{"id":7189,"date":"2022-03-01T09:00:21","date_gmt":"2022-03-01T00:00:21","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7189"},"modified":"2023-12-25T12:14:10","modified_gmt":"2023-12-25T03:14:10","slug":"menu_36","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_36\/","title":{"rendered":"Menu 36\u3000\u8840\u5c3f\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"\"\"\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\u8840\u5c3f\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n

\u300c\u6392\u5c3f<\/strong>\u300durination<\/strong> \u306f\u533b\u5b66\u6559\u80b2\u306b\u304a\u3044\u3066\u6975\u3081\u3066\u91cd\u8981\u306a\u5b66\u4fee\u9805\u76ee\u3067\u3042\u308a\u3001\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3067\u3082\u7fd2\u5f97\u3059\u3079\u304d37\u75c7\u5019\u3068\u3057\u3066\u300c\u5c3f\u91cf\u30fb\u6392\u5c3f\u306e\u7570\u5e38<\/strong>\u300d\u3068\u300c\u8840\u5c3f\u30fb\u86cb\u767d\u5c3f<\/strong>\u300d\u306e2\u3064\u304c\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3042\u307e\u308a\u306b\u3082\u8eab\u8fd1\u3067\u3042\u308b\u304c\u6545\u306b\u3001\u6392\u5c3f\u306b\u306f\u69d8\u3005\u306a\u53e3\u8a9e\u8868\u73fe\u3082\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u300c\u8840\u5c3f\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u30c6\u30fc\u30de\u306b\u3001\u6392\u5c3f\u306b\u95a2\u3059\u308b\u69d8\u3005\u306a\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u82f1\u8a9e\u3067\u306f\u30c8\u30a4\u30ec\u306e\u3053\u3068\u3092toilet\u3068\u306f\u8a00\u308f\u306a\u3044\u300d\u3068\u3044\u3046\u306e\u306f\u672c\u5f53\uff1f<\/strong><\/span>
\r\n\u307e\u305a\u306f\u300c\u30c8\u30a4\u30ec<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u306e\u4e2d\u306b\u306f\u82f1\u8a9e\u306e\u6388\u696d\u3067\u3001\u300c\u82f1\u8a9e\u3067 toilet<\/strong> \u3068\u306f\u4fbf\u5668<\/strong>\u306e\u3053\u3068\u3067\u3042\u308b\u304b\u3089\u3001 \u201cWhere is the toilet<\/strong>?\u201d \u3067\u306f\u306a\u304f \u201cWhere is the restroom<\/strong>?\u201d \u3068\u8a00\u3044\u307e\u3057\u3087\u3046\u3002\u300d\u3068\u7fd2\u3063\u305f\u3053\u3068\u304c\u3042\u308b\u65b9\u3082\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f\u305d\u306e\u305f\u3081\u300c\u82f1\u8a9e\u3067\u306f\u30c8\u30a4\u30ec\u306e\u3053\u3068\u3092 toilet \u3067\u306f\u306a\u304f\u3001 bathroom \u3084 restroom \u3068\u8868\u73fe\u3059\u308b\u300d\u3068\u8a18\u61b6\u3055\u308c\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u5b9f\u306f\u3053\u308c\u306f\u7c73\u56fd<\/strong>\u3067\u306e\u304a\u8a71\u3067\u3059\u3002\u7c73\u56fd\u3067\u306f toilet<\/strong><\/span> \u306f\u300c\u4fbf\u5668<\/strong>\u300d\u305d\u306e\u3082\u306e\u3067\u3042\u308a\u3001\u901a\u5e38\u65e5\u672c\u4eba\u304c\u300c\u30c8\u30a4\u30ec<\/strong>\u300d\u3068\u3057\u3066\u8868\u73fe\u3059\u308b\u3082\u306e\u306f\u3001\u500b\u4eba\u5b85<\/strong>\u306e\u3082\u306e\u306f bathroom<\/strong><\/span>\u3001\u305d\u3057\u3066\u516c\u5171\u65bd\u8a2d<\/strong>\u306e\u3082\u306e\u306f restroom<\/strong><\/span> \u3084 ladies<\/strong><\/span>\/gents<\/strong><\/span> (ladies\u2019<\/strong>\/men\u2019s room<\/strong>) \u306a\u3069\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u307e\u305f restroom \u306f\u3084\u3084\u5a49\u66f2\u7684\u306a\u8868\u73fe\u3067\u3082\u3042\u308b\u306e\u3067\u3001\u500b\u4eba\u5b85\u3092\u8a2a\u554f\u3057\u3066\u3044\u308b\u5834\u5408\u3067\u3082 “May I use your restroom<\/strong>?” \u306e\u65b9\u304c\u3088\u308a\u4e01\u5be7\u306a\u8868\u73fe<\/strong>\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u7406\u7531\u304b\u3089\u7c73\u56fd\u3067\u300c\u30c8\u30a4\u30ec\u306f\u3069\u3053\u3067\u3059\u304b\uff1f<\/strong>\u300d\u3068\u5c0b\u306d\u308b\u5834\u5408\u306b\u306f\u3001 \u201cWhere is the restroom<\/strong>?