{"id":7176,"date":"2021-09-01T09:00:14","date_gmt":"2021-09-01T00:00:14","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7176"},"modified":"2023-12-25T12:12:58","modified_gmt":"2023-12-25T03:12:58","slug":"menu_30","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_30\/","title":{"rendered":"Menu 30\u3000\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u57fa\u790e\u7de8"},"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\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u57fa\u790e\u7de8<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n\r\n

\u533b\u7642\u306b\u304a\u3051\u308b\u82f1\u8a9e\u306e\u91cd\u8981\u6027\u304c\u9ad8\u307e\u308b\u4e2d\u3001\u6d77\u5916\u3067\u306e\u81e8\u5e8a\u5b9f\u7fd2\u3067\u306f\u3082\u3061\u308d\u3093\u3001\u65e5\u672c\u56fd\u5185\u306b\u304a\u3044\u3066\u3082\u300c\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u300dOral Case Presentation<\/strong> \u304c\u6c42\u3081\u3089\u308c\u308b\u6a5f\u4f1a\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u65e5\u672c\u306e\u533b\u5b66\u90e8\u3067\u306f\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u65b9\u6cd5\u3092\u7cfb\u7d71\u7684\u306b\u5b66\u3076\u6a5f\u4f1a\u306f\u305d\u3046\u591a\u304f\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/span><\/p>\r\n\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u3069\u306e\u3088\u3046\u306b\u884c\u3063\u305f\u3089\u826f\u3044\u306e\u304b\u3001\u57fa\u672c\u7684\u306a\u90e8\u5206\u304b\u3089\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u300c\u6307\u5c0e\u533b\u3092\u60b2\u3057\u307e\u305b\u306a\u3044\u300d\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3068\u306f\uff1f<\/strong><\/span>
\r\n\u307e\u305a\u3001\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u300c\u671b\u307e\u3057\u3044<\/strong>\u300d\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306a\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u300c\u6307\u5c0e\u533b<\/strong>\u300d\u306f\u7c73\u56fd\u3067\u306f attending doctor<\/strong> \u3068\u3001\u82f1\u56fd\u3067\u306f consultant<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u3053\u306e\u300c\u6307\u5c0e\u533b<\/strong>\u300d\u3092\u300c\u559c\u3070\u305b\u308b<\/strong>\u300d\u7d20\u6674\u3089\u3057\u3044\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u30d2\u30f3\u30c8\u3092\u5f97\u308b\u305f\u3081\u306b\u306f\u3001\u305d\u306e\u53cd\u5bfe\u306b\u6307\u5c0e\u533b\u3092\u300c\u60b2\u3057\u307e\u305b\u308b<\/strong>\u300d\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u8003\u3048\u3066\u307f\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u305d\u3093\u306a\u6307\u5c0e\u533b\u3092\u30ac\u30c3\u30ab\u30ea\u3055\u305b\u308b\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u8981\u7d20\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u79c1\u306f\u7279\u306b\u4e0b\u8a18\u306e3\u3064\u306e\u554f\u984c\u70b9\u3092\u91cd\u8996\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3000\u2022 \u7cfb\u7d71\u7acb\u3063\u3066\u3044\u306a\u3044<\/strong><\/span>
\r\n\u3000\u2022 \u9451\u5225\u75be\u60a3\u304c\u60f3\u8d77\u3055\u308c\u306a\u3044<\/strong><\/span>
\r\n\u3000\u2022 \u82f1\u8a9e\u8868\u73fe\u304c\u62d9\u3044<\/strong><\/span><\/p>\r\n\r\n

\u3064\u307e\u308a\u300c\u6307\u5c0e\u533b<\/strong>\u300d attending<\/strong> doctor\u3092\u300c\u60b2\u3057\u307e\u305b\u306a\u3044<\/strong>\u300d\u305f\u3081\u306b\u306f\u3053\u306e3\u3064\u306e\u554f\u984c\u70b9\u3092\u6539\u5584\u3057\u3066\u3001\u4e0b\u8a18\u306e3\u3064\u306e\u30dd\u30a4\u30f3\u30c8\u306b\u7559\u610f\u3059\u308c\u3070\u826f\u3044\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

Don’t make your attending SAD<\/span><\/strong>\u300c\u6307\u5c0e\u533b\u3092\u60b2\u3057\u307e\u305b\u306a\u3044<\/strong>\u300d<\/span><\/p>\r\n\r\n

\u3000\u2022 S<\/span>tructure<\/strong>: \u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u300c\u578b<\/strong>\u300d\u3092\u5b88\u308b<\/span>
\r\n\u3000\u2022 A<\/span>rgument<\/strong>: \u9451\u5225\u8a3a\u65ad\u3092\u300c\u8b70\u8ad6<\/strong>\u300d\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u5341\u5206\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b<\/span>
\r\n\u3000\u2022 D<\/span>elivery<\/strong>: \u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u7279\u6709\u306e\u300c\u5b9a\u578b\u8868\u73fe<\/strong>\u300d\u3092\u4f7f\u3046<\/span><\/p>\r\n\r\n

\u3067\u306f\u3001\u305d\u308c\u305e\u308c\u306e\u30dd\u30a4\u30f3\u30c8\u3092\u3072\u3068\u3064\u305a\u3064\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

Structure: \u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u300c\u578b\u300d\u3092\u5b88\u308b<\/strong><\/span>
\r\n1\u3064\u3081\u306e\u30dd\u30a4\u30f3\u30c8\u304c Structure<\/strong><\/span>\u3001\u3064\u307e\u308a\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u4f7f\u308f\u308c\u308b\u300c\u578b<\/strong>\u300d\u3092\u5b88\u308b\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u65e5\u672c\u306e\u81e8\u5e8a\u5b9f\u7fd2\u3067\u306f\u3001\u691c\u67fb\u7d50\u679c\u306e\u89e3\u91c8\u3068\u6cbb\u7642\u65b9\u91dd\u306b\u91cd\u70b9\u304c\u7f6e\u304b\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e\u81e8\u5e8a\u5b9f\u7fd2\u3067\u306f History Taking<\/strong> \u300c\u75c5\u6b74\u8074\u53d6<\/strong>\uff08\u533b\u7642\u9762\u63a5<\/strong>\uff09\u300d\u3068 Physical Examination<\/strong> \u300c\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u300d\u304c\u91cd\u8996\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

