{"id":7133,"date":"2020-04-01T09:00:14","date_gmt":"2020-04-01T00:00:14","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7133"},"modified":"2023-12-25T12:00:57","modified_gmt":"2023-12-25T03:00:57","slug":"menu_13","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_13\/","title":{"rendered":"Menu 13\u3000 \u8179\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"\"\"\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\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\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u8179\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n\r\n

\r\n\u300c\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u300d\u306b\u3042\u308b37\u306e\u75c7\u5019\u306e\u4e2d\u3067\u3082\u300c\u8179\u75db\u300d\u306f\u9451\u5225\u75be\u60a3\u3082\u591a\u304f\u3001OSCE\u3067\u3082\u53d6\u308a\u6271\u308f\u308c\u308b\u983b\u5ea6\u304c\u9ad8\u3044\u91cd\u8981\u306a\u75c7\u72b6\u3068\u8a00\u3048\u307e\u3059\u3002\u3057\u304b\u3057\u82f1\u8a9e\u3067\u533b\u7642\u9762\u63a5\u3092\u3059\u308b\u969b\u306b\u306f\u610f\u5916\u3068\u77e5\u3089\u306a\u3044\u8868\u73fe\u3082\u3042\u308a\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/span>
\r\n\u305d\u3053\u3067\u4eca\u6708\u306f\u3053\u306e\u300c\u8179\u75db\u300d\u306b\u95a2\u3059\u308b\u69d8\u3005\u306a\u81e8\u5e8a\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3057\u3087\u3046\u3002<\/span>\r\n<\/p>\r\n\r\n

\r\nhypochondriac region \u3063\u3066\u3069\u3053\uff1f<\/strong><\/span>
\r\n\u300c\u8179\u75db<\/strong>\u300d\u306f\u533b\u5b66\u7684\u306b\u306f abdominal pain<\/strong><\/span>\u3068\u3044\u3046\u82f1\u8a9e\u3067\u8868\u73fe\u3055\u308c\u307e\u3059\u304c\u3001\u4e00\u822c\u306e\u65b9\u306b\u306f stomachache<\/strong><\/span>\/stomach ache \u3084 bellyache<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u307e\u305f \u201cMy belly\/tummy hurts<\/strong><\/span>.\u201d \u306e\u3088\u3046\u306b\u52d5\u8a5e\u3092\u4f7f\u3063\u3066\u8868\u73fe\u3055\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u300c\u304a\u8179\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306b\u3082 abdomen<\/strong>\/stomach<\/strong>\/belly<\/strong>\/tummy<\/strong> \u306a\u3069\u8272\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3088\u304f\u300cbelly \u3084 tummy \u306f\u5b50\u3069\u3082\u304c\u4f7f\u3046\u8868\u73fe\u3067\u3001\u5927\u4eba\u306f\u4f7f\u308f\u306a\u3044\u300d\u3068\u3044\u3046\u610f\u898b\u3092\u805e\u304d\u307e\u3059\u304c\u3001\u4f1a\u8a71\u3067\u306f\u533b\u7642\u8005\u3082\u5927\u4eba\u306e\u60a3\u8005\u3082\u666e\u901a\u306b\u4f7f\u3046\u8868\u73fe\u3067\u3059\u3002\u75c7\u72b6\u306e\u7a2e\u985e\u306b\u95a2\u308f\u3089\u305a\u3001\u533b\u7642\u9762\u63a5\u3067\u306f\u307e\u305a History of Present Illness (HPI)\u300c\u73fe\u75c5\u6b74\u300d<\/strong><\/span><\/a> \u3092\u8a73\u7d30\u306b\u5c0b\u306d\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u7279\u306b\u8179\u75db\u306f\u9451\u5225\u75be\u60a3\u304c\u591a\u3044\u3053\u3068\u3082\u3042\u308a\u3001\u3053\u306e HPI \u3092\u8efd\u8996\u3059\u308b\u3068anaphylaxis<\/strong> \u300c\u30a2\u30ca\u30d5\u30a3\u30e9\u30ad\u30b7\u30fc<\/strong>\u300d\u306b\u3088\u308b\u8179\u75db\u306a\u3069\u306e\u8a3a\u65ad\u304c\u3064\u304b\u306a\u3044\u5834\u5408\u3082\u3042\u308b\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u8179\u75db\u306b\u95a2\u3059\u308b\u73fe\u75c5\u6b74\u3067\u306f region<\/strong>\u300c\u90e8\u4f4d<\/strong>\u300d\u304c\u8a3a\u65ad\u306b\u304a\u3044\u3066\u7279\u306b\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u969b\u306b\u306f \u201cCould you tell<\/strong> me where it hurts?\u201d \u306e\u3088\u3046\u306b tell \u306a\u3069\u306e\u52d5\u8a5e\u3092\u4f7f\u308f\u305a\u306b\u3001 \u201cCould you show<\/strong><\/span> me where it hurts?\u201d \u3084 \u201cCould you point<\/strong><\/span> with your finger to the location of the pain?