{"id":7081,"date":"2022-12-01T12:00:54","date_gmt":"2022-12-01T03:00:54","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7081"},"modified":"2023-12-27T12:32:02","modified_gmt":"2023-12-27T03:32:02","slug":"menu_45","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_45\/","title":{"rendered":"Menu 45\u3000\u82f1\u8a9e\u3067\u306e\u30ab\u30eb\u30c6\u8a18\u8f09"},"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\u82f1\u8a9e\u3067\u306e\u30ab\u30eb\u30c6\u8a18\u8f09<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n

\u4e16\u754c\u7684\u306b\u30b3\u30ed\u30ca\u611f\u67d3\u304c\u843d\u3061\u7740\u304d\u3092\u898b\u305b\u3066\u304f\u308b\u4e2d\u3001\u5c11\u3057\u305a\u3064\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u5168\u56fd\u306e\u533b\u5b66\u90e8\u3067\u6d77\u5916\u81e8\u5e8a\u5b9f\u7fd2<\/strong>\u304c\u518d\u958b\u3059\u308b\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002\u6d77\u5916\u81e8\u5e8a\u5b9f\u7fd2\u3067\u306f\u82f1\u8a9e\u3067\u8a3a\u7642\u9332\u3092\u8a18\u5165\u3059\u308b\u3053\u3068\u3082\u5fc5\u9808\u306e\u30b9\u30ad\u30eb\u3068\u3057\u3066\u6c42\u3081\u3089\u308c\u307e\u3059\u304c\u3001\u5927\u5b66\u306e\u6388\u696d\u3067\u300c\u82f1\u8a9e\u3067\u306e\u30ab\u30eb\u30c6\u8a18\u8f09<\/strong>\u300d\u3092\u5b66\u3093\u3060\u3053\u3068\u306e\u3042\u308b\u5b66\u751f\u3055\u3093\u306f\u5c11\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u3082\u901a\u7528\u3059\u308b\u300c\u82f1\u8a9e\u3067\u306e\u30ab\u30eb\u30c6\u8a18\u8f09<\/strong>\u300d\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u30ab\u30eb\u30c6<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f\u4f55\u3068\u8a00\u3046\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u305d\u3082\u305d\u3082\u300c\u30ab\u30eb\u30c6<\/strong>\u300d\u3068\u306f\u82f1\u8a9e\u3067\u3069\u306e\u3088\u3046\u306b\u8868\u73fe\u3059\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u305d\u308c\u3092\u8003\u3048\u308b\u306b\u5f53\u305f\u308a\u3001\u307e\u305a\u306f\u6211\u3005\u304c\u300c\u30ab\u30eb\u30c6<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u3067\u4f55\u3092\u610f\u5473\u3059\u308b\u306e\u304b\u3092\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u4e00\u822c\u7684\u306b\u300c\u30ab\u30eb\u30c6\u300d\u306f\u300c\u8a3a\u7642\u9332<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u82f1\u8a9e\u570f\u3067\u3053\u306e\u300c\u8a3a\u7642\u9332<\/strong>\u300d\u306b\u76f8\u5f53\u3059\u308b\u306e\u304c medical records<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u73fe\u5728\u306f\u300c\u96fb\u5b50\u30ab\u30eb\u30c6<\/strong>\u300d\u304c\u4e3b\u6d41\u3067\u3059\u304c\u3001\u3053\u3061\u3089\u306e\u82f1\u8a9e\u3082\u305d\u306e\u307e\u307e electronic medical records<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e medical records \u306f\u56fd\u306b\u95a2\u308f\u3089\u305a\u6cd5\u7684\u306a\u6839\u62e0\u3068\u306a\u308b\u516c\u5f0f\u306e\u8a18\u9332<\/strong>\u3068\u306a\u308a\u3001\u8a3a\u7642\u3092\u3057\u305f\u5f8c\u306b\u306f\u3053\u306e medical records \u3092\u6b8b\u3059\u3053\u3068\u304c\u533b\u5e2b\u306b\u3068\u3063\u3066\u91cd\u8981\u306a\u8cac\u52d9\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3057\u304b\u3057\u305d\u308c\u305e\u308c\u306e\u60a3\u8005\u306e\u60c5\u5831\u3092\u8a18\u8f09\u3059\u308b\u66f8\u985e\u3092\u305d\u306e\u307e\u307e medical records \u3068\u547c\u3076\u304b\u3068\u3044\u3046\u3068\u3001\u5fc5\u305a\u3057\u3082\u305d\u3046\u3044\u3046\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002medical