/p>\r\n<p style=\"font-size: large;\">\r\n    \u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u3044\u3066\u3001\u6700\u3082\u91cd\u8981\u306a\u90e8\u5206\u304c\u6700\u5f8c\u306e <span style=\"color: #fe3d45;\"><strong>Summary<\/strong><\/span> \u3067\u3059\u3002\u8a3a\u7642\u79d1\u3084\u8a3a\u7642\u5834\u9762\u306b\u3088\u3063\u3066\u306f\u3053\u306e Summary \u3060\u3051\u3092\u8ff0\u3079\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u308b\u5834\u5408\u3082\u3042\u308b\u306e\u3067\u3001\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u6e96\u5099\u3092\u3059\u308b\u969b\u306b\u306f\u3053\u306e Summary \u304b\u3089\u4f5c\u3063\u3066\u3044\u304f\u3053\u3068\u3092\u610f\u8b58\u3057\u3066\u304f\u3060\u3055\u3044\u3002\r\n<\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 Diagnostic Framing Presentation \u306b\u304a\u3044\u3066\u3001Summary \u306f\u4e0b\u8a18\u306e\u9805\u76ee\u3092\u542b\u3080\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p style=\"padding-bottom: 0\"><span style=\"font-size: large; color: #fe3d45;\"><strong>Summary<\/strong><\/span><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>One-liner with semantic qualifiers<\/li>\r\n    <li><strong><span style=\"color: #fe3d45;\">\u2022<em>\u3000<\/em>Pertinent positives modified with semantic qualifiers<\/span><\/strong><\/li>\r\n<\/ul>\r\n<p><span style=\"font-size: large;\">\u3064\u307e\u308a\u6700\u521d\u306e\u9805\u76ee\u3067\u3042\u308b Patient Information \u306b\u52a0\u3048\u3001\u73fe\u75c5\u6b74\u4ee5\u5916\u306e\u533b\u7642\u9762\u63a5\u306e\u9805\u76ee\u3084\u8eab\u4f53\u8a3a\u5bdf\u306e\u9805\u76ee\u306e\u4e2d\u304b\u3089\u300c<strong>\u967d\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u3067\u3042\u308b <strong>pertinent positives<\/strong> \u3092\u9078\u3073\u3001\u305d\u308c\u3089\u3092 <strong>semantic qualifiers<\/strong> \u3092\u4f7f\u3063\u3066\u8868\u73fe\u3059\u308c\u3070\u826f\u3044\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\r\n<strong>Summary<\/strong><br>\r\n    In summary, the patient is a 58-year-old man with poorly controlled hypertension and hyperlipidemia presented with progressively worsening, exertion-induced, substernal chest pressure over the past four days, <span style=\"color: #fe3d45;\"><strong>characterized by increasing frequency and duration of episodes, lack of response to over-the-counter analgesics, and associated exertional breathlessness. He reports recent limitation of activity due to fear of recurrence and has a family history of myocardial infarction in a first-degree relative<\/strong><\/span>. On physical examination, he <span style=\"color: #fe3d45;\"><strong>appeared mildly anxious<\/strong><\/span> with <span style=\"color: #fe3d45;\"><strong>delayed capillary refill<\/strong><\/span> and <span style=\"color: #fe3d45;\"><strong>cold extremities<\/strong><\/span>.\r\n    <\/span>\r\n<\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u307e\u305a\u306f Summary \u3092\u4f5c\u6210\u3057\u3001\u9577\u3044\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u656c\u9060\u3055\u308c\u308b\u6551\u6025\u533b\u7642\u306e\u73fe\u5834\u306a\u3069\u3067\u306f\u3053\u306e Summary \u306e\u90e8\u5206\u3060\u3051\u3092\u4f1d\u3048\u308b\u3088\u3046\u306b\u5fc3\u304c\u3051\u3066\u304f\u3060\u3055\u3044\u3002\u4ed6\u306e\u90e8\u5206\u306f\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u5165\u308c\u308b\u3053\u3068\u3067\u3001Cherry-Picking Presentation \u3068\u306a\u308b\u5fc3\u914d\u3082\u306a\u304f\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\r\n    \u6700\u5f8c\u306b\u3001<span style=\"color: #fe3d45;\"><strong>\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u539f\u7a3f\u3092\u305d\u306e\u307e\u307e\u8aad\u307f\u4e0a\u3052\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u8981\u70b9\u3092\u30e1\u30e2\u306b\u307e\u3068\u3081\u3001\u305d\u308c\u3092\u81ea\u5206\u306e\u8a00\u8449\u3067\u4f1d\u3048\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3042\u308b<\/strong><\/span>\u3068\u3044\u3046\u3053\u3068\u3092\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u3002<br>\r\n    <strong>\u66f8\u304b\u308c\u305f\u6587\u7ae0\u3092\u305f\u3060\u8aad\u307f\u4e0a\u3052\u308b\u3060\u3051\u306e\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u306f\u3001<strong>\u805e\u304d\u624b\u306b\u3068\u3063\u3066\u8a8d\u77e5\u7684\u8ca0\u8377\u304c\u9ad8\u304f<\/strong>\u306a\u308a\u3001<strong>\u5185\u5bb9\u304c\u982d\u306b\u5165\u308a\u306b\u304f\u304f<\/strong>\u306a\u308a\u307e\u3059\u3002\u4f1d\u308f\u308a\u3084\u3059\u3044\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3068\u306f\u3001<span style=\"color: #fe3d45;\"><strong>\u8a71\u3057\u624b\u81ea\u8eab\u304c\u5185\u5bb9\u3092\u7406\u89e3\u3057\u3001\u81ea\u5206\u306e\u8a00\u8449\u3067\u8a71\u3057\u3066\u3044\u308b\u3082\u306e<\/strong><\/span>\u3067\u3059\u3002<br>\r\n    \u7686\u3055\u3093\u3082\u3001\u539f\u7a3f\u3092\u8aad\u307f\u4e0a\u3052\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u81ea\u5206\u306e\u82f1\u8a9e\u3067\u308f\u304b\u308a\u3084\u3059\u304f\u4f1d\u3048\u308b\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u76ee\u6307\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span>\r\n<\/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\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f 4 Steps for Diagnostic Framing Presentation \u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n<p style=\"font-size: large; color: #fe3d45; padding-bottom: 0.5rem;\"><strong>4 Steps to Deliver an Effective Diagnostic Framing Presentation<\/strong><\/p>\r\n<p><span style=\"font-size: large;\">\r\n    Step 1. Patient Information: Use a one-liner with semantic qualifiers<br>\r\n    Step 2. HPI: Highlight pertinent positives and negatives to guide the differential diagnosis<br>\r\n    Step 3. PMH-ROS, and Physical Exam: Present systematically to avoid Cherry-Picking Presentation<br>\r\n    Step 4. Summary: Combine a one-liner with key pertinent positives using semantic qualifiers\r\n<\/span><\/p>\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\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u5b9f\u8df5\u7de8\u300d\u3067\u3059\u3002 \u6d77\u5916\u3067\u306e\u81e8\u5e8a\u5b9f\u7fd2\u306b","protected":false},"author":14,"featured_media":14658,"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-14657","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\/14657","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=14657"}],"version-history":[{"count":4,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/14657\/revisions"}],"predecessor-version":[{"id":14709,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/14657\/revisions\/14709"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/14658"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=14657"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=14657"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=14657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}