\u201d \u306e\u3088\u3046\u306b\u3001\u60a3\u8005\u3055\u3093\u306b\u75db\u3080\u90e8\u4f4d\u3092\u793a\u3057\u3066\u3082\u3089\u3046\u3088\u3046\u306a\u52d5\u8a5e\u3092\u4f7f\u3046\u65b9\u304c\u805e\u304d\u9593\u9055\u3048\u308b\u5fc3\u914d\u3082\u306a\u304f\u3001\u6b63\u78ba\u306b\u75db\u3080\u90e8\u4f4d\u3092\u628a\u63e1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u533b\u7642\u8005\u304c\u8179\u90e8\u306e region \u3092\u8868\u73fe\u3059\u308b\u969b\u3001\u82f1\u8a9e\u570f\u3067\u306f\u8179\u90e8\u30929\u5206\u5272\u3057\u3066 9 regions<\/strong>\u300c9\u90e8\u4f4d<\/strong>\u300d\u3067\u8868\u73fe\u3059\u308b\u5834\u5408\u3068\u30014\u5206\u5272\u3057\u305f\u3082\u306e\u306b2\u90e8\u4f4d\u3092\u8ffd\u52a0\u3057\u3066 6 regions<\/strong> \u300c6\u90e8\u4f4d<\/strong>\u300d\u3067\u8868\u73fe\u3059\u308b\u5834\u5408\u306e2\u901a\u308a\u304c\u3042\u308a\u307e\u3059\u3002<\/span>
\r\n\u00a0<\/b><\/span>
\r\n9 regions\u300c9\u90e8\u4f4d\u300d<\/strong><\/span>
\r\n\u30001. Right hypochondrium\u300c\u53f3\u5b63\u808b\u90e8\u300d<\/strong><\/span>
\r\n\u30002. Left hypochondrium\u300c\u5de6\u5b63\u808b\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>3. Epigastrium\/Epigastric region\u300c\u5fc3\u7aa9\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>4. Right lumbar\u300c\u53f3\u8170\u90e8\uff1d\u53f3\u5074\u8179\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>5. Left lumbar\u300c\u5de6\u8170\u90e8\uff1d\u5de6\u5074\u8179\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>6. Umbilical\/periumbilical region\u300c\u81cd\u90e8\u30fb\u81cd\u5468\u56f2\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>7. Right iliac region\u300c\u53f3\u8178\u9aa8\u90e8\uff1d\u53f3\u9f20\u5f84\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>8. Left iliac region\u300c\u5de6\u8178\u9aa8\u90e8\uff1d\u5de6\u9f20\u5f84\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>9. Hypogastrium\u300c\u4e0b\u8179\u90e8\u300d<\/strong><\/span>\r\n<\/p>\r\n\r\n

\u300c\u5b63\u808b\u90e8<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b hypochondriac<\/strong><\/span> region\/hypochondrium<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3067\u3059\u304c\u3001\u60a3\u8005\u3055\u3093\u306b\u4f7f\u3046\u969b\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002\u3053\u306e hypochondrium \u3068\u3044\u3046\u8a00\u8449\u81ea\u4f53\u306fhypo- \u304c\u300c\u4e0b\u300d\u3001chondro- \u304c\u300c\u8edf\u9aa8\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u306e\u3067\u3001\u300c\uff08\u80f8\u9aa8\u306e\u4e0b\u306e\uff09\u8edf\u9aa8\u306e\u4e0b\u306e\u90e8\u5206\u300d\u3001\u3064\u307e\u308a\u300c\u4e0a\u8179\u90e8<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u305f\u3060\u4eca\u306e\u3088\u3046\u306b\u533b\u5b66\u304c\u767a\u9054\u3057\u3066\u3044\u306a\u3044\u9803\u3001\u300c\u539f\u56e0\u304c\u306f\u3063\u304d\u308a\u3057\u306a\u3044\u75c5\u6c17\u300d\u306e\u75c5\u5de3\u304c\u3053\u306e hypochondrium \u3067\u3042\u308b\u3068\u4fe1\u3058\u3089\u308c\u3066\u3044\u305f\u3053\u3068\u304b\u3089\u3001\u300c\u81ea\u5206\u304c\u75c5\u6c17\u3067\u3042\u308b\u3068\u601d\u3044\u8fbc\u3093\u3067\u6c88\u3093\u3060\u6c17\u5206\u306b\u306a\u308b\u300d\u3053\u3068\u3092\u82f1\u8a9e\u3067hypochondriasis<\/strong>\u300c\u5fc3\u6c17\u75c7<\/strong>\u300d\u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002\u3067\u3059\u304b\u3089 hypochondriac \u306b\u306f\u300c\u5fc3\u6c17\u75c7\u306e\u300d\u3068\u3044\u3046\u610f\u5473\u3082\u3042\u308b\u306e\u3067\u3001\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u306f\u5b89\u6613\u306b\u3053\u306e hypochondrium \u3084 hypochondriac \u3068\u3044\u3046\u8868\u73fe\u3092\u4f7f\u308f\u306a\u3044\u65b9\u304c\u7121\u96e3\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n6 regions\u300c6\u90e8\u4f4d\u300d<\/strong><\/span>