2020\u5e74\u5ea6\u304b\u3089\u5168\u56fd\u306e\u533b\u5b66\u90e8\u306b\u304a\u3044\u3066 Post Clinical Clerkship OSCE<\/strong><\/span> \u304c\u958b\u59cb\u3055\u308c\u307e\u3057\u305f\u3002\u3053\u306e Post Clinical Clerkship OSCE \u306e\u300c\u5171\u901a\u8ab2\u984c\u300d\u3067\u306f\u3001\u6a21\u64ec\u60a3\u8005\u3055\u3093\u3092\u76f8\u624b\u306b12\u5206\u9593<\/strong>\u3067\u300c\u533b\u7642\u9762\u63a5<\/strong>\u300d\u3068\u300c\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u300d\u3092\u884c\u3044\u3001\u305d\u306e\u7d50\u679c\u30924\u5206\u9593<\/strong>\u3067\u300c\u4e0a\u7d1a\u533b\u306b\u5831\u544a<\/strong>\u300d\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u5b66\u3076\u5834\u5408\u306b\u3082\u3001\u307e\u305a\u306f History Taking<\/strong> \u3068 Physical Examination<\/strong> \u306b\u7279\u5316\u3057\u3066\u7df4\u7fd2\u3059\u308b\u3053\u3068\u304c\u671b\u307e\u3057\u3044\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u306e\u3088\u3046\u306b History Taking \u3068 Physical Examination \u306e\u7d50\u679c\u3092\u4f1d\u3048\u308b\u969b\u306e\u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u300c\u578b<\/strong>\u300d\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

Oral Case Presentation Basic Structure<\/span><\/strong>
\r\n1.Patient Information<\/span>\u300cChief Complaint<\/strong>\u300c\u4e3b\u8a34\u300d\u3092\u542b\u3081\u305f1\u3064\u306e\u6587\u300d<\/span>
\r\n2.History Taking<\/span><\/strong>
\r\n\u3000\u2022 History of Present Illness (HPI)<\/strong> \u300c\u73fe\u75c5\u6b74\u300d<\/span>
\r\n\u3000\u2022 Past Medical History (PMH)<\/strong> \u300c\u65e2\u5f80\u6b74\u300d<\/span>
\r\n\u3000\u2022 Past Surgical History (PSH)<\/strong> \u300c\u624b\u8853\u6b74\u300d<\/span>
\r\n\u3000\u2022 Medications<\/strong> (Meds<\/strong>) \u300c\uff08\u5185\u670d\uff09\u85ac\u300d<\/span>
\r\n\u3000\u2022 Allergies<\/strong> \u300c\u30a2\u30ec\u30eb\u30ae\u30fc\u300d<\/span>
\r\n\u3000\u2022 Family History<\/strong> (FH<\/strong>) \u300c\u5bb6\u65cf\u6b74\u300d<\/span>
\r\n\u3000\u2022 Social History<\/strong> (SH<\/strong>) \u300c\u793e\u4f1a\u6b74\u300d<\/span>
\r\n\u3000\u2022 Review of Systems<\/strong> (ROS<\/strong>) \u300c\u30b7\u30b9\u30c6\u30e0\u30ec\u30d3\u30e5\u30fc\u300d<\/span>
\r\n3. Physical Examination<\/span><\/strong>
\r\n\u3000\u2022 Vital Signs <\/strong> (VS<\/strong>) \u300c\u30d0\u30a4\u30bf\u30eb\u30b5\u30a4\u30f3\u300d<\/span>
\r\n\u3000\u2022 General Appearance <\/strong> (GA<\/strong>) \u300c\u5168\u8eab\u306e\u69d8\u5b50\u300d<\/span>
\r\n\u3000\u2022 Mental Status <\/strong> (Mental<\/strong>) \u300c\u7cbe\u795e\u72b6\u614b\u300d<\/span>
\r\n\u3000\u2022 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\u2022 Cardiovascular Exam <\/strong> (CV<\/strong>) \u300c\u5fc3\u8840\u7ba1\u300d<\/span>
\r\n\u3000\u2022 Pulmonary Exam <\/strong> (Chest<\/strong>) \u300c\u547c\u5438\u5668\uff08\u80f8\u90e8\uff09\u300d<\/span>
\r\n\u3000\u2022 Abdominal Exam <\/strong> (Abdomen<\/strong>) \u300c\u8179\u90e8\u300d<\/span>
\r\n\u3000\u2022 Neurological Exam <\/strong> (Neuro<\/strong>) \u300c\u795e\u7d4c\u300d<\/span>
\r\n\u3000\u2022 Extremities<\/strong> \u300c\u56db\u80a2\u300d<\/span>
\r\n\u3000\u2022 Skin<\/strong> \u300c\u76ae\u819a\u300d<\/span>
\r\n4.Summary<\/span><\/strong>\u300cPatient Information \u306b\u9451\u5225\u306b\u91cd\u8981\u306a\u9805\u76ee\u3092\u52a0\u3048\u305f1\u3064\u306e\u6587\u300d<\/span>
\r\n5.Differential Diagnosis<\/strong>\u300c\u9451\u5225\u75be\u60a3\u300d<\/span>
\r\n 6.Plan<\/strong>\u300c\u691c\u67fb\u3084\u6cbb\u7642\u306e\u8a08\u753b\u300d<\/span><\/p>\r\n\r\n

\u77e5\u3063\u3066\u304a\u304d\u305f\u3044 Patient Information \u3068 Summary \u306e\u9055\u3044<\/strong><\/span>
\r\n\u3053\u3053\u3067\u7279\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u306a\u306e\u304c Patient Information<\/strong><\/span> \u3068 Summary<\/span><\/strong> \u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u4f55\u4e8b\u3082\u300c\u6700\u521d<\/strong>\u300d\u3068\u300c\u6700\u5f8c<\/strong>\u300d\u304c\u809d\u5fc3\u3067\u3059\u304c\u3001\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u3082\u6700\u521d<\/strong>\u306e Patient Information<\/strong> \u3068\u3001\u60c5\u5831\u63d0\u4f9b\u306e\u6700\u5f8c<\/strong>\u306b\u884c\u3046 Summary<\/strong> \u306f\u3001\u7686\u3055\u3093\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u5370\u8c61\u306b\u3001\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u91cd\u8981\u306a\u8981\u7d20\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u3044\u3066\u6700\u521d\u306e\u9805\u76ee\u3068\u306a\u308b Patient Information<\/strong><\/span> \u3067\u3059\u304c\u3001\u3053\u308c\u306f\u4e0b\u8a18\u306e4\u9805\u76ee\u3092\u5165\u308c\u305f\u300c\u30a4\u30f3\u30d1\u30af\u30c8\u306e\u3042\u308b1\u884c\u306e\u6587<\/strong>\u300done-liner<\/strong> \u3067\u8868\u73fe\u3059\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span>
\r\n\u3000\u2022 Age<\/strong>: \u5e74\u9f62<\/span>
\r\n\u3000\u2022 Sex<\/strong>: \u6027\u5225<\/span>
\r\n\u3000\u2022 Chief complaint<\/strong>: \u4e3b\u8a34<\/span>
\r\n\u3000\u2022 Duration of the chief complaint<\/strong>: \u4e3b\u8a34\u306e\u6301\u7d9a\u6642\u9593<\/span><\/p>\r\n\r\n