records \u3068\u3044\u3046\u8a18\u9332\u306e\u4e2d\u3067\u300c\u60a3\u8005\u306e\u81e8\u5e8a\u6240\u898b\u3092\u8a18\u8f09\u3059\u308b\u66f8\u985e<\/strong>\u300d\u306e\u3053\u3068\u3092\u7c73\u56fd\u3067\u306f patient note<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u30b3\u30ed\u30ca\u798d\u3067\u5ec3\u6b62\u306b\u306a\u308a\u307e\u3057\u305f\u304c\u3001 USMLE Step 2 Clinical Skills<\/strong> (CS<\/strong>) \u3068\u3044\u3046\u81e8\u5e8a\u5b9f\u6280\u8a66\u9a13\u3067\u306f\u3001simulated patients \u3092\u76f8\u624b\u306b history taking \u3068 physical examination \u3068\u3044\u3046 patient encounter \u3092\u5b9f\u65bd\u3057\u305f\u5f8c\u3001\u305d\u306e simulated patient \u306b\u95a2\u3059\u308b patient note<\/strong> \u309210\u5206\u9593\u3067\u4f5c\u6210\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306b\u300c\u60a3\u8005\u306e\u81e8\u5e8a\u6240\u898b\u3092\u8a18\u8f09\u3059\u308b\u66f8\u985e<\/strong>\u300d\u306e\u3053\u3068\u306f medical records \u3067\u306f\u306a\u304f\u3001 patient note<\/strong> \u3068\u547c\u3076\u3053\u3068\u304c\u4e00\u822c\u7684\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u305f\u3060\u3053\u306e patient note \u3082\u6b63\u5f0f\u306a\u540d\u79f0\u3068\u3044\u3046\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u56fd\u3084\u533b\u7642\u6a5f\u95a2\u306b\u3088\u3063\u3066 case note<\/strong><\/span> \u3084 clinical case note<\/strong> \u306a\u3069\u8272\u3005\u306a\u547c\u79f0\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u56fd\u969b\u7684\u306a\u533b\u7642\u82f1\u8a9e\u8a66\u9a13\u3067\u3042\u308b OET Medicine<\/strong><\/span><\/a> \u306e Writing Sub-Test \u3067\u306f\u300c\u60a3\u8005\u306e\u81e8\u5e8a\u6240\u898b\u3092\u8a18\u8f09\u3059\u308b\u66f8\u985e<\/strong>\u300d\u3092\u8aad\u307f\u3001\u305d\u308c\u306b\u57fa\u3065\u3044\u3066 referral letter<\/strong>\u300c\u7d39\u4ecb\u72b6<\/strong>\u300d\u3092\u66f8\u304f\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u304c\u3001OET \u3067\u306f\u3053\u306e\u300c\u60a3\u8005\u306e\u81e8\u5e8a\u6240\u898b\u3092\u8a18\u8f09\u3059\u308b\u66f8\u985e<\/strong>\u300d\u306e\u3053\u3068\u3092 case note<\/strong><\/span> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3061\u306a\u307f\u306b\u79c1\u304c\u6559\u97ad\u3092\u53d6\u3063\u3066\u3044\u308b\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8<\/strong><\/span><\/a>\u3067\u306f\u30016\u5e74\u6b21\u306e Post Clinical Clerkship OSCE \u306e\u5927\u5b66\u72ec\u81ea\u8ab2\u984c<\/strong>\u3068\u3057\u3066\u300c\u82f1\u8a9e\u3067\u306e\u533b\u7642\u9762\u63a5<\/strong> = medical interview in English<\/strong>\u300d\u3068\u300c\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u5831\u544a<\/strong> = case presentation in English<\/strong>\u300d\u306e\u4ed6\u3001\u300c\u82f1\u8a9e\u3067\u306e\u30ab\u30eb\u30c6\u8a18\u8f09<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u672c\u5b66\u3067\u306f\u3053\u308c\u3092\u7c73\u56fd\u306e\u547c\u79f0\u3092\u4f7f\u3063\u3066 patient note in English<\/strong><\/span> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3064\u307e\u308a\u300c\u30ab\u30eb\u30c6<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u300c\u60a3\u8005\u306e\u81e8\u5e8a\u6240\u898b\u3092\u8a18\u8f09\u3059\u308b\u66f8\u985e<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b\u5834\u5408\u3001\u82f1\u8a9e\u570f\u3067\u306f\u305d\u308c\u3092 patient note<\/strong><\/span> \u3084 case note<\/strong><\/span> \u3068\u8868\u73fe\u3059\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