\u201d \u3084 \u201cWhere is the gents<\/strong>?\u201d \u306a\u3069\u3068\u8868\u73fe\u3059\u308b\u306e\u304c\u81ea\u7136\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u3067\u3082\u7c73\u56fd\u3067\u3082 lavatory<\/strong> \u3084 washroom<\/strong> \u3068\u3044\u3063\u305f\u8868\u793a\u3082\u898b\u307e\u3059\u3088\u3002\u300d\u3068\u3044\u3046\u58f0\u3082\u805e\u3053\u3048\u3066\u304d\u305d\u3046\u3067\u3059\u306d\u3002lavatory<\/strong><\/span>\uff08\u300c\u30e9<\/strong>\u30f4\u30a1\u30bf\u30ea\u30a3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09 \u306f\u98db\u884c\u6a5f\u5185\u306a\u3069\u306e\u8868\u793a\u3067\u300c\u66f8\u304d\u8a00\u8449<\/strong>\u300d\u3068\u3057\u3066\u3088\u304f\u4f7f\u308f\u308c\u308b\u8868\u73fe\u3067\u3001\u300c\u8a71\u3057\u8a00\u8449\u300d\u3068\u3057\u3066\u306f\u7c73\u56fd\u3067\u3082\u3042\u307e\u308a\u4f7f\u308f\u308c\u307e\u305b\u3093\u3002\uff08\u305d\u3057\u3066\u3053\u306e lavatory \u306f\u300c\u8840\u6db2\u691c\u67fb<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b laboratory<\/strong>\uff08\u300c\u30e9\u30dc<\/strong>\u30e9\u30c8\u30ea\u30a3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068\u6df7\u540c\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\uff09\u307e\u305f washroom<\/strong><\/span> \u306f\u300c\u8a71\u3057\u8a00\u8449\u300d\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3069\u3061\u3089\u304b\u3068\u3044\u3046\u3068\u7c73\u56fd\u3067\u3082\u300c\u66f8\u304d\u8a00\u8449<\/strong>\u300d\u3068\u3057\u3066\u8868\u793a\u306b\u4f7f\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u8868\u73fe\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e\u3088\u3046\u306b\u7c73\u56fd\u3067\u306f toilet \u306f\u4fbf\u5668\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u82f1\u56fd<\/strong>\u3067\u306f\u65e5\u672c\u3068\u540c\u69d8\u306b toilet<\/strong><\/span> \u306f\u300c\u30c8\u30a4\u30ec<\/strong>\u300d\u3068\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002\u3067\u3059\u304b\u3089 \u201cWhere is the toilet?\u201d \u3068\u3044\u3046\u8868\u73fe\u306f\u82f1\u56fd\u3067\u306f\u6975\u3081\u3066\u81ea\u7136\u306a\u8868\u73fe\u3067\u3059<\/strong>\u3002\u300c\u82f1\u8a9e\u3067\u306f\u30c8\u30a4\u30ec\u306e\u3053\u3068\u3092 toilet \u3068\u306f\u8a00\u308f\u306a\u3044\u300d\u3068\u899a\u3048\u3066\u3044\u308b\u3068\u3001\u82f1\u56fd\u4eba\u304b\u3089\u300c\u8ab0\u304b\u3089\u305d\u3093\u306a\u3053\u3068\u3092\u7fd2\u3063\u305f\u3093\u3060\uff01\u300d\u3068\u6012\u3089\u308c\u3066\u3057\u307e\u3044\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n

\u82f1\u56fd<\/strong>\u3084\u8c6a\u5dde<\/strong>\u3067\u306f\u3053\u306e\u4ed6\u306b\u3082\u3001 loo<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u300c\u30c8\u30a4\u30ec<\/strong>\u300d\u3068\u3057\u3066\u4e00\u822c\u7684\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u5c11\u3057\u5a49\u66f2\u7684\u306a\u8868\u73fe\u3068\u3057\u3066\u3001 facilities<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u82f1\u56fd\u3067\u3082 