\u3067\u3059\u304b\u3089 Patient Information<\/strong> \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\r\n

Mr.\/Ms. (patient name) is a\/an (age<\/strong><\/span>)-year-old man<\/strong><\/span>\/woman<\/strong><\/span>, who presented with a (duration<\/strong><\/span>)-history of (chief complaint<\/strong><\/span>).<\/span><\/p>\r\n\r\n

\u3053\u306e\u5b9a\u578b\u8868\u73fe\u3092\u4f7f\u3063\u305f\u5177\u4f53\u4f8b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\nMr. John Smith is a 48<\/strong><\/span>-year-old man<\/strong><\/span>, who presented with a 4-hour<\/strong><\/span> history of chest pain<\/strong><\/span>.<\/span><\/p>\r\n\r\n

\u307e\u305f\u3001a (duration)-history of \u3092\u7c21\u7565\u5316\u3057\u3066\u4e0b\u8a18\u306e\u3088\u3046\u306b\u3082\u8868\u73fe\u3067\u304d\u307e\u3059\u3002<\/span>
\r\nMr. John Smith is a 48<\/strong><\/span>-year-old man<\/strong><\/span>, who presented with 4 hours<\/strong><\/span> of chest pain<\/strong><\/span>.<\/span><\/p>\r\n\r\n

\u3053\u306e4\u9805\u76ee\u306e\u4ed6\u306b\u3082\u9451\u5225\u306b\u6709\u7528\u3068\u601d\u308f\u308c\u308b\u5834\u5408\u306b\u306f\u3001\u300c\u4eba\u7a2e<\/strong>\u300d ethnicity<\/strong><\/span> \u3084\u300c\u8077\u696d<\/strong>\u300d occupation<\/strong><\/span> \u3068\u3044\u3063\u305f\u9805\u76ee\u3092\u5165\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/span>
\r\nMs. Jane Smith is a 56-year-old Caucasian<\/strong>\u00a0\u00a0<\/span>unemployed<\/strong><\/span><\/span> woman, who presented with a 3-day history of melena.<\/span>
\r\nMs. Jane Smith is a 26-year-old African American<\/strong><\/span> female college student<\/strong><\/span>, who presented with a week of dyspnea.<\/span><\/p>\r\n\r\n

\u307e\u305f\u300c\u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u306e\u3042\u308b\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc<\/strong>\u300d pertinent risk factors<\/strong><\/span> \u304c\u3042\u308b\u5834\u5408\u306f\u3001\u6b21\u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u3002<\/span>
\r\nMr.\/Ms. (patient name) is a\/an (age)-year-old (man\/woman) with<\/strong> (pertinent risk factors<\/strong><\/span>), who presented with a (duration)-history of (chief complaint).<\/span><\/p>\r\n\r\n

\u5177\u4f53\u7684\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\nMs. Smith is an 86-year-old woman with<\/strong> hypertension and diabetes mellitus<\/strong><\/span>, who presented with a 2-day history of intermittent chest discomfort.<\/span><\/p>\r\n\r\n

\u3053\u306e risk factors \u306b\u306f\u4f8b\u6587\u306e\u3088\u3046\u306a\u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u306e\u3042\u308b\u300c\u65e2\u5f80\u6b74<\/strong>\u300d\u306e\u4ed6\u306b\u3082\u3001\u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u306e\u3042\u308b\u300c\u5bb6\u65cf\u6b74<\/strong>\u300d\u3084\u300c\u793e\u4f1a\u6b74<\/strong>\u300d\u306a\u3069\u3001\u300c\u73fe\u75c5\u6b74\u4ee5\u5916<\/strong>\u300d\u306e\u3082\u306e\u3067\u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u304c\u3042\u308c\u3070\u3042\u3089\u3086\u308b\u3082\u306e\u3092\u5165\u308c\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u307e\u305f\u7686\u3055\u3093\u304c\u81e8\u5e8a\u5b9f\u7fd2\u3092\u3059\u308b\u5927\u5b66\u75c5\u9662\u3067\u306f\u3001\u300c\u7d39\u4ecb\u53d7\u8a3a<\/strong>\u300d\u3084\u300c\u642c\u9001<\/strong>\u300d\u3055\u308c\u3066\u304f\u308b\u5834\u5408\u304c\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u305d\u306e\u5834\u5408\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u5b9a\u578b\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u3002<\/span>
\r\nMr.\/Ms. (patient name) is a\/an (age)-year-old (man\/woman), who was<\/strong> (referred<\/strong><\/span>\/transferred<\/span><\/strong>) to our department for further evaluation and treatment<\/strong> of (symptoms\/sign\/disease).<\/span><\/p>\r\n\r\n

\u5177\u4f53\u7684\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\nMr. Smith is a 71-year-old man, who was referred<\/span> to our department for further evaluation and treatment<\/strong> of 3 days of macrohematuria. \uff08\u7d39\u4ecb\u53d7\u8a3a<\/strong>\u306e\u5834\u5408\uff09<\/span>
\r\nMs. Smith is a 67-year-old woman was transferred<\/span> to our department for surgical treatment<\/strong> of subarachnoid hemorrhage. \uff08\u642c\u9001<\/strong>\u306e\u5834\u5408\uff09<\/span><\/p>\r\n\r\n