Patient Note \u3067\u306f\u3069\u3093\u306a\u9805\u76ee\u3092\u66f8\u304f\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u305d\u308c\u3067\u306f\u3053\u306e patient note<\/strong> \u3067\u306f\u3069\u3093\u306a\u9805\u76ee\u3092\u66f8\u3051\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\uff1f<\/span><\/p>\r\n

\u7686\u3055\u3093\u3082\u81e8\u5e8a\u5b9f\u7fd2\u3067 SOAP<\/strong><\/span> \u3068\u3044\u3046\u9805\u76ee\u3092\u5b66\u3093\u3060\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u3082\u3053\u306e SOAP\uff08\u300c\u77f3\u9e78<\/strong>\u300d\u3068\u540c\u3058\u3088\u3046\u306b\u300c\u30bd<\/strong>\u30a5\u30d7\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3092\u4f7f\u3063\u3066\u8a18\u8f09\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

SOAP<\/strong><\/span><\/span>
\r\n S<\/strong>ubjective data\uff08\u60a3\u8005\u3055\u3093\u304c\u8a34\u3048\u308b\u4e3b\u89b3\u7684\u306a\u60c5\u5831\uff09<\/span>
\r\n O<\/strong>bjective data\uff08\u533b\u7642\u8005\u304c\u89b3\u5bdf\u3059\u308b\u5ba2\u89b3\u7684\u306a\u60c5\u5831\uff09<\/span>
\r\n A<\/strong>ssessment\uff08\u533b\u7642\u8005\u306e\u8a55\u4fa1\uff09<\/span>
\r\n P<\/strong>lan\uff08\u4eca\u5f8c\u306e\u8a08\u753b\uff09<\/span><\/p>\r\n

\u305f\u3060\u3053\u306e SOAP \u306f inpatients<\/strong>\u300c\u5165\u9662\u60a3\u8005<\/strong>\u300d\u306e\u65e5\u3005\u306e\u7d4c\u904e<\/strong>\u3092\u8a18\u9332\u3059\u308b\u305f\u3081\u306e\u5f62\u5f0f\u3067\u3042\u308a\u3001\u521d\u8a3a\u306e outpatients<\/strong>\u300c\u5916\u6765\u60a3\u8005<\/strong>\u300d\u306e\u8a18\u9332\u3068\u3057\u3066\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u300c\u578b<\/strong>\u300d\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

Patient Note Basic Structure<\/strong><\/span>
\r\n1. Patient Information<\/strong>\u300cChief Complaint<\/strong>\u300c\u4e3b\u8a34\u300d\u3092\u542b\u3081\u305f\uff11\u3064\u306e\u6587\u300d<\/span>
\r\n2. History Taking<\/strong><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> History of Present Illness<\/strong> (HPI<\/strong>) \u300c\u73fe\u75c5\u6b74\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Past Medical History<\/strong> (PMH<\/strong>) \u300c\u65e2\u5f80\u6b74\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Past Surgical History<\/strong> (PSH<\/strong>) \u300c\u624b\u8853\u6b74\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Medications<\/strong> (Meds<\/strong>) \u300c\uff08\u5185\u670d\uff09\u85ac\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Allergies<\/strong> \u300c\u30a2\u30ec\u30eb\u30ae\u30fc\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Family History<\/strong> (FH<\/strong>) \u300c\u5bb6\u65cf\u6b74\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Social History<\/strong> (SH<\/strong>) \u300c\u793e\u4f1a\u6b74\u300d<\/span>
\r\n\u3000<\/em> \u3000<\/em> Review of Systems<\/strong> (ROS<\/strong>) \u300c\u30b7\u30b9\u30c6\u30e0\u30ec\u30d3\u30e5\u30fc\u300d<\/span>
\r\n3. Physical Examination<\/strong><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Vital Signs<\/strong> (VS<\/strong>) \u300c\u30d0\u30a4\u30bf\u30eb\u30b5\u30a4\u30f3\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> General Appearance<\/strong> (GA<\/strong>) \u300c\u5168\u8eab\u306e\u69d8\u5b50\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Mental Status<\/strong> (Mental<\/strong>)\u300c\u7cbe\u795e\u72b6\u614b\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> HEENT<\/strong> \u300c\u982d\u9838\u90e8 (head, eyes, ears, nose and throat \u306e\u7565\u3002\u300c\u30a8\u30a4\u30c1\u30fb\u30a4\u30fc\u30fb\u30a4\u30fc\u30fb\u30a8\u30cc\u30fb\u30c6\u30a3\u30fc\u300d\u3068\u767a\u97f3)\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Cardiovascular Exam<\/strong> (CV or Heart<\/strong>) \u300c\u5fc3\u8840\u7ba1\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Pulmonary Exam<\/strong> (Chest or Lungs<\/strong>) \u300c\u547c\u5438\u5668\uff08\u80f8\u90e8\uff09\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Abdominal Exam<\/strong> (Abdomen<\/strong>) \u300c\u8179\u90e8\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Neurological Exam<\/strong> (Neuro<\/strong>) \u300c\u795e\u7d4c\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Extremities<\/strong> \u300c\u56db\u80a2\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> Skin<\/strong> \u300c\u76ae\u819a\u300d<\/span>
\r\n4. Summary<\/strong>\u300cPatient Information \u306b\u9451\u5225\u306b\u91cd\u8981\u306a\u9805\u76ee\u3092\u52a0\u3048\u305f\uff11\u3064\u306e\u6587\u300d<\/span>
\r\n5. Differential Diagnosis<\/strong>\u300c\u9451\u5225\u75be\u60a3\u300d<\/span>
\r\n6. Plan<\/strong>\u300c\u691c\u67fb\u3084\u6cbb\u7642\u306e\u8a08\u753b\u300d<\/span><\/p>\r\n

