{"id":7065,"date":"2023-05-01T12:00:18","date_gmt":"2023-05-01T03:00:18","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7065"},"modified":"2023-12-27T17:09:42","modified_gmt":"2023-12-27T08:09:42","slug":"menu_50","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_50\/","title":{"rendered":"Menu 50\u3000\u767a\u71b1\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"

\"\"<\/p>\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n

\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

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u767a\u71b1\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n

COVID-19 \u306e\u5f71\u97ff\u3067\u304b\u306a\u308a\u8eab\u8fd1\u306a\u75c7\u72b6\u3068\u306a\u3063\u305f\u300c\u767a\u71b1<\/strong>\u300d\u3067\u3059\u304c\u3001\u3082\u3061\u308d\u3093\u305d\u306e\u539f\u56e0\u306f COVID-19 \u3084 Influenza \u3060\u3051\u3067\u306f\u306a\u304f\u3001\u5b9f\u306b\u591a\u5c90\u306b\u6e21\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081 Post CC OSCE \u306b\u304a\u3044\u3066\u306f\u82e6\u624b\u610f\u8b58\u3092\u3082\u3064\u5b66\u751f\u3055\u3093\u304c\u591a\u3044\u75c7\u72b6\u3068\u3082\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u300c\u767a\u71b1<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3068\u3001Post CC OSCE \u306b\u304a\u3044\u3066\u300c\u767a\u71b1<\/strong>\u300d\u3068\u3044\u3046\u75c7\u72b6\u3092\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u3066\u3044\u3051\u3070\u826f\u3044\u304b\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

fever \u3068 hyperthermia \u306e\u9055\u3044\u3068\u306f\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u307e\u305a\u300c\u767a\u71b1<\/strong>\u300d\u3068\u306f\u4f55\u306a\u306e\u304b\u3092\u78ba\u8a8d\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u300c\u767a\u71b1<\/strong>\u300d\u306f\u4e00\u822c\u82f1\u8a9e\u3067\u306f fever<\/strong><\/span> \u3068\u306a\u308a\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f pyrexia<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e pyr<\/strong>– \u306b\u306f fire<\/strong> \u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u300c\u89e3\u71b1\u5264<\/strong>\u300d\u306f antipyretic<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e fever<\/strong> \u306e\u5b9a\u7fa9\u306f \u201celevated core body temperature regulated by the thermoregulatory center in the hypothalamus<\/strong>\u201d\u300c\u8996\u5e8a\u4e0b\u90e8\u5185\u306e\u767a\u71b1\u4e2d\u67a2\u306e\u5236\u5fa1\u306b\u3088\u3063\u3066\u4f53\u6e29\u304c\u4e0a\u6607\u3059\u308b\u3053\u3068<\/strong>\u300d\u3067\u3059\u3002\u75c5\u539f\u4f53\u304c\u8eab\u4f53\u306b\u4fb5\u5165\u3059\u308b\u3068\u8996\u5e8a\u4e0b\u90e8\u5185\u306e\u767a\u71b1\u4e2d\u67a2\u304c\u4f53\u6e29\u306e\u95be\u5024\u3092\u9ad8\u3081\u3001\u8133\u306f\u300c\u4eca\u306e\u4f53\u6e29\u3067\u306f\u5bd2\u3044<\/strong>\u300d\u3068\u611f\u3058\u3001\u7b4b\u8089\u3092\u53ce\u7e2e\u3055\u305b\u3066\u4f53\u6e29\u3092\u4e0a\u6607\u3055\u305b\u308b\u3053\u3068\u3067\u8eab\u4f53\u306b\u4fb5\u5165\u3057\u305f\u75c5\u539f\u4f53\u3092\u6bba\u305d\u3046\u3068\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u3057\u305f\u304c\u3063\u3066 fever \u304c\u751f\u3058\u308b\u524d\u306b\u306f\u5fc5\u305a chills<\/strong><\/span>\u300c\u60aa\u5bd2<\/strong>\uff08\u304a\u304b\u3093<\/strong>\uff09\u300d\u304c\u751f\u3058\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e chill \u306b\u306f\u300c\u51b7\u305f\u3044\u300d\u3084\u300c\u51b7\u305f\u304f\u3055\u305b\u308b\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u3053\u304b\u3089\u52d5\u8a5e\u306e chill out<\/strong> \u306b\u306f calm down \u3084 relax \u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308a\u3001\u300c\u5148\u9031\u672b\u306f\u5bb6\u3067\u3086\u3063\u304f\u308a\u3057\u305f\u3088<\/strong>\u300d\u306f\u3001\u82f1\u8a9e\u3067\u306f \u201cI chilled out<\/strong> at home last weekend.\u201d \u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e chills \u306b\u4f34\u3063\u3066\u8eab\u4f53\u304c\u9707\u3048\u308b\u3053\u3068\u3092\u300c\u60aa\u5bd2\u6226\u6144<\/strong>\u300d\u3068\u8a00\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u4e00\u822c\u82f1\u8a9e\u3067\u306f shaking chills<\/strong><\/span> \u3084 shivering<\/strong><\/span> \u3068\u8868\u73fe\u3057\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f rigors<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e rigors \u306f\u300c\u30a5\u30ea\u30a3<\/strong>\u30ac\u30a1\u30ba\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