\u3053\u306e Patient Information \u306e\u69cb\u9020\u306f\u591a\u304f\u306e\u65b9\u306b\u77e5\u3089\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u304c\u3001\u60c5\u5831\u63d0\u4f9b\u306e\u6700\u5f8c\u306b\u884c\u3046 Summary<\/strong><\/span> \u306b\u95a2\u3057\u3066\u306f\u3001\u300c\u5177\u4f53\u7684\u306b\u4f55\u3092\u8ff0\u3079\u3066\u3044\u3044\u306e\u304b\u308f\u304b\u3089\u306a\u3044\u300d\u3068\u3044\u3046\u65b9\u304c\u591a\u3044\u3088\u3046\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u300c\u533b\u7642\u9762\u63a5\u300dHistory Taking \u3067\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u884c\u3046 Summary<\/strong> \u3067\u306f\u3001\u300c\u79c1\u306f\u3042\u306a\u305f\u306e\u8a71\u3092\u805e\u304d\u843d\u3068\u3057\u3066\u3044\u307e\u305b\u3093\u3088<\/strong>\u300d\u3068\u3044\u3046\u30e1\u30c3\u30bb\u30fc\u30b8\u3092\u4f1d\u3048\u308b\u305f\u3081\u306b\u3001\u9577\u3081\u306e\u8981\u7d04\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u6307\u5c0e\u533b\u306b\u5bfe\u3057\u3066\u884c\u3046 Summary<\/strong> \u306f \u3001Patient Information \u3068\u540c\u69d8\u306b\u300c\u30a4\u30f3\u30d1\u30af\u30c8\u306e\u3042\u308b1\u884c\u306e\u6587<\/strong>\u300done-liner<\/strong> \u3067\u8868\u73fe\u3059\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u3067\u306f\u3053\u306e Summary<\/strong> \u306f \u3001Patient Information \u3068\u3069\u3046\u7570\u306a\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u7c21\u5358\u306b\u8a00\u3048\u3070\u3001Summary<\/strong> \u306f \u300cPatient Information \u306b\u9451\u5225\u306b\u91cd\u8981\u306a\u9805\u76ee\u3092\u52a0\u3048\u305f1\u3064\u306e\u6587<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3067\u3059\u304b\u3089\u3001 Summary<\/strong> \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\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 + s<\/strong><\/span>ignificant<\/span> HPI<\/strong><\/span>), associated with<\/strong> (pertinent positives<\/strong>)<\/span>.<\/span><\/p>\r\n\r\n

\u3064\u307e\u308a Patient Information \u306e Chief Complaint \u306e\u90e8\u5206\u306b\u3001\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\u52a0\u3048\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u306e\u5b9a\u578b\u8868\u73fe\u3092\u4f7f\u3063\u305f\u5177\u4f53\u4f8b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\nIn summary<\/strong><\/span>, the patient is an 82-year-old man with hypertension and hyperlipidemia, who presented with a one-hour history of dull, central, and squeezing <\/strong><\/span>chest pain,associated with syncope and dyspnea on exertion, as well as physical findings of S3 and a crescendo-decrescendo systolic murmur heard best at the right upper sternal border radiating to the carotids<\/strong><\/span>.<\/span><\/p>\r\n\r\n

\u4f8b\u6587\u3092\u898b\u3066\u308f\u304b\u308b\u3088\u3046\u306b\u3001\u3053\u306e Summary \u3067\u306f\u9451\u5225\u8a3a\u65ad\u3092\u660e\u78ba\u306b\u793a\u5506\u3059\u308b\u5fc5\u8981<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u5f8c\u306b\u7d9a\u304f Differential Diagnosis \u3092\u8ff0\u3079\u308b\u969b\u306b\u3001\u805e\u3044\u3066\u3044\u305f\u6307\u5c0e\u533b\u3084\u4ed6\u306e\u8074\u8846\u304c\u305d\u306e\u9451\u5225\u8a3a\u65ad\u306b\u7d0d\u5f97\u304c\u3067\u304d\u308b\u3088\u3046\u306a one-liner \u306b\u4ed5\u4e0a\u3052\u308b<\/strong>\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3059\u3002\u3053\u306e\u3088\u3046\u306b Summary \u306f\u305d\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u8a55\u4fa1\u3092\u5de6\u53f3\u3059\u308b\u7a0b\u306e\u91cd\u8981\u306a\u9805\u76ee\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u6700\u91cd\u8981\u9805\u76ee\u306f\u300c\u73fe\u75c5\u6b74\u300d<\/span><\/strong><\/span>
\r\n\u3053\u306e\u3088\u3046\u306b\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u3044\u3066\u3001 Patient Information \u3068 Summary \u306f\u91cd\u8981\u306a\u9805\u76ee\u3068\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u6700\u91cd\u8981\u9805\u76ee\u306f\u300c\u73fe\u75c5\u6b74<\/strong>\u300dHistory of Present Illness<\/strong> (HPI<\/strong>) \u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u308c\u306f HPI \u304c\u8a3a\u65ad\u306b\u304a\u3044\u3066\u6700\u3082\u91cd\u8981\u306a\u60c5\u5831\u3068\u306a\u308b\u305f\u3081\u3067\u3059\u304c\u3001\u65e5\u672c\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u691c\u67fb\u306e\u91cd\u8981\u6027\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u308b\u305f\u3081\u304b\u3001\u65e5\u672c\u306e\u533b\u5b66\u751f\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u898b\u3066\u3044\u308b\u3068\u3001\u3053\u306e HPI \u306e\u60c5\u5831\u91cf\u304c\u5727\u5012\u7684\u306b\u4e0d\u8db3\u3057\u3066\u3044\u308b\u3068\u611f\u3058\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u308c\u306f\u300c\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\u300d Oral Case Presentation<\/strong> \u3060\u3051\u3067\u306a\u304f\u3001\u300c\u30ab\u30eb\u30c6<\/strong>\u300d Patient Notes<\/strong> \u306b\u304a\u3044\u3066\u3082\u540c\u3058\u306a\u306e\u3067\u3059\u304c\u3001HPI \u306f History Taking \u306e\u534a\u5206\u4ee5\u4e0a<\/strong>\uff08\u3069\u3093\u306a\u306b\u5c11\u306a\u304f\u3066\u30823\u5206\u306e1\u4ee5\u4e0a\uff09\u3068\u306a\u308b\u3088\u3046\u306b\u5341\u5206\u306a\u60c5\u5831\u91cf\u3092\u5165\u308c\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u307e\u305f HPI \u3092\u8ff0\u3079\u308b\u969b\u306b\u304a\u3044\u3066\u3082\u3046\u4e00\u3064\u91cd\u8981\u306a\u3053\u3068\u306f\u3001\u300c\u6642\u7cfb\u5217\u3067\u6574\u7406\u3059\u308b<\/strong>\u300dchronological organization<\/strong><\/span> \u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002History Taking \u306b\u304a\u3044\u3066 HPI \u3092\u5c0b\u306d\u308b\u969b\u306b\u306f\u3001 OPQRST<\/strong> (O<\/strong>nset, P<\/strong>rovoking & P<\/strong>alliating Factors, Q<\/strong>uality, R<\/strong>egion & R<\/strong>adiation, S<\/strong>everity, and T<\/strong>iming) \u306a\u3069\u306e\u300c\u8a9e\u5442\u5408\u308f\u305b<\/strong>\u300d mnemonics<\/strong> \u3092\u4f7f\u3046\u65b9\u304c\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u3059\u308b\u969b\u306b\u306f\u3001\u3053\u306e\u3088\u3046\u306a OPQRST \u306e\u9805\u76ee\u9806\u306b\u8ff0\u3079\u308b\u3053\u3068\u306f\u907f\u3051\u3066\u304f\u3060\u3055\u3044<\/strong>\u3002\u3053\u306e HPI \u3067\u306f \u201cDraw the picture of the patient\u2019s story<\/strong>\u201d \u3068\u3044\u3046\u3053\u3068\u3092\u610f\u8b58\u3057\u3066\u3001\u300c\u767a\u75c7\u524d<\/strong>\u300d\u300c\u767a\u75c7\u6642<\/strong>\u300d\u300c\u767a\u75c7\u5f8c<\/strong>\u300d\u306e\u9806\u306b\u6642\u7cfb\u5217\u3067\u75c7\u72b6\u306e\u5909\u5316\u3092\u8ff0\u3079\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002OPQRST \u306e\u9805\u76ee\u306b\u95a2\u3059\u308b\u60c5\u5831\u306f\u3001\u3053\u306e\u6642\u7cfb\u5217\u3067\u8ff0\u3079\u3066\u3044\u304f\u4e2d\u3067\u81ea\u7136\u3068\u8ff0\u3079\u308b\u3088\u3046\u306b\u610f\u8b58\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n\r\n