\r\n\u30001. Right upper quadrant (RUQ)\u300c\u53f3\u4e0a\u8179\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>2. Left upper quadrant (LUQ)\u300c\u5de6\u4e0a\u8179\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>3. Epigastrium\/Epigastric region\u300c\u5fc3\u7aa9\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>4. Right lower quadrant (RLQ)\u300c\u53f3\u4e0b\u8179\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>5. Left lower quadrant (LLQ)\u300c\u5de6\u4e0b\u8179\u90e8\u300d<\/strong><\/span>
\r\n\u3000<\/strong>6. Umbilical\/periumbilical region\u300c\u81cd\u90e8\u30fb\u81cd\u5468\u56f2\u90e8\u300d<\/strong><\/span>\r\n<\/p>\r\n\r\n

\u5b9f\u969b\u306e\u81e8\u5e8a\u306e\u5834\u9762\u3067\u306f 9 regions \u3088\u308a\u3082\u3053\u306e 6 regions \u306e\u65b9\u304c\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e 6 regions \u3067\u306f\u300c4\u5206\u5272\u3055\u308c\u305f\u90e8\u4f4d<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b quadrant<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002\u300c\u53f3\u4e0b\u8179\u90e8\u300d\u306f\u3053\u306e quadrant \u3092\u4f7f\u3063\u3066 right lower quadrant (RLQ) \u306e\u3088\u3046\u306b\u8868\u8a18\u3055\u308c\u307e\u3059\u304c\u3001\u7565\u8a9e\u306eRLQ<\/strong> \u3092\u53e3\u982d\u3067\u8aad\u307f\u4e0a\u3052\u308b\u969b\u306b\u306f\u307b\u307c\u5fc5\u305a \u201cright lower quadrant<\/strong>\u201d \u306e\u3088\u3046\u306b\u30b9\u30da\u30eb\u30a2\u30a6\u30c8\u3057\u3066\u767a\u97f3\u3059\u308b\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n\r\n

\u3053\u306e\u4ed6\u306b\u3082flank<\/strong><\/span> \u3068\u3044\u3046\u90e8\u4f4d\u3082\u8179\u75db\u306e\u533b\u7642\u9762\u63a5\u3067\u306f\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u6b63\u9762\u3084\u80cc\u9762\u304b\u3089\u898b\u305f\u90e8\u4f4d\u3067\u306f\u306a\u304f\u3001\u5074\u9762\u304b\u3089\u898b\u305f\u300c\u8107\u8179<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b\u90e8\u4f4d\u3067\u3001\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u3088\u304f\u4f7f\u308f\u308c\u308b\u540d\u8a5e\u3067\u3059\u3002\u5e74\u9f62\u304c\u9032\u3080\u3068\u300c\u8170\u56de\u308a\u306e\u8d05\u8089\u300d\u304c\u6c17\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u4e00\u822c\u82f1\u8a9e\u3067\u306f\u300c\u604b\u4eba\u304c\u63b4\u3080\u8d05\u8089<\/strong>\u300d\u3068\u3057\u3066 love handles<\/strong><\/span> \u3084\u3001\u5973\u6027\u306e\u5834\u5408\u306b\u306f\u300c\u30ab\u30c3\u30d7\u304b\u3089\u6ea2\u308c\u843d\u3061\u308b\u30de\u30d5\u30a3\u30f3<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3067 muffin top<\/strong><\/span> \u306a\u3069\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u3069\u3061\u3089\u3082\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u4e0d\u7528\u610f\u306b\u4f7f\u308f\u306a\u3044\u3067\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n\r\n

\r\ncolicky pain \u3063\u3066\u3069\u3093\u306a\u75db\u307f\uff1f<\/span><\/strong><\/span>
\r\n\u75db\u307f\u306e\u6027\u72b6\u3092\u5c0b\u306d\u305f\u3044\u5834\u5408\u306b\u306f \u201cWhat type of pain is it?\u201d \u3084 \u201cWhat is the pain like?\u201d \u3068\u5c0b\u306d\u307e\u3059\u3002\u982d\u75db<\/strong><\/span><\/a>\u3084\u80f8\u75db<\/strong><\/span><\/a>\u3068\u540c\u69d8\u3001\u8179\u75db\u306e\u6027\u72b6\u306b\u3082\u69d8\u3005\u306a\u5f62\u5bb9\u8a5e\u304c\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u4e2d\u3067\u3082 crampy<\/strong><\/span> pain \u3084 colicky<\/strong><\/span> pain \u3068\u3044\u3046\u8868\u73fe\u306f\u4f7f\u308f\u308c\u308b\u983b\u5ea6\u304c\u9ad8\u304f\u91cd\u8981\u306a\u8868\u73fe\u3068\u8a00\u3048\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