\u3053\u306e Patient Information<\/strong><\/span> \u3084 Summary<\/strong><\/span> \u306b\u3064\u3044\u3066\u306f\u300cMenu 30. \u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u57fa\u790e\u7de8<\/strong><\/span><\/a>\u300d\u306b\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u3066\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u3053\u3061\u3089\u3082\u662f\u975e\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3069\u3093\u306a patient note \u304c\u9ad8\u304f\u8a55\u4fa1\u3055\u308c\u308b\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u6b21\u306b\u3069\u306e\u3088\u3046\u306a\u70b9\u306b\u7559\u610f\u3059\u308c\u3070\u3001\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u3082\u9ad8\u304f\u8a55\u4fa1\u3055\u308c\u308b patient note \u3092\u66f8\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u307e\u305a\u306f\u4e0a\u8a18\u306e patient note \u306e\u300c\u578b<\/strong>\u300d\u3092\u5b88\u308b\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u300c\u578b<\/strong>\u300d\u306b\u3042\u308b6\u9805\u76ee\u306f\u305d\u306e\u9806\u5e8f\u3082\u542b\u3081\u3066\u5b88\u308b\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u6b21\u306b History of Present Illness<\/strong> (HPI<\/strong>)\u300c\u73fe\u75c5\u6b74<\/strong>\u300d\u306b\u5341\u5206\u306a\u60c5\u5831\u3092\u8a18\u8f09\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u591a\u304f\u306e\u65e5\u672c\u306e\u533b\u5b66\u751f\u304c\u66f8\u304f\u30ab\u30eb\u30c6\u3067\u306f\u3001HPI \u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u60c5\u5831\u304c\u5341\u5206\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u76ee\u5b89\u3068\u3057\u3066 HPI \u304c History Taking \u306e\u534a\u5206\u4ee5\u4e0a\u3068\u306a\u308b\u3088\u3046\u306b\u5341\u5206\u306a\u60c5\u5831\u3092\u8a18\u8f09\u3059\u308b<\/strong>\u3088\u3046\u306b\u5fc3\u304c\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 pertinent positives \u3068 pertinent negatives \u3092\u8a18\u8f09\u3057\u3066\u3001\u8aad\u307f\u624b\u306b\u9451\u5225\u75be\u60a3\u3092\u60f3\u8d77\u3055\u305b\u308b<\/strong>\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u826f\u3044 patient note \u3067\u306f History Taking \u3068 Physical Examination \u306e\u90e8\u5206\u3092\u8aad\u3080\u3053\u3068\u3067\u9451\u5225\u75be\u60a3\u304c\u60f3\u8d77\u3055\u308c\u307e\u3059\u3002\u3082\u3057\u3082\u4e3b\u8a34\u304c chest pain \u3067\u3001\u305d\u306e\u9451\u5225\u75be\u60a3\u3068\u3057\u3066 coronary artery disease \u3092\u60f3\u5b9a\u3057\u3066\u3044\u308b\u5834\u5408\u3001chest pain \u4ee5\u5916\u306b\u3082 dyspnea\u300c\u547c\u5438\u56f0\u96e3\u300d\u3084 nausea\u300c\u60aa\u5fc3\u30fb\u5410\u304d\u6c17\u300d\u306e\u3088\u3046\u306a\u95a2\u9023\u75c7\u72b6\u306e\u6709\u7121<\/strong>\u3082\u8a18\u8f09\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u95a2\u9023\u75c7\u72b6\u3084\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u3092\u4e00\u901a\u308a\u6d17\u3044\u51fa\u3057\u3001\u305d\u308c\u3089\u306e\u6709\u7121\u3092\u8a18\u8f09\u3059\u308b\u3053\u3068\u3067\u8a3a\u65ad\u306b\u8aac\u5f97\u529b\u304c\u751f\u307e\u308c\u308b\u306e\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u300c\u967d\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u306e\u3053\u3068\u3092 pertinent positives<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u300c\u9670\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u306e\u3053\u3068\u3092 pertinent negatives<\/strong><\/span> \u3068\u547c\u3073\u3001\u3053\u308c\u3089\u3092\u3057\u3063\u304b\u308a\u3068\u8a18\u8ff0\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3067 patient note \u306e\u8a55\u4fa1\u304c\u5206\u304b\u308c\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f patient note \u7279\u6709\u306e\u300c\u5b9a\u578b\u8868\u73fe<\/strong>\u300d\u3092\u4f7f\u3046\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002<\/span><\/p>\r\n