Argument: \u9451\u5225\u8a3a\u65ad\u3092\u300c\u8b70\u8ad6\u300d\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u5341\u5206\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b<\/span><\/strong><\/span>
\r\n2\u3064\u76ee\u306e\u30dd\u30a4\u30f3\u30c8\u304c Argument<\/strong><\/span>\u3001\u3064\u307e\u308a \u9451\u5225\u8a3a\u65ad\u3092\u300c\u8b70\u8ad6<\/strong>\u300d\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u5341\u5206\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u96e3\u3057\u3044\u6700\u5927\u306e\u7406\u7531\u304c\u3001\u300c\u9451\u5225\u75be\u60a3\u3092\u60f3\u5b9a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u304b\u3089\u300d\u3068\u8a00\u3048\u307e\u3059\u3002\u3064\u307e\u308a\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u305a\u306b\u305f\u3060 History Taking \u3068 Physical Examination\u306e\u7d50\u679c\u3092\u8ff0\u3079\u308b\u3060\u3051\u3067\u306f\u5168\u304f\u3082\u3063\u3066\u4e0d\u5341\u5206\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u6307\u5c0e\u533b\u3082\u542b\u3081\u3066\u3001\u307f\u3093\u306a\u304c\u8a3a\u65ad\u3092\u884c\u3044\u306a\u304c\u3089\u8074\u3044\u3066\u3044\u307e\u3059\u3002\u5f93\u3063\u3066\u8074\u8846\u306e\u533b\u5e2b\u3084\u533b\u5b66\u751f\u5168\u54e1\u304c\u7d0d\u5f97\u3057\u3066\u8a3a\u65ad\u306b\u5230\u9054\u3067\u304d\u308b\u306e\u304c\u826f\u3044\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3068\u8a00\u3048\u307e\u3059<\/strong>\u3002<\/span><\/p>\r\n\r\n