fever \u3082 pyrexia \u3082\u540d\u8a5e\u3067\u3059\u304c\u3001\u300c\u71b1\u304c\u3042\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u5f62\u5bb9\u8a5e\u306f febrile<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\uff08\u9006\u306b\u300c\u71b1\u304c\u306a\u3044<\/strong>\u300d\u306f afebrile<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\uff09\u5c0f\u5150\u304c\u9ad8\u71b1\u3092\u51fa\u3057\u3066\u75d9\u6523\u3059\u308b\u300c\u71b1\u6027\u75d9\u6523<\/strong>\uff08\u3051\u3044\u308c\u3093<\/strong>\uff09\u300d\u3092\u82f1\u8a9e\u3067\u306f febrile seizures<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u304c\u3001\u3053\u3061\u3089<\/strong><\/span><\/a>\u3067\u3082\u7d39\u4ecb\u3057\u3066\u3044\u308b\u3088\u3046\u306b seizure<\/strong> \u3068\u306f\u672c\u6765 \u201ca sudden surge of electrical activity in the brain\u201d \u3092\u610f\u5473\u3059\u308b\u8868\u73fe\u3067\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066 febrile seizures \u3082\u3001\u672c\u6765\u3067\u3042\u308c\u3070\u300c\u71b1\u6027\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3076\u3079\u304d\u306a\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/span><\/p>\r\n

\u3053\u306e fever \u3068\u3088\u304f\u4f3c\u305f\u3082\u306e\u3068\u3057\u3066\u300c\u9ad8\u4f53\u6e29\u75c7<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b hyperthermia<\/strong><\/span> \u304c\u3042\u308a\u307e\u3059\u304c\u3001\u7686\u3055\u3093\u306f\u305d\u306e\u9055\u3044\u3092\u8aac\u660e\u3067\u304d\u307e\u3059\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

hyperthermia<\/strong> \u3068\u306f \u201celevated core body temperature due to failed thermoregulation<\/strong>\u201d \u300c\u4f53\u6e29\u8abf\u6574\u304c\u4e0a\u624b\u304f\u3044\u304b\u306a\u3044\u3053\u3068\u304c\u539f\u56e0\u3067\u4f53\u6e29\u304c\u4e0a\u6607\u3059\u308b\u3053\u3068<\/strong>\u300d\u3067\u3042\u308a\u3001\u300c\u71b1\u4e2d\u75c7<\/strong>\u300dheat disorders<\/strong><\/span> \u306a\u3069\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e heat disorders<\/strong> \u306b\u306f\u3001\u6bd4\u8f03\u7684\u8efd\u75c7\u306e\u300c\u71b1\u5931\u795e<\/strong>\u300dheat syncope<\/strong><\/span> \u3084\u4e2d\u7b49\u75c7\u3067\u3042\u308b\u300c\u71b1\u75b2\u52b4<\/strong>\u300dheat exhaustion<\/strong><\/span>\u3001\u305d\u3057\u3066\u91cd\u75c7\u306e\u300c\u71b1\u5c04\u75c5<\/strong>\u300dheat stroke<\/strong><\/span>\/heatstroke<\/strong><\/span> \u306e\u3088\u3046\u306a\u533a\u5206\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066 anesthesiologist\u2019s worst nightmare<\/strong>\u300c\u9ebb\u9154\u79d1\u533b\u306b\u3068\u3063\u3066\u306e\u60aa\u5922<\/strong>\u300d\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u300c\u60aa\u6027\u9ad8\u71b1\u75c7<\/strong>\u300d\u306f malignant hyperthermia<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u4f55\u5ea6\u4ee5\u4e0a\u306e\u4f53\u6e29\u304c fever \u306a\u306e\uff1f<\/strong><\/span><\/span>
\r\nfever \u306e\u5b9a\u7fa9\u306f \u201celevated core body temperature<\/strong> regulated by the thermoregulatory center in the hypothalamus\u201d \u3067\u3042\u308b\u3068\u8ff0\u3079\u307e\u3057\u305f\u304c\u3001\u4f53\u6e29\u304c\u4f55\u5ea6\u4ee5\u4e0a\u306b\u306a\u308c\u3070 fever \u3068\u306a\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u610f\u5916\u306a\u3053\u3068\u306b\u3001 fever \u306e\u76ee\u5b89\u3068\u306a\u308b\u4f53\u6e29\u306f\u56fd\u3084\u5730\u57df\u3067\u7570\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u65e5\u672c\u3067\u306f\u300c37.5\u00b0C\u4ee5\u4e0a<\/strong>\u300d\u304c\u767a\u71b1\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u7c73\u56fd\u306e\u591a\u304f\u306e\u533b\u5e2b\u306f \u201chigher than or equal to 100.4 \u00b0F<\/span><\/strong> = 38\u00b0C<\/strong><\/span>\u201d \u3092 fever \u3068\u8a8d\u8b58\u3057\u3066\u3044\u307e\u3059\u3002\u3064\u307e\u308a\u300c\u65e5\u672c\u3067\u306f37.5\u00b0C\u4ee5\u4e0a\u3001\u7c73\u56fd\u3067\u306f38\u00b0C\u4ee5\u4e0a<\/span>\u3092\u767a\u71b1\u3068\u3059\u308b<\/strong>\u300d \u3068\u3044\u3046\u3053\u3068\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f low grade fever \u3084 high grade fever \u306e\u5b9a\u7fa9\u3082\u6587\u732e\u3084\u533b\u5e2b\u306b\u3088\u3063\u3066\u7570\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u308c\u307e\u3067\u306e\u79c1\u306e\u7d4c\u9a13\u304b\u3089\u4e0b\u8a18\u306e\u3088\u3046\u306b\u899a\u3048\u3066\u304a\u3051\u3070\u305d\u308c\u307b\u3069\u56f0\u308b\u3053\u3068\u306f\u306a\u3044\u3068\u8003\u3048\u307e\u3059\u3002<\/span><\/p>\r\n