patient note \u3067\u306f\u60a3\u8005\u3055\u3093\u304c\u4f7f\u3046 lay terms<\/strong> \u300c\u4e00\u822c\u7528\u8a9e<\/strong>\u300d\u3092 medical terms<\/strong><\/span>\u300c\u533b\u5b66\u7528\u8a9e<\/strong>\u300d\u306b\u5909\u63db\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u300c\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u3092\u4e0e\u3048\u308b\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e semantic qualifiers<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u91cd\u8981\u3067\u3059\u3002headache \u3092\u4e3b\u8a34\u3068\u3059\u308b\u60a3\u8005\u306e patient note \u306b\u304a\u3044\u3066 bilateral squeezing<\/strong> headache with distracting<\/strong> intensity \u306e\u3088\u3046\u306b bilateral<\/strong>\u300c\u4e21\u5074\u306e<\/strong>\u300d\u3084 squeezing<\/strong>\u300c\u7de0\u3081\u4ed8\u3051\u3089\u308c\u308b\u3088\u3046\u306a<\/strong>\u300d\u3001\u305d\u3057\u3066 distracting<\/strong> intensity\u300c\u96c6\u4e2d\u3067\u304d\u306a\u3044<\/strong>\u7a0b\u5ea6\u306e\u300d\u3068\u3044\u3046\u8868\u73fe\u306f\u5168\u3066 tension headache \u3092\u60f3\u8d77\u3055\u305b\u308b semantic qualifiers<\/strong> \u3067\u3059\u3002\u3067\u3059\u304b\u3089\u81ea\u5206\u304c\u8003\u3048\u3066\u3044\u308b\u9451\u5225\u75be\u60a3\u306b\u306f\u3069\u306e\u3088\u3046\u306a semantic qualifiers \u304c\u3042\u308b\u306e\u304b\u3092\u78ba\u8a8d\u3057\u3001\u305d\u308c\u3089\u3092 patient note \u306b\u3082\u4f7f\u3046\u3088\u3046\u306b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u6700\u5f8c\u306b\u91cd\u8981\u306a\u306e\u304c\u826f\u3044 Summary \u3092\u66f8\u304f<\/strong>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n

patient note \u306e Summary \u306e\u57fa\u672c\u7684\u306a\u5b9a\u578b\u8868\u73fe\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

In summary<\/strong><\/span>, the patient is a\/an (age)-year-old (man\/woman) with (pertinent risk factors), who presented with a (duration)-history of (chief complaint +<\/span>significant HPI<\/strong><\/span>), associated with (pertinent positives)<\/strong><\/span>.<\/span><\/p>\r\n

\u3053\u306e\u3088\u3046\u306b\u300c\u73fe\u75c5\u6b74<\/strong>\u300dHistory of Present Illness<\/strong> (HPI<\/strong>) \u306e\u4e2d\u3067\u7279\u306b\u91cd\u8981\u306a\u9805\u76ee<\/strong>\u3068\u3001History Taking \u3084 Physical Examination \u306b\u304a\u3044\u3066\u300c\u967d\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u3067\u3042\u308b pertinent positives<\/strong><\/span> \u3092\u542b\u3080 one-liner<\/strong>\u300c\u30a4\u30f3\u30d1\u30af\u30c8\u306e\u3042\u308b1\u884c\u306e\u6587<\/strong>\u300d\u3092\u4f5c\u6210\u3057\u307e\u3059\u3002\u307e\u305f\u3053\u306e Summary \u306b\u306f pertinent negatives \u3092\u542b\u3081\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u6307\u5c0e\u533b\u3084\u4ed6\u306e\u533b\u5b66\u751f\u3082 patient note \u3092\u52b9\u7387\u7684\u306b\u8aad\u3082\u3046\u3068\u3057\u307e\u3059\u3002\u3067\u3059\u304b\u3089 Summary \u306b\u306f\u3069\u3046\u3057\u3066\u3082\u8aad\u307f\u624b\u306e\u610f\u8b58\u304c\u96c6\u4e2d\u3059\u308b\u306e\u3067\u3059\u3002\u3057\u305f\u304c\u3063\u3066 patient note \u306e\u8a55\u4fa1\u306f Summary \u3067\u6c7a\u307e\u308b\u3068\u8a00\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/strong>\u3002\u591a\u304f\u306e\u533b\u5b66\u751f\u306f History Taking \u3084 Physical Examination \u306e\u5f8c\u306b\u3053\u306e Summary \u3092\u66f8\u304f\u306e\u3067\u3001Summary \u3092\u66f8\u304f\u9803\u306b\u306f\u96c6\u4e2d\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3059\u3002\u500b\u4eba\u7684\u306b\u306f\u300c\u307e\u305a Summary \u3092\u66f8\u3044\u305f\u5f8c\u3067 History Taking & Physical Examination \u3092\u66f8\u304d\u3001\u305d\u306e\u5f8c\u3067\u3082\u3046\u4e00\u5ea6 Summary \u3092\u898b\u76f4\u3059<\/strong>\u300d\u3068\u3044\u3046\u624b\u9806\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u899a\u3048\u3066\u304a\u304d\u305f\u3044 Physical Examination \u3067\u306e\u5b9a\u578b\u8868\u73fe<\/strong><\/span><\/span>
\r\npatient note<\/strong> \u3068 case presentation<\/strong>\u300c\u75c7\u4f8b\u5831\u544a<\/strong>\uff08\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\uff09\u300d\u306e\u9055\u3044\u306f\u3001\u524d\u8005\u304c\u300c\u66f8\u304d\u8a00\u8449<\/strong>\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u5f8c\u8005\u306f\u300c\u8a71\u3057\u8a00\u8449<\/strong>\u300d\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u305f\u3081 patient note \u306b\u306f case presentation \u306b\u306f\u306a\u3044\u3044\u304f\u3064\u304b\u306e\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\uff11\u3064\u76ee\u306f History Taking \u3067 bullet style<\/strong><\/span>\u300c\u7b87\u6761\u66f8\u304d<\/strong>\u300d\u304c\u591a\u7528\u3055\u308c\u308b<\/strong>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n