crampy<\/strong> \u306b\u306f\u300c\u30ad\u30e5\u30fc\u3063\u3068\u7de0\u3081\u4ed8\u3051\u3089\u308c\u308b\u3088\u3046\u306a<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u540d\u8a5e\u306e cramp \u306f\u3001\u3075\u304f\u3089\u306f\u304e\u3084\u30cf\u30e0\u30b9\u30c8\u30ea\u30f3\u30b0\u306a\u3069\u304c\u300c<\/span>\u3064\u3063<\/span><\/strong>\u305f<\/strong>\u300d\u3068\u8a00\u3044\u305f\u3044\u5834\u5408\u306b \u201cI had a cramp<\/strong> in the hamstring.\u201d \u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e cramp \u306f\u52d5\u8a5e\u3068\u3057\u3066\u201cMy hamstring cramped<\/strong> up.\u201d \u306e\u3088\u3046\u306b\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u305f\u3060\u5973\u6027\u304c cramps<\/strong><\/span> \u3068\u8907\u6570\u5f62\u3067\u8868\u73fe\u3057\u305f\u5834\u5408\u3001\u305d\u308c\u306f\u300c\u751f\u7406\u75db<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002colicky<\/strong> \u306f colon \u300c\u7d50\u8178\u300d\u306b\u7531\u6765\u3059\u308b\u8868\u73fe\u3067\u3001\u8178\u306e peristalsis \u300c\u8815\u52d5\u904b\u52d5\u300d\u306b\u3088\u3063\u3066\u5909\u5316\u3059\u308b\u75db\u307f\u3001\u3064\u307e\u308a a pain that comes in waves<\/strong> \u300c\u6ce2\u306e\u5f80\u6765\u306e\u3088\u3046\u306b\u73fe\u308c\u308b\u75db\u307f<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u8179\u75db\u306e\u300c\u968f\u4f34\u75c7\u72b6\u300d associated symptoms \u3068\u3057\u3066\u91cd\u8981\u306a\u306e\u304c\u3001 diarrhea<\/strong><\/span>\u300c\u4e0b\u75e2<\/strong>\u300d\u3084 constipation<\/strong><\/span> \u300c\u4fbf\u79d8<\/strong>\u300d\u3068\u3044\u3063\u305f defecation<\/strong><\/span> \u300c\u6392\u4fbf<\/strong>\u300d\u306b\u95a2\u3059\u308b\u75c7\u72b6\u3067\u3059\u3002\u3053\u306e\u6392\u4fbf\u306b\u95a2\u3057\u3066\u306f bowel movements<\/strong><\/span> \u300c\u304a\u901a\u3058<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001\u60a3\u8005\u3055\u3093\u306b\u306f \u201cHave you noticed any change in your bowel movements<\/strong>?\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u8868\u73fe\u3092\u4f7f\u3046\u3068\u3044\u3044\u3067\u3057\u3087\u3046\uff1f\u307e\u305fdiarrhea \u306f vomiting \u300c\u5614\u5410\u300d\u3068\u4e00\u7dd2\u306b diarrhea & vomiting<\/strong><\/span> \u306e\u3088\u3046\u306b\u5bfe\u3067\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3001\u305d\u306e\u7565\u8a9e\u306e D&V<\/strong><\/span> \uff08\u300c\u30c7\u30a3\u30fc \u30a2\u30f3\u30c9 \u30f4\u30a3\u30fc\u300d\u3068\u767a\u97f3\uff09\u306f\u82f1\u8a9e\u570f\u306e\u81e8\u5e8a\u533b\u306b\u5e45\u5e83\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u4ed6\u306b\u3082\u767a\u97f3\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u306a\u7528\u8a9e\u3068\u3057\u3066 melena<\/strong><\/span> \u300c\u9ed2\u8272\u4fbf<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u3002\u307b\u3068\u3093\u3069\u306e\u65e5\u672c\u4eba\u533b\u5e2b\u304c\u300c\u30e1<\/strong>\u30ec\u30ca\u300d\u3068\u767a\u97f3\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u6b63\u3057\u304f\u306f\u300c\u30e1\u30ea<\/strong>\u30fc\u30ca\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u3068\u306a\u308b\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n\r\n

\u65e5\u672c\u306e\u82e5\u8005\u306f\u300c\u5410\u304f\u300d\u3053\u3068\u3092\u300c\u30ea\u30d0\u30fc\u30b9\u3059\u308b\u300d\u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u304c\u3001\u82f1\u8a9e\u306e reverse\u306f\u300c\u5410\u304f\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3002\u300c\u5410\u304f<\/strong>\u300d\u306e\u52d5\u8a5e\u3068\u3057\u3066\u306f vomit<\/strong><\/span> \u304c\u6700\u3082\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u7c73\u56fd\u3067\u306f throw up<\/strong><\/span> \u304c\u3001\u82f1\u56fd\u3067\u306f be sick<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u65e5\u672c\u306e\u533b\u5e2b\u306b\u306f\u300c\u9006\u6d41\u75c7\u30fb\u9589\u9396\u4e0d\u5168\u75c7\u300d\u3068\u3057\u3066\u77e5\u3089\u308c\u3066\u3044\u308b regurgitation<\/strong><\/span> \u3067\u3059\u304c\u3001\u300c\u5614\u5410<\/strong><\/span>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u308f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u52d5\u8a5e\u306e regurgitate<\/strong><\/span> \u306f\u300c\u5410\u304f<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u3082\u306a\u308a\u307e\u3059\u3002\u300c\u5410\u7009\u7269\u30fb\u5410\u3044\u305f\u3082\u306e<\/strong>\u300d\u3068\u3057\u3066\u306f vomitus<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u3042\u308a\u3001 \u201cHow about the color and smell of the vomitus<\/strong>?