\u305f\u3068\u3048\u3070\u300c\u80f8\u75db<\/strong>\u300dchest pain<\/strong> \u3092\u4e3b\u8a34\u3068\u3059\u308b\u75c7\u4f8b\u306e\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u3059\u308b\u5834\u5408\u3001\u8074\u8846\u306f\u305d\u306e\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u300c\u5fc3\u7b4b\u6897\u585e<\/strong>\u300dmyocardial infarction<\/strong>,\u300c\u72ed\u5fc3\u75c7<\/strong>\u300dangina pectoris<\/strong>,\u300c\u5927\u52d5\u8108\u89e3\u96e2<\/strong>\u300daortic dissection<\/strong>, \u300c\u80ba\u585e\u6813\u75c7<\/strong>\u300dpulmonary embolism<\/strong>, \u300c\u5e2f\u72b6\u75b1\u75b9<\/strong>\u300dshingles<\/strong> \u306a\u3069\u69d8\u3005\u306a\u75be\u60a3\u3092\u60f3\u5b9a\u3057\u307e\u3059\u3002\u3067\u3059\u304b\u3089History Taking \u3068 Physical Examination \u306e\u4e21\u65b9\u3067\u3001\u305d\u308c\u305e\u308c\u306e\u9451\u5225\u75be\u60a3\u306b\u95a2\u9023\u3059\u308b\u75c7\u72b6\u3084\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u3001\u305d\u3057\u3066\u8eab\u4f53\u6240\u898b\u3092\u8ff0\u3079\u3066\u3044\u304f\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u305f\u3068\u3048\u3070 myocardial infarction \u306b\u306f\u3001 chest pain \u4ee5\u5916\u306b\u3082\u300c\u547c\u5438\u56f0\u96e3<\/strong>\u300d dyspnea<\/strong> \u3084\u300c\u767a\u6c57\u904e\u591a<\/strong>\u300d diaphoresis \u306e\u3088\u3046\u306a\u95a2\u9023\u75c7\u72b6\u304c\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u306b\u306f\u3057\u3063\u304b\u308a\u3068\u8ff0\u3079\u3066\u3044\u304d\u307e\u3059\u3002\u3053\u3046\u3044\u3063\u305f\u300c\u967d\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u3092pertinent positives<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u307e\u305f\u3001\u9451\u5225\u75be\u60a3\u306e\u75c7\u72b6\u3084\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u304c\u306a\u3044\u5834\u5408\u306b\u306f\u3001\u300c\u8a8d\u3081\u3089\u308c\u306a\u3044<\/strong>\u300d\u3068\u8ff0\u3079\u308b\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002\u3053\u3046\u3044\u3063\u305f\u300c\u9670\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300d\u3092 pertinent negatives<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u80f8\u75db\u306e\u5834\u5408\u3001\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u300c\u5e2f\u72b6\u75b1\u75b9<\/strong>\u300dshingles<\/strong> \u3082\u8003\u3048\u3089\u308c\u307e\u3059\u306e\u3067\u3001\u300c\u6c34\u75d8\u306e\u65e2\u5f80\u306a\u3057<\/strong>\u300d no history of varicella<\/strong> \u3068\u3044\u3046 pertinent negative<\/strong> \u3082\u8ff0\u3079\u308b\u3053\u3068\u304c\u91cd\u8981\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u3064\u307e\u308a\u8074\u8846\u3067\u3042\u308b\u6307\u5c0e\u533b\u3084\u4ed6\u306e\u533b\u5b66\u751f\u304b\u3089\u3001\u8ffd\u52a0\u306e\u8cea\u554f\u3092\u3055\u308c\u306a\u3044<\/strong>\u306e\u304c\u826f\u3044\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u6761\u4ef6\u3068\u306a\u308b\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u3001\u3082\u3057\u300c\u3053\u306e\u60c5\u5831\u3092\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u8ff0\u3079\u308b\u3079\u304d\u304b\uff1f<\/strong>\u300d\u3068\u8ff7\u3063\u305f\u3089\u3001 \u201cIs this necessary for my clinical decision making? If so, how?<\/strong>\u201d \u300c\u3053\u306e\u60c5\u5831\u306f\u81e8\u5e8a\u7684\u306a\u610f\u601d\u6c7a\u5b9a\u306b\u304a\u3044\u3066\u5fc5\u8981\u304b\uff1f\u3082\u3057\u5fc5\u8981\u306a\u3089\u3070\u3069\u306e\u3088\u3046\u306b\u5fc5\u8981\u306b\u306a\u308b\u306e\u304b\uff1f<\/strong>\u300d\u3092\u81ea\u554f\u81ea\u7b54\u3057\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u300c\u4f55\u3092\u8ff0\u3079\u3066\u4f55\u3092\u8ff0\u3079\u306a\u3044\u306e\u304b\u300d\u304c\u81ea\u7136\u3068\u898b\u3048\u3066\u304f\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