Low<\/strong> grade fever: <38\u00b0C<\/strong><\/span> (100.4\u00b0F<\/strong>)<\/span>
\r\nHigh<\/strong> grade fever: >40\u00b0C<\/strong><\/span> (104\u00b0F<\/strong>)<\/span><\/p>\r\n

\u7c73\u56fd\u306e\u591a\u304f\u306e\u533b\u5e2b\u306f\u300c\u767a\u71b1\u3068\u306f\u8a00\u3048\u306a\u3044\u304c\u901a\u5e38\u3088\u308a\u3082\u4f53\u6e29\u304c\u9ad8\u3044\u72b6\u614b<\/strong>\u300d\u3092 low<\/strong> grade fever \u3068\u547c\u3073\u3001\u300c40\u00b0C<\/strong> = 104\u00b0F\u3088\u308a\u9ad8\u3044\u767a\u71b1<\/strong>\u300d\u3092 high<\/strong> grade fever \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002\u3053\u308c\u3092\u8aad\u3093\u3067\u3053\u306e\u5b9a\u7fa9\u306b\u7570\u8ad6\u304c\u3042\u308b\u65b9\u3082\u3044\u3089\u3063\u3057\u3083\u308b\u3068\u601d\u3044\u307e\u3059\u3057\u3001\u611f\u67d3\u75c7\u3084\u7dcf\u5408\u8a3a\u7642\u3092\u5c02\u9580\u3068\u3057\u3066\u3044\u308b\u533b\u5e2b\u306b\u306f\u7570\u306a\u308b\u5b9a\u7fa9\u3092\u4f7f\u3063\u3066\u3044\u308b\u65b9\u3082\u3044\u3089\u3063\u3057\u3083\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u305f\u3060\u767a\u71b1\u306e\u8a3a\u65ad\u3092\u5c02\u9580\u3068\u3057\u3066\u3044\u306a\u3044\u7c73\u56fd\u306e\u533b\u5e2b\u306e\u591a\u304f\u306f\u3001\u4e0a\u8a18\u306e\u3088\u3046\u306a\u8a8d\u8b58\u3092\u6301\u3063\u3066\u3044\u308b\u3068\u79c1\u306f\u611f\u3058\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f\u7c73\u56fd\u3067\u306f\u300c\u6442\u6c0f<\/strong>\u300dCelsius<\/strong> \u3067\u306f\u306a\u304f\u3001\u300c\u83ef\u6c0f<\/strong>\u300dFahrenheit<\/strong> \u304c\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u306e2\u3064\u5358\u4f4d\u306e\u5909\u63db\u306b\u82e6\u52b4\u3055\u308c\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u81e8\u5e8a\u5834\u9762\u3067\u306f \u300c100\u00b0F<\/strong> \u304c 37.8\u00b0C<\/strong>\u300d\u3068\u306a\u308a\u3001\u300c104\u00b0F<\/strong> \u304c40\u00b0C<\/strong> \u300d\u3068\u306a\u308b\u3068\u3044\u30462\u3064\u306b\u52a0\u3048\u3001\u3053\u308c\u3089\u306e\u5468\u8fba\u306e\u6e29\u5ea6\u3067\u306f\u300c 1\u00b0F<\/strong> \u304c 0.5\u00b0C<\/strong>\u300d\u3068\u306a\u308b\u3068\u3044\u3046\u3053\u3068\u3060\u3051\u3092\u899a\u3048\u3066\u304a\u3051\u3070\u3001\u8ab0\u3067\u3082\u7c21\u5358\u306b\u5909\u63db\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u3001100\u00b0F<\/strong> \u304b\u3089 1\u00b0F<\/strong> \u9ad8\u3044 101\u00b0F<\/strong> \u304c\u6442\u6c0f\u4f55\u5ea6\u306b\u306a\u308b\u304b\u3092\u8003\u3048\u308b\u306b\u306f\u300137.8\u00b0C<\/strong> \u304b\u3089 0.5\u00b0C<\/strong> \u9ad8\u3044 38.3\u00b0C<\/strong> \u306b\u306a\u308b\u3068\u8003\u3048\u308c\u3070\u826f\u3044\u306e\u3067\u3059\u3002\u3053\u308c\u306f\u3001\u4f53\u6e29\u4ed8\u8fd1\u306e\u6e29\u5ea6\u306b\u95a2\u3057\u3066\u307b\u307c\u6b63\u78ba\u306b\u5909\u63db\u3067\u304d\u308b\u4fbf\u5229\u306a\u6cd5\u5247\u3067\u3059\u306e\u3067\u3001\u662f\u975e\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3061\u306a\u307f\u306b100\u00b0F \u306f \u201cone hundred degrees<\/strong><\/span> Fahrenheit\u201d \u3068\u8aad\u307f\u300137.8\u00b0C \u306f \u201cthirty seven point eight degrees<\/strong><\/span> Celsius\u201d \u3068\u8aad\u307f\u307e\u3059\u3002\u3069\u3061\u3089\u3082 degrees \u3068\u8907\u6570\u5f62\u306b\u306a\u308a\u3001\u307e\u305f\u6570\u5b57\u3068\u5358\u4f4d\u306e\u9593\u306b\u306f\u534a\u89d2\u30b9\u30da\u30fc\u30b9\u306f\u5165\u308a\u307e\u305b\u3093\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n