\u201d \u306e\u3088\u3046\u306b\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u300c\u80f8\u713c\u3051<\/strong>\u300d\u306b\u306f pyrosis \u3068\u3044\u3046\u533b\u5b66\u82f1\u8a9e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u5b9f\u969b\u306b\u4f7f\u308f\u308c\u308b\u3053\u3068\u306f\u975e\u5e38\u306b\u7a00\u3067\u3001\u533b\u5e2b\u3067\u3042\u3063\u3066\u3082\u4e00\u822c\u82f1\u8a9e\u306e heartburn<\/strong><\/span> \u3092\u4f7f\u3046\u3053\u3068\u304c\u666e\u901a\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u300c\u30a4\u30ec\u30a6\u30b9\u300d\u306e\u82f1\u8a9e\u306f ileus \u3067\u3044\u3044\u306e\uff1f<\/span><\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b\u8179\u75db\u306e\u9451\u5225\u75be\u60a3\u306e\u82f1\u8a9e\u540d\u3092\u3044\u304f\u3064\u304b\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002RUQ abdominal pain \u300c\u53f3\u4e0a\u8179\u90e8\u75db\u300d\u306e\u9451\u5225\u3068\u3057\u3066\u91cd\u8981\u306a\u300c\u80c6\u77f3\u75c7<\/strong>\u300d\u306f\u4e00\u822c\u82f1\u8a9e\u3067\u306f gallstones<\/strong><\/span>\uff08\u300c\u30b4\u30a9\u30a5\u30b9\u30c8\u30a5\u30f3\u30ba\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\uff09\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f cholelithiasis<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002cholecystitis<\/span><\/strong> \u300c\u80c6\u56a2\u708e<\/strong>\u300d\u3067\u306f Murphy\u2019s sign \u304c\u967d\u6027\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u305d\u3053\u3067\u8179\u90e8\u3092\u89e6\u8a3a\u3059\u308b\u969b\u306b\u306f \u201cI am going to press<\/strong> here. Please breathe out completely, and then breathe in deeply.\u201d \u306e\u3088\u3046\u306b press \u3068\u3044\u3046\u52d5\u8a5e\u3092\u4f7f\u3046\u3068\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u307e\u305f Charcot\u2019s triad<\/strong> (RUQ abdominal pain\/pyrexia (fever)\/jaundice) \u3084Reynolds\u2019 pentad<\/strong> (Charcot\u2019s triad + shock\/altered mental status) \u304c\u73fe\u308c\u308b\u300c\u80c6\u7ba1\u708e<\/strong>\u300d\u306f cholangitis<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u65e5\u672c\u3067\u306f\u300c\u30a4\u30ec\u30a6\u30b9\u300d\u3092\u300c\u8178\u9589\u585e\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u3044\u3001\u300c\u6a5f\u68b0\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u3084\u300c\u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306e\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f\u300c\u8178\u9589\u585e<\/strong>\u300d\u306e\u3053\u3068\u3092 bowel obstruction<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u65e5\u672c\u3067\u8a00\u3046\u300c\u6a5f\u68b0\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306e\u3053\u3068\u3092 mechanical bowel obstruction<\/strong><\/span> \u3068\u3001\u300c\u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306e\u3053\u3068\u3092 ileus<\/strong><\/span> \u3082\u3057\u304f\u306f paralytic bowel obstruction<\/strong><\/span> \u3084 pseudo-obstruction<\/strong><\/span>\u00a0<\/strong>\u3068\u8868\u73fe\u3059\u308b\u306e\u3067\u3059\u3002\u3064\u307e\u308a\u82f1\u8a9e\u3067 ileus<\/strong><\/span>\uff08\u300c\u30a4\u30a3\u30ea\u30a1\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09 \u3068\u8a00\u3063\u305f\u3089\u3001\u305d\u308c\u306f\u65e5\u672c\u3067\u8a00\u3046\u3068\u3053\u308d\u306e\u300c\u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u3001\u5341\u5206\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n\r\n