\u3082\u3061\u308d\u3093\u6587\u7ae0\u3067\u8a18\u8ff0\u3059\u308b paragraph style \u3082 patient note \u3067\u306f\u4f7f\u308f\u308c\u308b\u306e\u3067\u3059\u304c\u3001\u66f8\u304d\u3084\u3059\u3055\u3068\u8aad\u307f\u3084\u3059\u3055\u304b\u3089 bullet style \u304c\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e bullet style \u306e\u65b9\u304c\u82f1\u8a9e\u3092\u6bcd\u56fd\u8a9e\u3068\u3057\u306a\u3044\u533b\u5e2b\u3084\u533b\u5b66\u751f\u306b\u3068\u3063\u3066\u3082\u66f8\u304d\u3084\u3059\u3044\u306e\u3067\u3001\u8aad\u8005\u306e\u7686\u3055\u3093\u304c patient note \u3092\u66f8\u304f\u5834\u5408\u306b\u306f\u3053\u306e bullet style \u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

2\u3064\u76ee\u306f\u300c\u7565\u8a9e<\/strong>\u300d\u304c\u591a\u7528\u3055\u308c\u308b<\/strong>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u7565\u8a9e<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f initialism<\/strong><\/span> \u3084 acronym<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u300c\u3048\uff1f\u7565\u8a9e\u3063\u3066abbreviation \u3063\u3066\u8a00\u3046\u3093\u3058\u3083\u306a\u304b\u3063\u305f\u3063\u3051\uff1f\u300d\u3068\u601d\u308f\u308c\u308b\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u53b3\u5bc6\u306b\u8a00\u3046\u3068 abbreviation \u3068\u306fdoctor \u3092 Dr. \u3068\u77ed\u304f\u8868\u8a18\u3059\u308b\u3088\u3046\u306a\u7565\u8a9e\u306e\u3053\u3068\u3067\u3059\u3002chronic obstructive pulmonary disease \u306e\u982d\u6587\u5b57\u3092\u305d\u306e\u307e\u307e\u30a2\u30eb\u30d5\u30a1\u30d9\u30c3\u30c8\u3067 COPD \u3068\u8868\u8a18\u3059\u308b\u5834\u5408\u306e\u7565\u8a9e\u306f initialism<\/strong> \u3068\u306a\u308a\u3001\u982d\u6587\u5b57\u3092\u305d\u306e\u307e\u307e\u30a2\u30eb\u30d5\u30a1\u30d9\u30c3\u30c8\u3067\u8aad\u3080\u306e\u3067\u306f\u306a\u304f\u3001\u65b0\u305f\u306a\u8aad\u307f\u65b9\u304c\u4e0e\u3048\u3089\u308c\u305f\u7565\u8a9e\u306f acronym<\/strong> \u3068\u306a\u308a\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f gastroesophageal reflux disease<\/strong> \u3092\u300c\u30ac\u30fc\u30c9<\/strong>\u300d\u306e\u3088\u3046\u306b\u8aad\u3080 GERD<\/strong> \u3068\u3044\u3046\u7565\u8a9e\u306f acronym<\/strong> \u3068\u306a\u308b\u306e\u3067\u3059\u3002\u3057\u304b\u3057\u82f1\u8a9e\u570f\u306e\u533b\u5e2b\u3082\u3053\u308c\u3089\u306e\u533a\u5225\u3092\u3059\u308b\u4eba\u306f\u5c11\u306a\u304f\u3001COPD \u3084 GERD \u3068\u3044\u3063\u305f\u7565\u8a9e\u3082\u7dcf\u3058\u3066 abbreviation<\/strong> \u3068\u547c\u3076\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 patient note \u3067\u306f\u7565\u8a9e\u304c\u591a\u7528\u3055\u308c\u307e\u3059\u3002\u533b\u5b66\u6559\u80b2\u3067\u306f\u300c\u7565\u8a9e\u306f\u3067\u304d\u308b\u3060\u3051\u4f7f\u7528\u3057\u306a\u3044\u3088\u3046\u306b\u6559\u80b2\u3059\u3079\u304d\u3060<\/strong>\u300d\u3068\u8003\u3048\u3066\u304a\u3089\u308c\u308b\u65b9\u3082\u591a\u304f\u3001\u79c1\u3082\u305d\u306e\u901a\u308a\u3060\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e\u5b9f\u969b\u306e patient note \u306b\u306f\u7565\u8a9e\u304c\u591a\u7528\u3055\u308c\u3066\u3044\u307e\u3059<\/strong>\u3002\u3067\u3059\u304b\u3089\u305d\u306e\u7565\u8a9e\u304c\u610f\u5473\u3059\u308b\u5b9a\u578b\u8868\u73fe\u3092\u77e5\u3089\u306a\u3044\u3068 patient note \u3092\u66f8\u304f\u3053\u3068\u306f\u3082\u3061\u308d\u3093\u3001\u8aad\u3080\u3053\u3068\u3059\u3089\u3067\u304d\u307e\u305b\u3093\u3002<\/span><\/p>\r\n