fever \u306e\u73fe\u75c5\u6b74\u3067\u6ce8\u610f\u3057\u305f\u3044\u3053\u3068<\/strong><\/span><\/span>
\r\n\u3067\u306f fever \u3092\u4e3b\u8a34\u3068\u3059\u308b\u60a3\u8005\u3055\u3093\u304c\u6765\u9662\u3057\u305f\u5834\u5408\u3001\u3069\u306e\u3088\u3046\u306b\u3057\u3066 history taking \u3092\u9032\u3081\u3066\u3044\u3051\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\uff1f<\/span><\/p>\r\n

\u3053\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u3067\u306f\u7e70\u308a\u8fd4\u3057\u4f1d\u3048\u3066\u3044\u307e\u3059\u304c\u3001history taking \u306b\u304a\u3044\u3066\u6700\u3082\u91cd\u8981\u306a\u306e\u306f\u300c\u73fe\u75c5\u6b74<\/strong>\u300dhistory of present illness<\/strong> (HPI<\/strong>) \u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306eHPI \u306b\u306f\u4ee5\u4e0b\u306e3\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3067\u30a2\u30d7\u30ed\u30fc\u30c1\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

1. Open-ended questions<\/strong><\/span>: \u958b\u653e\u578b\u8cea\u554f\u3092\u4f7f\u3044\u3001\u767a\u71b1\u306e\u300c\u767a\u75c7\u300d\u300c\u767a\u75c7\u524d\u300d\u300c\u767a\u75c7\u5f8c\u300d\u306e\u69d8\u5b50\u3092\u8a73\u7d30\u306b\u8a9e\u3063\u3066\u3082\u3089\u3046\u3002\u72b6\u6cc1\u306b\u5408\u308f\u305b\u3066\u8cea\u554f\u3092\u52a0\u3048\u3001\u9069\u5b9c\u8a71\u3092\u8981\u7d04\u3059\u308b\u3002<\/span>
\r\n2. Closed-ended questions<\/strong><\/span>: \u9589\u9396\u578b\u8cea\u554f\u3092\u4f7f\u3044\u3001\u767a\u71b1\u306b\u95a2\u3057\u3066\u8a73\u7d30\u306a\u60c5\u5831\u3092\u5f97\u308b\u3002<\/span>
\r\n3. Associated symptoms<\/strong><\/span>: \u9451\u5225\u75be\u60a3\u306b\u4f34\u3046\u95a2\u9023\u75c7\u72b6\u306e\u6709\u7121\u3092\u5c0b\u306d\u308b\u3002<\/span><\/p>\r\n

\u3053\u3061\u3089<\/strong><\/span><\/a>\u3067\u3054\u7d39\u4ecb\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u3001\u307e\u305a\u306f open-ended questions \u3092\u4f7f\u3063\u3066\u767a\u71b1\u306e\u300c\u767a\u75c7\u300d\u300c\u767a\u75c7\u524d\u300d\u300c\u767a\u75c7\u5f8c\u300d\u306e\u69d8\u5b50\u3092\u7686\u3055\u3093\u81ea\u8eab\u304c\u30a4\u30e1\u30fc\u30b8\u3067\u304d\u308b\u3088\u3046\u306b\u8a73\u7d30\u306b\u5c0b\u306d\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u6b21\u306b closed-ended questions \u3092\u4f7f\u3063\u3066\u767a\u71b1\u306b\u95a2\u3059\u308b\u8a73\u7d30\u306a\u60c5\u5831\u3092\u5c0b\u306d\u307e\u3059\u3002\u7686\u3055\u3093\u304a\u99b4\u67d3\u307f\u306e \u201cPain\u2019s OPQRST<\/strong>\u201d \u306f\u75db\u307f\u306e\u5834\u5408\u306b\u6709\u52b9\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b fever \u306b\u3082\u5fdc\u7528\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