\r\n\u201ckeyhole operation\u201d \u3063\u3066\u3069\u3093\u306a\u624b\u8853\uff1f<\/span><\/strong><\/span>
\r\n\u8179\u75db\u306e\u300c\u624b\u8853\u6b74\u300dpast surgical history \u3092\u5c0b\u306d\u308b\u969b\u3001\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u306f \u201cI had a keyhole operation<\/strong> to have my gallbladder taken.\u201d \u306e\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3046\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u306e keyhole operation<\/strong><\/span> \u300c\u9375\u7a74\u3092\u901a\u3057\u3066\u884c\u3046\u624b\u8853\u300d\u306f laparoscopic operation<\/strong><\/span> \u300c\u8179\u8154\u93e1\u624b\u8853<\/strong>\u300d\u3092\u8868\u3059\u4e00\u822c\u82f1\u8a9e\u3067\u3059\u3002<\/span>
\r\n\u307e\u305f\u8179\u75db\u3067\u306f\u7523\u5a66\u4eba\u79d1\u7cfb\u306e\u8cea\u554f\u3082\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u305d\u306e\u969b\u306b\u7d76\u5bfe\u306b\u77e5\u3063\u3066\u304a\u304b\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u7565\u8a9e\u304c OCP<\/span><\/strong> \u3068 HRT<\/span>\u00a0<\/strong>\u3067\u3059\u3002\u524d\u8005\u306f o<\/strong><\/span>ral c<\/strong><\/span>ontraceptive p<\/strong><\/span>ill \u300c\u7d4c\u53e3\u907f\u598a\u85ac<\/strong>\u300d\u3001\u305d\u3057\u3066\u5f8c\u8005\u306f h<\/strong><\/span>ormone r<\/strong><\/span>eplacement t<\/strong><\/span>herapy \u300c\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5<\/strong>\u300d\u306e\u7565\u8a9e\u3068\u306a\u308a\u3001\u82f1\u8a9e\u570f\u3067\u306f\u60a3\u8005\u3055\u3093\u3082\u666e\u901a\u306b\u4f7f\u3046\u304f\u3089\u3044\u666e\u53ca\u3057\u3066\u3044\u308b\u7565\u8a9e\u3067\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u6700\u5f8c\u306b\u8179\u75db\u306b\u95a2\u3059\u308b\u691c\u67fb\u306e\u82f1\u8a9e\u8868\u73fe\u3082\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u30d0\u30ea\u30a6\u30e0\u3092\u7528\u3044\u305f\u4e0a\u90e8\u6d88\u5316\u7ba1\u3068\u4e0b\u90e8\u6d88\u5316\u7ba1\u306e\u691c\u67fb<\/strong>\u306f\u3001barium \u306b swallow\u300c\u98f2\u307f\u8fbc\u3080\u300d\u3068 enema\u300c\u6d63\u8178\u300d\u3092\u7528\u3044\u3066\u3001\u305d\u308c\u305e\u308c barium swallow<\/strong><\/span> \u3068 barium enema<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u00a0<\/span><\/p>\r\n\r\n

\u65e5\u672c\u304c\u8a87\u308b\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u3067\u3059\u304c\u3001\u65e5\u672c\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u6163\u4f8b\u7684\u306b\u300c\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/strong>\u300d\u3092 gastrofiberscopy (GF) \u3068\u3001\u305d\u3057\u3066\u300c\u4e0b\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/strong>\u300d\u3092 colonofiberscopy (CF) \u3068\u547c\u3093\u3067\u304d\u307e\u3057\u305f\u304c\u3001\u3053\u308c\u3089\u306f\u82f1\u8a9e\u570f\u3067\u306f\u5168\u304f\u901a\u7528\u3057\u306a\u3044\u5b8c\u5168\u306a\u548c\u88fd\u82f1\u8a9e\u3067\u3059\u3002\u82f1\u8a9e\u570f\u3067\u306f\u524d\u8005\u306b\u306f upper GI endoscopy<\/strong><\/span> \u304b e<\/span><\/strong>sophagog<\/span><\/strong>astrod<\/span><\/strong>uodenoscopy<\/span> \u306e\u7565\u8a9e\u3067\u3042\u308b EGD<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u3001\u305d\u3057\u3066\u5f8c\u8005\u306b\u306f colonoscopy<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u4e0a\u90e8\u3068\u4e0b\u90e8\u306e\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u3092\u4e21\u65b9\u3068\u3082\u884c\u3046\u5834\u5408\u306b\u306f top and tail endoscopy<\/strong><\/span> \u306e\u3088\u3046\u306a\u72ec\u7279\u306a\u8868\u73fe\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u60a3\u8005\u3055\u3093\u306b\u4f7f\u3046\u3053\u3068\u306f\u3042\u307e\u308a\u304a\u52e7\u3081\u3057\u307e\u305b\u3093\u304c\u3001\u53e3\u982d\u3067\u306e\u75c7\u4f8b\u5831\u544a\u306a\u3069\u3067\u4f7f\u3046\u969b\u306b\u306f\u3068\u3066\u3082\u81ea\u7136\u306a\u82f1\u8a9e\u8868\u73fe\u3067\u3059\u306e\u3067\u3001\u6a5f\u4f1a\u304c\u3042\u308c\u3070\u662f\u975e\u4f7f\u3063\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n\r\n