bathroom<\/strong> \u3068\u3044\u3046\u8868\u73fe\u306f\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u6587\u5b57\u901a\u308a\u300cbath\u304c\u4f75\u8a2d\u3055\u308c\u3066\u3044\u308b\u30c8\u30a4\u30ec\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306b\u306a\u308a\u307e\u3059\u3002\u65e5\u672c\u3067\u3082\u3088\u304f\u8868\u793a\u3067\u4f7f\u308f\u308c\u308b WC<\/strong> \u3067\u3059\u304c\u3001\u3053\u308c\u306f w<\/strong>ater c<\/strong>loset \u306e\u7565\u3067\u3001\u73fe\u5728\u3067\u306f\u300c\u66f8\u304d\u8a00\u8449\u300d\u3068\u3057\u3066\u306e\u307f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e\u4ed6\u300c\u30c8\u30a4\u30ec<\/strong>\u300d\u306b\u306f\u3001\u304b\u306a\u308a\u30ab\u30b8\u30e5\u30a2\u30eb\u306a\u300c\u53e3\u8a9e\u8868\u73fe<\/strong>\u300dcolloquial expressions<\/strong> \u3082\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u30c8\u30a4\u30ec\u306f\u7c73\u56fd\u3067\u306f John<\/strong> \u3001\u8c6a\u5dde\u3067\u306f Dunny<\/strong> \u3001\u305d\u3057\u3066\u82f1\u56fd\u3067\u306f Bog<\/strong>\/Khazi<\/strong>\/Jacks<\/strong> \u306a\u3069\u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\u3069\u308c\u3082\u56fa\u6709\u540d\u8a5e\u306e\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u304c\u3001 a<\/strong>\/the<\/strong> restroom \u3068\u540c\u69d8\u306b\u3001a<\/strong>\/the<\/strong> john \u3084 a<\/strong>\/the<\/strong> dunny \u306e\u3088\u3046\u306b\u51a0\u8a5e\u3092\u3064\u3051\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u7537\u6027\u304c\u300c\u7528\u3092\u8db3\u3057\u3066\u304f\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u3046\u306e\u304c “I’m gonna hit the head<\/strong>.” \u3068\u3044\u3046\u8868\u73fe\u3067\u3059\u3002\u3053\u308c\u306f\u6614\u306e\u8239\u3067\u306f\u30c8\u30a4\u30ec\u304c\u300c\u8239\u9996<\/strong>\u300d\u306b\u3042\u3063\u305f\u3053\u3068\u304b\u3089\u751f\u307e\u308c\u305f\u8868\u73fe\u3067\u3001\u73fe\u5728\u3067\u3082\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u82f1\u8a9e\u570f\u3067\u306f\u3069\u3053\u3067\u3082\u300c\u6d0b\u5f0f\u30c8\u30a4\u30ec<\/strong>\u300d\u304c\u4f7f\u308f\u308c\u3001\u300c\u548c\u5f0f\u30c8\u30a4\u30ec<\/strong>\u300d\u306f\u307b\u3068\u3093\u3069\u4f7f\u308f\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u305f\u3060\u3069\u3061\u3089\u306b\u3082\u82f1\u8a9e\u8868\u73fe\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u524d\u8005\u306f\u4f7f\u7528\u3057\u305f\u5f8c\u306b\u6c34\u3092\u6d41\u3059\u3068\u3053\u308d\u304b\u3089 flush toilet<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u5f8c\u8005\u306f\u3057\u3083\u304c\u3080\u3053\u3068\u304b\u3089 squat toilet<\/strong><\/span> \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u4e16\u754c\u306b\u306f squat toilet \u304c\u4f7f\u308f\u308c\u3066\u3044\u308b\u5730\u57df\u3082\u307e\u3060\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u3053\u308c\u3089\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u4f7f\u3063\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3044\u304f\u3064\u77e5\u3063\u3066\u3044\u308b\uff1f\u6392\u5c3f\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b\u3001\u300c\u6392\u5c3f<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u300c\u6392\u5c3f\u3059\u308b<\/strong>\u300d\u306f urinate<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u5c02\u9580\u7528\u8a9e\u306a\u306e\u3067\u3059\u304c\u3001\u4e00\u822c\u306e\u65b9\u3082\u7406\u89e3\u3067\u304d\u308b\u6975\u3081\u3066\u4fbf\u5229\u306a\u8868\u73fe\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u533b\u5b66\u751f\u30fb\u533b\u5e2b\u3068\u3057\u3066\u306f\u3001\u307e\u305a\u3053\u306e