O<\/strong>nset: Abrupt onset? Gradual onset?<\/span>
\r\nP<\/strong>rovoking & Palliating factors: Exacerbating factors? Relieving factors?<\/span>
\r\nQ<\/strong>uality: Sustained fever? Intermittent fever? Remittent fever?<\/span>
\r\nR<\/strong>egion: Central nervous system infections? Gastrointestinal tract infections?<\/span>
\r\nRespiratory tract infections? Urinary tract infections?<\/span>
\r\nS<\/strong>everity: Low grade fever? Moderate grade fever? High grade fever?<\/span>
\r\nT<\/strong>iming: Duration?<\/span><\/p>\r\n

Q<\/strong>uality \u306f\u3053\u306e\u5834\u5408\u3001fever characteristics\/types \u3068\u89e3\u91c8\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

sustained<\/span> fever<\/strong> \u300c\u7a3d\u7559<\/strong>\uff08\u3051\u3044\u308a\u3085\u3046<\/strong>\uff09\u71b1<\/strong>\u300d\u306f\u65e5\u5185\u5909\u52d5\u304c1\u00b0C\u4ee5\u5185\u3067\u3042\u308a\u3001\u306a\u304a\u304b\u306438\u00b0C\u4ee5\u4e0a\u306e\u71b1\u304c1\u65e5\u4e2d\u7d9a\u304f\u767a\u71b1\u3067\u3059\u3002continuous<\/span> fever<\/strong> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

intermittent<\/span> fever<\/strong>\u300c\u9593\u6b20<\/strong>\uff08\u304b\u3093\u3051\u3064<\/strong>\uff09\u71b1<\/strong>\u300d\u306f\u65e5\u5185\u5909\u52d5\u304c1\u00b0C\u4ee5\u4e0a\u3042\u308a\u307e\u3059\u304c\u3001\u4f4e\u3044\u6642\u306b\u306f\u5e73\u71b1\u307e\u3067\u4f53\u6e29\u304c\u4e0b\u304c\u308b\u767a\u71b1\u3067\u3059\u3002\u9ad8\u71b1\u3068\u5e73\u71b1\u304c\u4ea4\u4e92\u306b\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

remittent<\/span> fever<\/strong>\u300c\u5f1b\u5f35<\/strong>\uff08\u3057\u3061\u3087\u3046<\/strong>\uff09\u71b1<\/strong>\u300d\u306f\u65e5\u5185\u5909\u52d5\u304c1\u00b0C\u4ee5\u4e0a\u3042\u308a\u307e\u3059\u304c\u3001\u4f4e\u3044\u6642\u3067\u3082\u5e73\u71b1\u306b\u306f\u306a\u3089\u306a\u3044\u767a\u71b1\u3067\u3059\u3002\u3053\u306e remittent<\/strong> \u306f fluctuating<\/strong> \u300c\u4e0a\u304c\u3063\u305f\u308a\u4e0b\u304c\u3063\u305f\u308a\u3059\u308b\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c\u5f1b<\/strong>\u3093\u3060\u308a\u5f35<\/strong>\u308a\u3064\u3081\u305f\u308a\u3059\u308b\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u8a33\u8a9e\u306b\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

R<\/strong>egion \u306f\u3053\u306e\u5834\u5408\u3001\u611f\u67d3\u75c7\u306e\u90e8\u4f4d<\/strong>\u3068\u3057\u3066\u6d3b\u7528\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

fever \u306e\u539f\u56e0\u304c infections \u306e\u5834\u5408\u3001\u305d\u308c\u304c CNS infections\/GI tract infections\/Reparatory tract infections\/UTI \u306e\u3069\u308c\u306b\u76f8\u5f53\u3059\u308b\u306e\u304b\u3092\u95a2\u9023\u75c7\u72b6\u3068\u5171\u306b\u8003\u3048\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

T<\/strong>iming \u3067\u306f fever \u306e duration<\/strong> \u3092\u610f\u8b58\u3057\u3066\u5c0b\u306d\u307e\u3057\u3087\u3046\u3002\u3053\u308c\u306f\u5148\u8ff0\u306e Quality \u3068\u4f3c\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u3053\u3067\u306f\u305d\u306e\u6301\u7d9a\u671f\u9593\u306b\u6ce8\u76ee\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u7279\u306b 101\u00b0F<\/strong><\/span> = 38.3\u00b0C<\/strong><\/span>\u4ee5\u4e0a\u306e\u767a\u71b1\u304c3\u9031\u9593\u4ee5\u4e0a<\/strong>\u7d9a\u304d\u3001\u533b\u7642\u6a5f\u95a2\u3092\u53d7\u8a3a\u3057\u3066\u3082\u305d\u306e\u539f\u56e0\u304c\u4e0d\u660e\u306e\u5834\u5408\u3001\u305d\u306e fever \u306f fever of unknown origin (FUO)<\/strong><\/span> \u300c\u4e0d\u660e\u71b1<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