\u4e0b\u8a18\u306b patient note \u3067\u591a\u7528\u3055\u308c\u308b\u5b9a\u578b\u8868\u73fe\u3068\u305d\u306e\u7565\u8a9e\u3092\u793a\u3057\u307e\u3059\u3002\u7686\u3055\u3093\u306f\u3044\u304f\u3064\u77e5\u3063\u3066\u3044\u307e\u3059\u304b\uff1f<\/span><\/p>\r\n

\u3000<\/em>\u2022\u3000<\/em> Hypertension (HTN<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> No known allergies (NKA<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> No known drug allergies (NKDA<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> Pupils are equal and round, react to light and accommodation (PERRLA<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> Extraocular muscles are intact (EOMI<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> Jugular venous distension (JVD<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> Regular rate and rhythm, no murmurs, rubs, or gallops (RRR, no m\/r\/g<\/strong><\/span>)<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> Clear to auscultation bilaterally, no wheezes, rhonchi, or crackles (CTAB, no w\/r\/c<\/strong><\/span>)<\/span><\/p>\r\n

\u65e5\u672c\u306e\u533b\u7642\u73fe\u5834\u3067\u306f hypertension<\/strong>\u300c\u9ad8\u8840\u5727<\/strong>\u300d\u306b\u5bfe\u3057\u3066 HT \u3068\u3044\u3046\u7565\u8a9e\u3092\u4f7f\u3063\u3066\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f HTN<\/strong><\/span> \u3068\u3044\u3046\u7565\u8a9e\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u82f1\u8a9e\u570f\u306e electronic medical records \u3067\u306f\u3001 patient note \u306e Physical Examination \u306b\u6b63\u5e38\u6240\u898b\u304c\u30c7\u30d5\u30a9\u30eb\u30c8\u3067\u5165\u529b\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u75c5\u68df\u3067\u96fb\u5b50\u30ab\u30eb\u30c6\u306b\u8eab\u4f53\u8a3a\u5bdf\u6240\u898b\u3092\u5165\u529b\u3057\u3088\u3046\u3068\u3059\u308b\u3068\u3001\u305d\u3053\u306b\u306f\u3042\u3089\u304b\u3058\u3081 \u201cHeart: RRR, no m\/r\/g.<\/strong>\u201d \u306e\u3088\u3046\u306a\u7565\u8a9e\u304c\u5165\u529b\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u3046\u3044\u3063\u305f\u7565\u8a9e\u3092\u899a\u3048\u308b\u79d8\u8a23\u306f\u3001\u305d\u306e\u7565\u8a9e\u304c\u610f\u5473\u3057\u3066\u3044\u308b\u5b9a\u578b\u8868\u73fe\u3092\u8eab\u306b\u3064\u3051\u308b<\/strong>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3064\u307e\u308a \u201cRRR, no m\/r\/g\u201d \u3068\u3044\u3046\u7565\u8a9e\u3067\u306f\u306a\u304f\u3001\u201cRegular rate and rhythm, no murmurs, rubs, or gallops<\/strong>\u201d \u3068\u3044\u3046\u5b9a\u578b\u8868\u73fe\u3092\u8eab\u306b\u3064\u3051\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u306e\u305f\u3081\u306b\u306f\u82f1\u8a9e\u570f\u3067\u66f8\u304b\u308c\u305f patient notes \u3092\u6570\u591a\u304f\u8aad\u3080\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002\u3082\u3046\u5ec3\u6b62\u3068\u306a\u308a\u307e\u3057\u305f\u304c\u3001USMLE Step 2 Clinical Skills (CS) \u5bfe\u7b56\u306e\u6559\u6750\u306b\u306f\u305f\u304f\u3055\u3093\u306e patient notes \u304c\u63b2\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u500b\u4eba\u7684\u306b\u306f First Aid for the USMLE Step 2 CS<\/strong><\/span><\/a> \u3068\u3044\u3046\u53c2\u8003\u66f8\u304c\u304a\u52e7\u3081\u3067\u3059\u3002\u3053\u306e\u4e2d\u306e Practical Cases<\/strong> \u3067\u306f\u305f\u304f\u3055\u3093\u306e patient notes \u304c\u63b2\u8f09\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3001\u305d\u3053\u3067\u4f7f\u308f\u308c\u3066\u3044\u308b\u7565\u8a9e\u304c\u4f55\u3092\u610f\u5473\u3057\u3066\u3044\u308b\u306e\u304b\u3092\u8abf\u3079\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002\u305d\u3046\u3059\u308b\u3068\u82f1\u8a9e\u570f\u3067\u4f7f\u308f\u308c\u3066\u3044\u308b\u5b9a\u578b\u8868\u73fe\u3092\u8eab\u306b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u7565\u8a9e\u304c\u4f55\u3092\u610f\u5473\u3057\u3066\u3044\u308b\u306e\u304b\u3092\u7406\u89e3\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3046\u306f\u8a00\u3063\u3066\u3082\u3001\u3069\u3053\u304b\u3089\u624b\u3092\u3064\u3051\u3066\u3044\u3044\u304b\u308f\u304b\u3089\u306a\u3044\u3068\u3044\u3046\u65b9\u306f\u3001\u3053\u3061\u3089<\/strong><\/a>\u306b\u3042\u308b History Taking & Physical Exam \u306e\u60c5\u5831\u3092\u8aad\u3093\u3067\u3001\u81ea\u5206\u306a\u308a\u306b patient note \u3092\u66f8\u3044\u3066\u307f\u307e\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u5b9f\u969b\u306b\u81ea\u5206\u304c\u66f8\u3044\u305f patient note \u3092\u3053\u3061\u3089<\/strong><\/a>\u306b\u3042\u308b Patient Note Sample \u3068\u6bd4\u8f03\u3057\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002\u3082\u3061\u308d\u3093\u3053\u306e\u30b5\u30f3\u30d7\u30eb\u4ee5\u5916\u306b\u3082\u8272\u3005\u306a\u66f8\u304d\u65b9\u304c\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u304c\u3001patient note \u306e\u304a\u624b\u672c\u306e\uff11\u3064\u3068\u3057\u3066\u3054\u6d3b\u7528\u304f\u3060\u3055\u3044\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<\/span><\/p>\r\n

\u6700\u5f8c\u306b\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u3082\u9ad8\u304f\u8a55\u4fa1\u3055\u308c\u308b patient note \u306e\u30dd\u30a4\u30f3\u30c8\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u3000<\/em>\u2022\u3000<\/em> Patient Note \u306e\u300c\u578b\u300d\u3092\u5b88\u308b<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> History of Present Illness (HPI)\u300c\u73fe\u75c5\u6b74\u300d\u306b\u5341\u5206\u306a\u60c5\u5831\u3092\u8a18\u8f09\u3059\u308b<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> pertinent positives \u3068 pertinent negatives \u3092\u8a18\u8f09\u3057\u3066\u3001\u8aad\u307f\u624b\u306b\u9451\u5225\u75be\u60a3\u3092\u60f3\u8d77\u3055\u305b\u308b<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> medical terms \u3068 semantic qualifiers \u3092\u4f7f\u3046<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em> \u9451\u5225\u75be\u60a3\u3092\u60f3\u8d77\u3055\u305b\u308b Summary \u3092\u66f8\u304f<\/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


\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 \u51c6\u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>\r\n\r\n\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\u82f1\u8a9e\u3067\u306e\u30ab\u30eb\u30c6\u8a18\u8f09\u300d\u3067\u3059\u3002 \u4e16\u754c\u7684\u306b\u30b3\u30ed\u30ca\u611f\u67d3\u304c\u843d\u3061\u7740\u304d\u3092\u898b\u305b\u3066\u304f","protected":false},"author":1,"featured_media":6872,"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-7081","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\/7081","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=7081"}],"version-history":[{"count":2,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7081\/revisions"}],"predecessor-version":[{"id":7261,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7081\/revisions\/7261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6872"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}