\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u672c\u65e5\u3054\u7d39\u4ecb\u3057\u305f\u8179\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u3000\u2022Abdominal pain<\/strong>: \u8179\u75db\uff08\u533b\u5b66\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Stomachache<\/strong>\/stomach ache<\/strong>: \u8179\u75db\uff08\u4e00\u822c\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Bellyache<\/strong>: \u8179\u75db\uff08\u4e00\u822c\u82f1\u8a9e\uff09<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Region: \u90e8\u4f4d <\/strong><\/span>
\r\n\u00a0 \u3000o \u201cCould you show<\/strong> me where it hurts?\u201d: \u3069\u3053\u304c\u75db\u3044\u304b\u793a\u3057\u3066\u3082\u3089\u3048\u307e\u3059\u304b\uff1f <\/span>
\r\n\u00a0 \u3000o \u201cCould you point<\/strong> with your finger to the location of the pain?\u201d: \u75db\u3080\u7b87\u6240\u3092\u6307\u3067\u793a\u3057\u3066\u3082\u3089\u3048\u307e\u3059\u304b\uff1f<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u20229 regions<\/strong>: 9\u90e8\u4f4d<\/span>
\r\n\u00a0 \u30001.\u00a0Right hypochondrium<\/strong>: \u53f3\u5b63\u808b\u90e8<\/span>
\r\n\u00a0 \u30002.\u00a0Left hypochondrium<\/strong>: \u5de6\u5b63\u808b\u90e8<\/span>
\r\n\u00a0 \u30003.\u00a0Epigastrium\/Epigastric region<\/strong>: \u5fc3\u7aa9\u90e8<\/span>
\r\n\u00a0 \u30004.\u00a0Right lumbar<\/strong>: \u53f3\u8170\u90e8\uff1d\u53f3\u5074\u8179\u90e8<\/span>
\r\n\u00a0 \u30005.\u00a0Left lumbar<\/strong>: \u5de6\u8170\u90e8\uff1d\u5de6\u5074\u8179\u90e8<\/span>
\r\n\u00a0 \u30006.\u00a0Umbilical<\/strong>\/periumbilical region<\/strong>: \u81cd\u90e8\u30fb\u81cd\u5468\u56f2\u90e8<\/span>
\r\n\u00a0 \u30007.\u00a0Right iliac region<\/strong>: \u53f3\u8178\u9aa8\u90e8\uff1d\u53f3\u9f20\u5f84\u90e8<\/span>
\r\n\u00a0 \u30008.\u00a0Left iliac region<\/strong>: \u5de6\u8178\u9aa8\u90e8\uff1d\u5de6\u9f20\u5f84\u90e8<\/span>
\r\n\u00a0 \u30009.\u00a0Hypogastrium<\/strong>: \u4e0b\u8179\u90e8<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022hypochondriac region<\/strong>\/hypochondrium<\/strong>: \u5b63\u808b\u90e8\u30fb\u4e0a\u8179\u90e8<\/span>
\r\n\u3000\u2022hypochondriasis<\/strong>: \u5fc3\u6c17\u75c7<\/span>\r\n<\/p>\r\n\r\n

\r\n\u30006regions<\/strong>: 6\u90e8\u4f4d<\/span>
\r\n\u00a0 \u30001.\u00a0Right upper quadrant<\/strong> (RUQ<\/strong>): \u53f3\u4e0a\u8179\u90e8<\/span>
\r\n\u00a0 \u30002.\u00a0Left upper quadrant<\/strong> (LUQ<\/strong>): \u5de6\u4e0a\u8179\u90e8<\/span>
\r\n\u00a0 \u30003.\u00a0Epigastrium<\/strong>\/Epigastric region<\/strong>: \u5fc3\u7aa9\u90e8<\/span>
\r\n\u00a0 \u30004.\u00a0Right lower quadrant<\/strong> (RLQ<\/strong>): \u53f3\u4e0b\u8179\u90e8<\/span>
\r\n\u00a0 \u30005.\u00a0Left lower quadrant<\/strong> (LLQ<\/strong>): \u5de6\u4e0b\u8179\u90e8<\/span>
\r\n\u00a0 \u30006 .Umbilical<\/strong>\/periumbilical region<\/strong>: \u81cd\u90e8\u30fb\u81cd\u5468\u56f2\u90e8<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Flank<\/strong>: \u8107\u8179<\/span>
\r\n\u3000\u2022Love handles<\/strong>: \u8170\u56de\u308a\u306e\u8d05\u8089<\/span>
\r\n\u3000\u2022Muffin top<\/strong>: \u8170\u56de\u308a\u306e\u8d05\u8089<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Crampy pain<\/strong>: \u30ad\u30e5\u30fc\u3063\u3068\u7de0\u3081\u4ed8\u3051\u3089\u308c\u308b\u3088\u3046\u306a\u75db\u307f<\/span>
\r\n\u3000\u2022Cramp<\/strong>: \uff08\u7b4b\u8089\u304c\uff09\u3064\u308b\uff08\u3053\u3068\uff09<\/span>
\r\n\u3000\u2022Cramps<\/strong>: \u751f\u7406\u75db<\/span>