Post CC OSCE \u3067\u306f\u591a\u304f\u306e\u75c7\u72b6\u306b\u5bfe\u51e6\u3067\u304d\u308b\u3088\u3046\u306b\u6e96\u5099\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u306b\u306f\u3067\u304d\u308b\u3060\u3051\u6c4e\u7528\u6027\u306e\u9ad8\u3044\u6226\u7565\u3092\u4f7f\u3063\u3066\u6e96\u5099\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002Pain\u2019s OPQRST \u306f\u305d\u306e\u307e\u307e\u3067\u306f fever \u306b\u5bfe\u3057\u3066\u6709\u52b9\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u4e0a\u8a18\u306e\u3088\u3046\u306b\u4f7f\u3048\u3070 fever \u306b\u3082\u5fdc\u7528\u3067\u304d\u308b\u8a9e\u5442\u5408\u308f\u305b\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n

fever \u306e\u8a3a\u65ad\u306f\u3069\u3046\u8003\u3048\u308c\u3070\u3044\u3044\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u6700\u5f8c\u306b Post CC OSCE \u3067 fever \u3092\u4e3b\u8a34\u3068\u3059\u308b\u60a3\u8005\u3055\u3093\u306e\u8a3a\u65ad\u3092\u8003\u3048\u308b\u969b\u306b\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u308c\u3070\u826f\u3044\u306e\u304b\u3001\u79c1\u306a\u308a\u306e\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u304a\u4f1d\u3048\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u6559\u79d1\u66f8\u3084\u53c2\u8003\u66f8\u3001\u305d\u3057\u3066\u7686\u3055\u3093\u304c\u5404\u5927\u5b66\u3067\u53d7\u3051\u3066\u3044\u308b\u300c\u8a3a\u65ad\u5b66\u300d\u3084\u300c\u81e8\u5e8a\u63a8\u8ad6\u300d\u306e\u6388\u696d\u3067\u306f\u69d8\u3005\u306a\u8a3a\u65ad\u624b\u9806\u304c\u7d39\u4ecb\u3055\u308c\u3066\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u3082\u3061\u308d\u3093\u81ea\u5206\u306a\u308a\u306b fever \u306e\u8a3a\u65ad\u624b\u9806\u304c\u78ba\u7acb\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u554f\u984c\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u591a\u304f\u306e\u5b66\u751f\u3055\u3093\u306f\u300c\u6388\u696d\u3067\u7d39\u4ecb\u3055\u308c\u305f\u8907\u96d1\u306a\u3084\u308a\u65b9\u306f\u81ea\u5206\u306b\u306f\u3067\u304d\u306a\u3044\uff01\u300d\u3068\u611f\u3058\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u305d\u3053\u3067\u79c1\u304c\u304a\u52e7\u3081\u3059\u308b\u306e\u306f\u307e\u305a\u4e0b\u8a18\u306e\u3088\u3046\u306a\u7c21\u5358\u306a\u5206\u985e\u3067\u8003\u3048\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n

Fever Causes<\/strong><\/span>
\r\n\u2009\u2022\u2002 Infections<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Malignancies<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Autoimmune Disorders<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Embolism<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Drugs<\/span>
\r\n\u2009\u2022\u2002 Miscellaneous<\/span><\/p>\r\n