Delivery: \u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u7279\u6709\u306e\u300c\u5b9a\u578b\u8868\u73fe\u300d\u3092\u4f7f\u3046<\/span><\/strong><\/span>
\r\n\u6700\u5f8c\u306e\u30dd\u30a4\u30f3\u30c8\u304c Delivery<\/strong><\/span>\u3001\u3064\u307e\u308a\u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u7279\u6709\u306e\u300c\u5b9a\u578b\u8868\u73fe<\/strong>\u300d\u3092\u4f7f\u3046\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u307e\u305a\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u3001\u60a3\u8005\u3055\u3093\u304c\u4f7f\u3046\u300c\u4e00\u822c\u7528\u8a9e<\/strong>\u300dlay terms<\/strong> \u3092\u300c\u533b\u5b66\u7528\u8a9e<\/strong>\u300dmedical terms<\/strong><\/span> \u306b\u7f6e\u304d\u63db\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u3001\u60a3\u8005\u3055\u3093\u304c History Taking \u3067\u8ff0\u3079\u3066\u3044\u305f shortness of breath \u306f dyspnea<\/strong> \u3078\u3068\u3001feeling pins and needles \u306f paresthesia<\/strong> \u3078\u3068\u5909\u63db\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u307e\u305f\u3001 semantic qualifiers<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3092\u4f7f\u3046\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002\u3053\u308c\u306f\u300c\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u3092\u4e0e\u3048\u308b\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3092\u3082\u3064\u8a00\u8449\u3067\u3059\u3002\u4f8b\u3048\u3070\u300c\u7247\u5074\u6027<\/strong>\u300d\u300c\u62cd\u52d5\u6027<\/strong>\u300d\u300c\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u3092\u304d\u305f\u3059<\/strong>\u300d\u3001 \u3068\u3044\u3046 semantic qualifiers \u3092\u4f7f\u3063\u3066 unilateral pulsating headaches with disabling intensity<\/strong> \u3068\u8868\u73fe\u3059\u308c\u3070\u3001\u8074\u8846\u306b\u306f\u5f53\u7136\u300c\u504f\u982d\u75db<\/strong>\u300d migraine<\/strong> \u304c\u60f3\u8d77\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u65e5\u672c\u306e\u533b\u5b66\u751f\u304c\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u6311\u6226\u3057\u3088\u3046\u3001\u3068\u306a\u3063\u305f\u6642\u306b\u6700\u521d\u306b\u3084\u3063\u3066\u3057\u307e\u3046\u904e\u3061\u304c\u3001\u300c\u81ea\u5206\u3067\u82f1\u4f5c\u6587\u3092\u3059\u308b\u300d\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u82f1\u8a9e\u3067\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u3059\u308b\u3053\u3068\u306e\u6700\u7d42\u76ee\u7684\u306f\u3001\u65e5\u672c\u8a9e\u304c\u901a\u3058\u306a\u3044\u4ed6\u306e\u56fd\u306e\u533b\u5e2b\u3068\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3092\u53d6\u308b\u3068\u3044\u3046\u3053\u3068\u306e\u306f\u305a\u3067\u3059\u3002\u300c\u82f1\u8a9e\u3067\u66f8\u304b\u308c\u305f\u533b\u5b66\u8ad6\u6587\u3092\u8aad\u3093\u3060\u3053\u3068\u306e\u306a\u3044\u4eba\u306f\u3001\u4ed6\u306e\u4eba\u306b\u8aad\u3093\u3067\u3082\u3089\u3048\u308b\u533b\u5b66\u8ad6\u6587\u3092\u82f1\u8a9e\u3067\u66f8\u3051\u306a\u3044<\/strong>\u300d\u306e\u3068\u540c\u69d8\u306b\u3001\u300c\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u805e\u3044\u305f\u3053\u3068\u304c\u306a\u3044\u4eba\u306f\u3001\u4ed6\u306e\u4eba\u306b\u7406\u89e3\u3057\u3066\u3082\u3089\u3048\u308b\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u82f1\u8a9e\u3067\u3067\u304d\u306a\u3044<\/strong>\u300d\u3053\u3068\u3082\u307e\u305f\u4e8b\u5b9f\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u300c\u547c\u5438\u97f3\u7570\u5e38\u306a\u3057<\/strong>\u300d\u3084\u300c\u9805\u90e8\u786c\u76f4\u306a\u3057<\/strong>\u300d\u3068\u3044\u3063\u305f\u8868\u73fe\u3092\u82f1\u8a9e\u306b\u3059\u308b\u969b\u306b\u81ea\u5206\u3067\u82f1\u4f5c\u6587\u3092\u3059\u308b\u3068\u3001no abnormal breathing sounds \u3084 no stiff neck \u3068\u3044\u3063\u305f\u8868\u73fe\u3092\u4f7f\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u805e\u3044\u305f\u3053\u3068\u304c\u3042\u308c\u3070\u3001 \u201cChest is clear to auscultation bilaterally, no wheezes, rhonchi, or crackles.<\/strong>\u201d \u3084 \u201cThe neck is supple.<\/strong>\u201d \u3068\u3044\u3063\u305f\u300c\u5b9a\u578b\u8868\u73fe<\/strong>\u300d\u3092\u4f7f\u3046\u3053\u3068\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u3046\u3044\u3063\u305f\u5b9a\u578b\u8868\u73fe\u306f\u65e5\u672c\u3067\u51fa\u7248\u3055\u308c\u3066\u3044\u308b\u300c\u533b\u5b66\u82f1\u8a9e\u8868\u73fe\u96c6\u300d\u306e\u3088\u3046\u306a\u5b89\u76f4\u306a\u6559\u6750\u3067\u306f\u306a\u304f\u3001 First Aid for the USMLE Step 2 CS<\/strong> \u306a\u3069\u306e\u82f1\u8a9e\u570f\u306e\u533b\u5b66\u6559\u6750\u3092\u53c2\u7167\u3059\u308b\u3053\u3068\u3067\u306e\u307f\u3001\u8eab\u306b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u3042\u308b35\u306e\u75c7\u5019\u3092\u30c6\u30fc\u30de\u306b\u7df4\u7fd2\u3092\u884c\u3046<\/span><\/strong><\/span>
\r\n\u3067\u306f\u6700\u5f8c\u306b\u3001\u4eca\u65e5\u3054\u7d39\u4ecb\u3057\u305f\u5185\u5bb9\u3092\u8e0f\u307e\u3048\u3066\u3001\u5177\u4f53\u7684\u306b\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u6e96\u5099\u3092\u3059\u308c\u3070\u826f\u3044\u306e\u304b\u3054\u7d39\u4ecb\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u9451\u5225\u75be\u60a3\u306e\u77e5\u8b58\u304c\u306a\u3051\u308c\u3070\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u7df4\u7fd2\u306f\u3067\u304d\u307e\u305b\u3093\u3002\u3067\u3059\u304b\u3089\u307e\u305a\u306f\u300c\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0<\/strong><\/span><\/a>\u300d\u306b\u3042\u308b\u516837\u75c7\u5019\u306e\u3046\u3061\u3001\u533b\u7642\u9762\u63a5\u304c\u3067\u304d\u306a\u3044\u300c\u30b7\u30e7\u30c3\u30af<\/strong>\u300d\u3068\u300c\u5fc3\u505c\u6b62<\/strong>\u300d\u3092\u9664\u3044\u305f35\u306e\u75c7\u5019<\/strong>\u306b\u95a2\u3057\u3066\u3001\u3057\u3063\u304b\u308a\u3068\u300c\u81e8\u5e8a\u63a8\u8ad6\u300dClinical Reasoning \u304c\u3067\u304d\u308b\u3088\u3046\u306b\u6e96\u5099\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u6b21\u306b\u3001 First Aid for the USMLE Step 2 CS \u306e Practical Cases<\/strong> \u306e\u4e2d\u304b\u3089\u3001\u3053\u306e35\u306e\u75c7\u5019\u306b\u95a2\u3059\u308b Patient Note<\/strong> \u3092\u9078\u3073\u51fa\u3057\u3001\u305d\u308c\u3092\u4f55\u5ea6\u3082\u300c\u97f3\u8aad<\/strong>\u300d\u3057\u307e\u3057\u3087\u3046\u3002\u3053\u3046\u3059\u308b\u3053\u3068\u3067\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u300c\u5b9a\u578b\u8868\u73fe<\/strong>\u300d\u3092\u3001\u3042\u308b\u7a0b\u5ea6\u8eab\u306b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u305d\u306e\u969b\u306b\u306f\u3001Patient