\r\n\u3000\u2022Colicky pain<\/strong>: \uff08\u8815\u52d5\u904b\u52d5\u306b\u6cbf\u3063\u3066\uff09\u6ce2\u306e\u5f80\u6765\u306e\u3088\u3046\u306b\u73fe\u308c\u308b\u75db\u307f\u300d<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Defecation<\/strong>: \u6392\u4fbf\uff08\u533b\u5b66\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Bowel movements<\/strong>: \u304a\u901a\u3058\uff08\u4e00\u822c\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u3000o \u201cHave you noticed any change in your bowel movements<\/strong>?\u201d: \u304a\u901a\u3058\u306b\u5909\u308f\u308a\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Diarrhea<\/strong>: \u4e0b\u75e2 <\/span>
\r\n\u3000\u2022Constipation<\/strong>: \u4fbf\u79d8<\/span>
\r\n\u3000\u2022D&V<\/strong>: \u4e0b\u75e2\u3068\u4fbf\u79d8<\/span>
\r\n\u3000\u2022Melena<\/strong>: \u9ed2\u8272\u4fbf<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Vomit<\/strong>: \u5410\u304f<\/span>
\r\n\u3000\u2022Regurgitate<\/strong>: \u5410\u304f<\/span>
\r\n\u3000\u2022Throw up<\/strong>: \u5410\u304f\uff08\u7c73\u56fd\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Be sick<\/strong>: \u5410\u304f\uff08\u82f1\u56fd\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Vomitus<\/strong>: \u5410\u7009\u7269\u30fb\u5410\u3044\u305f\u3082\u306e<\/span>
\r\n\u3000\u2022Heartburn<\/strong>: \u80f8\u713c\u3051<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Gallstones<\/strong>: \u80c6\u77f3\u75c7\uff08\u4e00\u822c\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Cholelithiasis<\/strong>: \u80c6\u77f3\u75c7\uff08\u533b\u5b66\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Cholecystitis<\/strong>: \u80c6\u56a2\u708e<\/span>
\r\n\u3000\u2022Cholangitis<\/strong>: \u80c6\u7ba1\u708e<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Bowel obstruction<\/strong>: \u8178\u9589\u585e<\/span>
\r\n\u3000\u2022Mechanical bowel obstruction<\/strong>: \u6a5f\u68b0\u6027\u30a4\u30ec\u30a6\u30b9<\/span>
\r\n\u3000\u2022Ileus<\/strong>: \u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/span>
\r\n\u3000\u2022Paralytic bowel obstruction<\/strong>: \u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Keyhole operation<\/strong>: \u8179\u8154\u93e1\u624b\u8853\uff08\u4e00\u822c\u82f1\u8a9e\uff09<\/span>
\r\n\u3000\u2022Laparoscopic operation<\/strong>: \u8179\u8154\u93e1\u624b\u8853\uff08\u533b\u5b66\u82f1\u8a9e\uff09<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Oral contraceptive pill<\/strong> (OCP<\/strong>): \u7d4c\u53e3\u907f\u598a\u85ac<\/span>
\r\n\u3000\u2022Hormone replacement therap<\/strong>y (HRT<\/strong>): \u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Barium swallow<\/strong>: \u4e0a\u90e8\u6d88\u5316\u7ba1X\u7dda<\/span>
\r\n\u3000\u2022Barium enema<\/strong>: \u6ce8\u8178\u9020\u5f71<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3000\u2022Upper GI endoscopy<\/strong>: \u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/span>
\r\n\u3000\u2022Esophagogastroduodenoscopy<\/strong> (EGD<\/strong>): \u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/span>
\r\n\u3000\u2022Colonoscopy<\/strong>: \u4e0b\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/span>
\r\n\u3000\u2022Top and tail endoscopy<\/strong>: \u4e0a\u90e8\u304a\u3088\u3073\u4e0b\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/span> \r\n<\/p>\r\n\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 \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u8179\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u300d\u306b","protected":false},"author":14,"featured_media":6840,"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-7133","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\/7133","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=7133"}],"version-history":[{"count":2,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7133\/revisions"}],"predecessor-version":[{"id":7135,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7133\/revisions\/7135"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6840"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7133"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}