\u8d64\u5b57\u3067\u8a18\u3057\u305f\u6700\u521d\u306e4\u3064\u306f red flags<\/strong><\/span> \u3068\u547c\u3070\u308c\u308b\u751f\u547d\u306b\u95a2\u308f\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u75be\u60a3\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u307e\u305a\u306f\u3053\u306e4\u3064\u306e\u75be\u60a3\u7fa4\u3092\u610f\u8b58\u3059\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u5fd8\u308c\u3066\u3044\u3051\u306a\u3044\u306e\u304c drug fever<\/strong><\/span> \u3067\u3059\u3002\u7279\u306b\u533b\u5b66\u751f\u306e\u7686\u3055\u3093\u306f\u3053\u306e drug fever \u3092\u898b\u843d\u3068\u3057\u304c\u3061\u3067\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3082\u3061\u308d\u3093\u3053\u308c\u3089\u4ee5\u5916\u306b\u3082\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u305d\u308c\u3089\u306f\u3068\u308a\u3042\u3048\u305a miscellaneous<\/strong>\u300c\u305d\u308c\u4ee5\u5916<\/strong>\u300d\u3068\u5206\u985e\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u3067\u306f\u4e0a\u8a18\u306e\u3088\u3046\u306a\u75be\u60a3\u7fa4\u3092\u60f3\u5b9a\u3057\u305f\u3068\u3057\u3066\u3001\u5177\u4f53\u7684\u306b\u3069\u306e\u3088\u3046\u306b\u8a3a\u65ad\u306b\u8feb\u308c\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u305d\u306e\u305f\u3081\u306e\u6700\u9069\u306a\u65b9\u6cd5\u306f\u3001 review of systems (ROS)<\/strong><\/span> \u300c\u30b7\u30b9\u30c6\u30e0\u30ec\u30d3\u30e5\u30fc<\/strong>\u300d\u3092\u4e01\u5be7\u306b\u5c0b\u306d\u308b<\/strong>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3053\u3061\u3089<\/strong><\/span><\/a>\u3067\u3082\u8a73\u3057\u304f\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u306e ROS\u306f\u305d\u306e\u540d\u304c\u793a\u3059\u901a\u308a\u3001\u300c\u81d3\u5668\u7cfb\u7d71<\/strong>\u300d\u3067\u3042\u308b body systems<\/strong> \u3092 review<\/strong>\u300c\u632f\u308a\u8fd4\u308b<\/strong>\u300d\u3053\u3068\u3067\u60a3\u8005\u306e\u533b\u7642\u60c5\u5831\u3092\u5305\u62ec\u7684\u306b\u7406\u89e3\u3059\u308b\u8cea\u554f\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u3053\u306e ROS \u3092\u5c0b\u306d\u308b\u3053\u3068\u3067 fever \u4ee5\u5916\u306e\u91cd\u8981\u306a\u60c5\u5831\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u7d50\u679c\u3068\u3057\u3066 fever \u306e\u8a3a\u65ad\u304c\u3064\u304f\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u82f1\u8a9e\u306b\u306f semantic qualifiers<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306b\u306f\u300c\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u3092\u4e0e\u3048\u308b\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308a\u3001\u3053\u308c\u3092 fever \u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3067\u591a\u304f\u306e\u5834\u5408\u3001\u8a3a\u65ad\u306b\u5230\u9054\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Fever + Semantic Qualifiers<\/strong><\/span> = Diagnosis<\/span><\/p>\r\n

\u4f8b\u3048\u3070 high grade fever<\/strong> \u3092\u8a34\u3048\u308b\u60a3\u8005\u3055\u3093\u304c drenching night sweats<\/strong>\u300c\u76d7\u6c57<\/strong>\u300d\u3068 unintentional weight loss<\/strong>\u300c\u610f\u56f3\u3057\u306a\u3044\u4f53\u91cd\u6e1b\u5c11<\/strong>\u300d\u3068\u3044\u3046 semantic qualifiers \u3092\u4f34\u3046\u5834\u5408\u3001\u3053\u308c\u3089\u306f\u901a\u79f0 \u201cB symptoms<\/strong>\u201d \u3068\u3057\u3066\u77e5\u3089\u308c\u3001 \u305d\u306e\u8a3a\u65ad\u3068\u3057\u3066 Hodgkin lymphoma\/non-Hodgkin lymphoma \u3084 tuberculosis \u304c\u601d\u3044\u3064\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

high grade fever + drenching night sweats<\/strong><\/span> & unintentional weight loss<\/strong><\/span> = Hodgkin<\/strong>\/Non-Hodgkin lymphoma<\/strong> or tuberculosis<\/strong><\/span><\/p>\r\n

\u307e\u305f sustained fever \u3092\u8a34\u3048\u308b\u60a3\u8005\u3055\u3093\u304c diarrhea<\/strong> \u3068 relative bradycardia<\/strong>\u300c\u6bd4\u8f03\u7684\u5f90\u8108<\/strong>\u300d\u3068\u3044\u3046 semantic qualifiers \u3092\u4f34\u3046\u5834\u5408\u3001\u305d\u306e\u8a3a\u65ad\u3068\u3057\u3066 typhoid fever<\/strong>\u300c\u8178\u30c1\u30d5\u30b9<\/strong> = \u30c1\u30d5\u30b9\u71b1<\/strong>\u300d\u304c\u601d\u3044\u3064\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

sustained fever + diarrhea<\/strong><\/span> & relative bradycardia<\/strong><\/span> = typhoid fever<\/strong><\/span><\/p>\r\n

\u4ed6\u306b\u3082 low grade fever \u3092\u8a34\u3048\u308b\u60a3\u8005\u3055\u3093\u304c hiking in Minnesota<\/strong> \u3092\u3057\u305f\u5f8c\u306b bull\u2019s eye skin rash<\/strong> \u306b\u6c17\u304c\u3064\u304f\u3068\u3044\u3046 semantic qualifiers \u3092\u4f34\u3046\u5834\u5408\u3001Lyme disease<\/strong>\u300c\u30e9\u30a4\u30e0\u75c5<\/strong>\u300d\u304c\u601d\u3044\u3064\u304f\u306f\u305a\u3067\u3059\u3002<\/span><\/p>\r\n

low grade fever + history of hiking in Minnesota<\/strong><\/span> & bull\u2019s eye skin rash<\/strong><\/span> = Lyme disease<\/strong><\/span><\/p>\r\n