Information<\/strong> \u3068 Summary<\/strong> \u3092\u4eca\u56de\u7d39\u4ecb\u3057\u305f\u5b9a\u578b\u8868\u73fe\u3092\u4f7f\u3063\u3066\u81ea\u4f5c\u3059\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u65e5\u672c\u306e\u533b\u5b66\u90e8\u3067\u52c9\u5f37\u3059\u308b\u9650\u308a\u3001\u3053\u306e35\u306e\u75c7\u5019\u306b\u95a2\u3057\u3066\u306f\u65e5\u672c\u8a9e\u3067\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u3059\u308b\u3053\u3068\u306f\u907f\u3051\u3066\u901a\u308c\u307e\u305b\u3093\u3002\u3053\u308c\u3068\u540c\u3058\u3053\u3068\u304c\u82f1\u8a9e\u3067\u3082\u3067\u304d\u308b\u306a\u3089\u3070\u3001\u305d\u308c\u306f\u5352\u696d\u5f8c\u306b\u5927\u304d\u306a\u529b\u3068\u306a\u3063\u3066\u3001\u7686\u3055\u3093\u306e\u53ef\u80fd\u6027\u3092\u5e83\u3052\u3066\u304f\u308c\u307e\u3059\u3002\u4eca\u56de\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u3092\u304d\u3063\u304b\u3051\u306b\u3001\u591a\u304f\u306e\u65b9\u304c\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u6311\u6226\u3057\u3066\u304f\u308c\u308c\u3070\u5e78\u3044\u3067\u3059\u3002<\/span><\/p>\r\n\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\u3001\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u91cd\u8981\u4e8b\u9805\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3000\u2022 Don’t make your attending SAD<\/strong>\u300c\u6307\u5c0e\u533b\u3092\u60b2\u3057\u307e\u305b\u306a\u3044<\/strong>\u300d<\/span>
\r\n\u3000\u3000o Structure: \u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e<\/strong>\u300c\u578b<\/strong>\u300d\u3092\u5b88\u308b<\/strong><\/span>
\r\n\u3000\u3000o Argument: \u9451\u5225\u8a3a\u65ad\u3092<\/strong>\u300c\u8b70\u8ad6<\/strong>\u300d\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u5341\u5206\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b<\/strong><\/span>
\r\n\u3000\u3000o Delivery: \u82f1\u8a9e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u7279\u6709\u306e<\/strong>\u300c\u5b9a\u578b\u8868\u73fe<\/strong>\u300d\u3092\u4f7f\u3046<\/strong><\/span>
\r\n\u3000\u2022 Patient Information\u306e\u5b9a\u578b\u8868\u73fe<\/strong><\/span>
\r\nMr.\/Ms. (patient name) is a\/an (age)-year-old (man\/woman) with<\/strong> (pertinent risk factors<\/strong><\/span>), who presented with a (duration)-history of (chief complaint)<\/span>
\r\n\u3000\u2022 Summary \u306e\u5b9a\u578b\u8868\u73fe<\/strong><\/span>
\r\nIn summary, the patient is a\/an (age)-year-old (man\/woman) with (pertinent risk factors), who presented with a (duration)-history of (chief complaint + significant HPI<\/strong><\/span>), associated with<\/strong> (pertinent positives<\/strong>)<\/span>.<\/span>
\r\n\u3000\u2022 History of Present Illness<\/strong> \u306b\u306f History Taking<\/strong> \u306e\u534a\u5206\u4ee5\u4e0a<\/strong>\u3068\u306a\u308b\u3088\u3046\u306b\u5341\u5206\u306a\u60c5\u5831\u91cf\u3092\u5165\u308c\u308b<\/span>
\r\n\u3000\u2022 History of Present Illness<\/strong> \u306fOPQRST\u306a\u3069\u306e\u8a9e\u5442\u5408\u308f\u305b\u306e\u9805\u76ee\u9806\u3067\u306f\u306a\u304f\u3001\u300c\u767a\u75c7\u524d<\/strong>\u300d\u300c\u767a\u75c7\u6642<\/strong>\u300d\u300c\u767a\u75c7\u5f8c<\/strong>\u300d\u306e\u9806\u306b\u6642\u7cfb\u5217\u3067\u6574\u7406<\/strong>\u3059\u308b<\/span>
\r\n\u3000\u2022<\/strong> \u8074\u8846\u304b\u3089\u8ffd\u52a0\u306e\u8cea\u554f\u3092\u53d7\u3051\u306a\u3044\u3088\u3046\u306b\u300c\u967d\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300dpertinent positives<\/strong><\/span> \u3068\u300c\u9670\u6027\u3068\u306a\u308b\u95a2\u9023\u9805\u76ee<\/strong>\u300dpertinent negatives<\/strong><\/span> \u3092\u904e\u4e0d\u8db3\u306a\u304f\u53d6\u308a\u5165\u308c\u308b<\/span>
\r\n\u3000\u2022<\/strong> \u300c\u3053\u306e\u60c5\u5831\u3092\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u8ff0\u3079\u308b\u3079\u304d\u304b\uff1f\u300d\u3068\u8ff7\u3063\u305f\u3089 \u201cIs this necessary for my clinical decision making? If so, how?<\/strong>\u201d \u300c\u3053\u306e\u60c5\u5831\u306f\u81e8\u5e8a\u7684\u306a\u610f\u601d\u6c7a\u5b9a\u306b\u304a\u3044\u3066\u5fc5\u8981\u304b\uff1f\u3082\u3057\u5fc5\u8981\u306a\u3089\u3070\u3069\u306e\u3088\u3046\u306b\u5fc5\u8981\u306b\u306a\u308b\u306e\u304b\uff1f<\/strong>\u300d\u3092\u81ea\u554f\u81ea\u7b54\u3059\u308b<\/span>
\r\n\u3000\u2022<\/strong> \u4e00\u822c\u7528\u8a9e\u300dlay terms \u3092\u300c\u533b\u5b66\u7528\u8a9e<\/strong>\u300dmedical terms<\/strong><\/span> \u306b\u7f6e\u304d\u63db\u3048\u308b<\/span>
\r\n\u3000\u2022<\/strong> \u300c\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u3092\u4e0e\u3048\u308b\u533b\u5b66\u82f1\u8a9e<\/strong>\u300dsemantic qualifiers<\/strong><\/span> \u3092\u4f7f\u3046<\/span>
\r\n\u3000\u2022<\/strong> \u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u300d\u306b\u3042\u308b\u516837\u75c7\u5019\u306e\u3046\u3061\u3001\u533b\u7642\u9762\u63a5\u304c\u3067\u304d\u306a\u3044\u300c\u30b7\u30e7\u30c3\u30af\u300d\u3068\u300c\u5fc3\u505c\u6b62\u300d\u3092\u9664\u3044\u305f35\u306e\u75c7\u5019<\/strong>\u306b\u95a2\u3057\u3066\u300c\u81e8\u5e8a\u63a8\u8ad6<\/strong>\u300dClinical Reasoning<\/strong> \u304c\u3067\u304d\u308b\u3088\u3046\u306b\u6e96\u5099\u3059\u308b<\/span>
\r\n\u3000\u2022<\/strong> First Aid for the USMLE Step 2 CS<\/strong> \u306e Practical Cases<\/strong> \u306e\u4e2d\u304b\u308935\u306e\u75c7\u5019\u306b\u95a2\u3059\u308b Patient Note<\/strong> \u3092\u9078\u3073\u51fa\u3057\u3001\u305d\u308c\u3092\u4f55\u5ea6\u3082\u300c\u97f3\u8aad<\/strong>\u300d\u3059\u308b<\/span><\/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\u82f1\u8a9e\u3067\u306e\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\uff1a\u57fa\u790e\u7de8\u300d\u3002 \u533b\u7642\u306b\u304a\u3051\u308b\u82f1\u8a9e\u306e\u91cd\u8981","protected":false},"author":15,"featured_media":6857,"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-7176","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\/7176","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\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7176"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7176\/revisions"}],"predecessor-version":[{"id":7177,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7176\/revisions\/7177"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6857"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}