\u3082\u3061\u308d\u3093\u3053\u3046\u3044\u3063\u305f snapshot diagnosis \u3092\u3059\u308b\u305f\u3081\u306b\u306f\u5404\u75be\u60a3\u306e\u77e5\u8b58\u306f\u5fc5\u9808\u3067\u3059\u3057\u3001\u5b9f\u969b\u306e\u8a3a\u7642\u306b\u306f\u3053\u306e\u3088\u3046\u306a snapshot diagnosis \u304c\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u3067\u3059\u3002\u305f\u3060\u82f1\u8a9e\u3067 \u201cWhen you hear hoofbeats, think of horses, not zebras.<\/strong><\/span>\u201d\u300c\u8e44<\/strong>\uff08\u3072\u305a\u3081<\/strong>\uff09\u306e\u97f3\u3092\u805e\u3044\u305f\u3089\u3001\u30b7\u30de\u30a6\u30de\u3067\u306f\u306a\u304f\u30a6\u30de\u3060\u3068\u601d\u3048\u3002<\/strong>\u300d\u3068\u8a00\u3046\u3088\u3046\u306b\u3001\u300c\u7a00\u306a\u75be\u60a3<\/strong>\uff08\u30b7\u30de\u30a6\u30de<\/strong>\uff09\u3067\u306f\u306a\u304f\u3001\u307e\u305a\u306f\u983b\u5ea6\u306e\u9ad8\u3044\u75be\u60a3<\/strong>\uff08\u30a6\u30de<\/strong>\uff09\u3092\u8003\u3048\u308d\u3002<\/strong>\u300d\u3068\u3044\u3046\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/span><\/p>\r\n

FUO \u306e\u8a3a\u65ad\u3068\u3057\u3066 familial Mediterranean fever<\/strong>\u300c\u5bb6\u65cf\u6027\u5730\u4e2d\u6d77\u71b1<\/strong>\u300d\u3084 Castleman disease<\/strong>\u300c\u30ad\u30e3\u30c3\u30b9\u30eb\u30de\u30f3\u75c5<\/strong>\u300d\u3068\u3044\u3063\u305f zebras \u3092\u8a3a\u65ad\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u3053\u3068\u3082\u3082\u3061\u308d\u3093\u5927\u5207\u306a\u306e\u3067\u3059\u304c\u3001\u307e\u305a\u306f pneumonia<\/strong>\u300c\u80ba\u708e<\/strong>\u300d\u3084 pyelonephritis<\/strong>\u300c\u814e\u76c2\u814e\u708e<\/strong>\u300d\u3068\u3044\u3063\u305f horses \u3092\u3057\u3063\u304b\u308a\u3068\u82f1\u8a9e\u3067\u3082\u8a3a\u65ad\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002\u305d\u308c\u304c\u79c1\u304b\u3089\u306e\u30a2\u30c9\u30d0\u30a4\u30b9\u3067\u3059\u3002<\/span><\/p>\r\n

\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 fever \u306e\u9451\u5225\u75be\u60a3\u306e\u5206\u985e\u3068\u3001ROS \u3067\u5c0b\u306d\u308b\u9805\u76ee\u306e\u30ea\u30b9\u30c8\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

Fever Causes<\/strong><\/span>
\r\n\u2009\u2022\u2002 Infections<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Malignancies<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Autoimmune Disorders<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Embolism<\/strong><\/span><\/span>
\r\n\u2009\u2022\u2002 Drugs<\/span>
\r\n\u2009\u2022\u2002 Miscellaneous<\/span><\/p>\r\n

Review of Systems (ROS)<\/strong><\/span>
\r\n\u2009\u2022\u2002 General symptoms<\/span>
\r\n\u2009\u2022\u2002 Mental symptoms<\/span>
\r\n\u2009\u2022\u2002 HEENT<\/span>
\r\n\u201cMR DICE RUNS<\/strong>\u201d<\/span>
\r\n\u2009\u2022\u2002 M<\/strong>uscular system<\/span>
\r\n\u2009\u2022\u2002 R<\/strong>espiratory system<\/span><\/p>\r\n

\u2009\u2022\u2002 D<\/strong>igestive system<\/span>
\r\n\u2009\u2022\u2002 I<\/strong>ntegumentary system<\/span>
\r\n\u2009\u2022\u2002 C<\/strong>irculatory system<\/span>
\r\n\u2009\u2022\u2002 E<\/strong>ndocrine system<\/span><\/p>\r\n

\u2009\u2022\u2002 R<\/strong>eproductive system<\/span>
\r\n\u2009\u2022\u2002 U<\/strong>rinary system<\/span>
\r\n\u2009\u2022\u2002 N<\/strong>ervous system<\/span>
\r\n\u2009\u2022\u2002 S<\/strong>keletal system<\/span><\/p>\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\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>\r\n","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\u767a\u71b1\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 COVID-19 \u306e\u5f71\u97ff\u3067\u304b\u306a\u308a\u8eab\u8fd1\u306a\u75c7","protected":false},"author":1,"featured_media":6877,"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-7065","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\/7065","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7065"}],"version-history":[{"count":3,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7065\/revisions"}],"predecessor-version":[{"id":7288,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7065\/revisions\/7288"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6877"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}