urinate \u3092\u4f7f\u3046\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u307e\u305f\u300c\u5c3f<\/strong>\u300durine<\/strong><\/span> \u306f\u5a49\u66f2\u7684\u306b water<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u300c\u6ccc\u5c3f\u5668<\/strong>\u300d\u306f waterworks<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u3053\u3053\u304b\u3089 urinate \u306f pass water<\/strong><\/span> \u3068\u3082\u8868\u73fe\u3055\u308c\u308b\u306e\u3067\u3059\u304c\u3001\u82f1\u56fd\u4ee5\u5916\u3067\u306f\u3053\u306e\u8868\u73fe\u3092\u4f7f\u3046\u4eba\u306f\u5c11\u306a\u3044\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u5b9f\u969b\u306b\u7686\u3055\u3093\u304c\u533b\u5b66\u751f\u30fb\u533b\u5e2b\u3068\u3057\u3066\u4f7f\u308f\u306a\u304f\u3066\u3082\u3001\u60a3\u8005\u3055\u3093\u304c\u3088\u304f\u4f7f\u3046\u8868\u73fe\u3068\u3057\u3066 piss<\/strong><\/span> \u3084 pee<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3069\u3061\u3089\u3082\u52d5\u8a5e\u30fb\u540d\u8a5e\u306e\u4e21\u65b9\u3067\u4f7f\u308f\u308c\u307e\u3059\u3002\u65e5\u672c\u3067\u306f\u3053\u306e pee \u306e\u3053\u3068\u3092\u300c\u5b50\u4f9b\u304c\u4f7f\u3046\u8868\u73fe\u300d\u3068\u601d\u3063\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u3088\u3046\u3067\u3059\u304c\u3001\u5b9f\u969b\u306b\u306f\u5927\u4eba\u3082\u666e\u901a\u306b\u4f7f\u3044\u307e\u3059\u3002\u5c11\u3057\u5b50\u4f9b\u3063\u307d\u3044\u8868\u73fe\u3068\u3057\u3066\u306f wee<\/strong> \u3084 wee-wee<\/strong> \u3068\u3044\u3046\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u300c\u6392\u5c3f\u300d\u306b\u3082\u69d8\u3005\u306a\u300c\u5a49\u66f2\u8868\u73fe<\/strong>\u300deuphemisms<\/strong> \u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u65e5\u672c\u8a9e\u306b\u3082\u300c\u304a\u5316\u7ca7\u76f4\u3057<\/strong>\u300d\u3068\u3044\u3046\u5a49\u66f2\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u3068\u540c\u3058\u610f\u5473\u3067\u4f7f\u308f\u308c\u308b\u306e\u304c powder my nose<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3067\u3059\u3002\u307e\u305f\u65e5\u672c\u8a9e\u306e\u300c\u751f\u7406\u73fe\u8c61<\/strong>\u300d\u306b\u76f8\u5f53\u3059\u308b\u82f1\u8a9e\u304c call of nature<\/strong><\/span> \u3067\u3059\u3002\u82f1\u56fd\u3067\u306f\u305d\u306e\u6614\u3001\u516c\u8846\u30c8\u30a4\u30ec\u3092\u4f7f\u3046\u306e\u306b one penny \u304c\u5fc5\u8981\u3060\u3063\u305f\u305f\u3081\u3001spend a penny<\/strong><\/span> \u3068\u3044\u3046\u53e4\u98a8\u306a\u5a49\u66f2\u8868\u73fe\u3082\u5b58\u5728\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u65e5\u672c\u8a9e\u306e\u300c\u5c0f<\/strong>\u300d\u3068\u300c\u5927<\/strong>\u300d\u306b\u5339\u6575\u3059\u308b\u306e\u304c\u3001\u82f1\u8a9e\u306e number one<\/strong><\/span> \u3068 number two<\/strong><\/span> \u3067\u3059\u3002\u5b9f\u969b\u306b\u3053\u306e\u8868\u73fe\u3092\u5927\u4eba\u304c\u4f7f\u3046\u3053\u3068\u306f\u3042\u307e\u308a\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u4eba\u524d\u3067\u5c0f\u3055\u306a\u5b50\u4f9b\u306b\u300c\u3069\u3063\u3061\u304c\u3057\u305f\u3044\u306e\uff1f<\/strong>\u300d\u3068\u805e\u304f\u6642\u306b\u306f\u3001 \u201cDo you need a number one<\/strong> or number two<\/strong>?\u201d \u306e\u3088\u3046\u306b\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3069\u3046\u8003\u3048\u305f\u3089\u3044\u3044\uff1f\u8840\u5c3f\u306e\u9451\u5225<\/strong><\/span>
\r\n\u3067\u306f\u3053\u3053\u304b\u3089\u300c\u8840\u5c3f<\/strong>\u300dhematuria<\/strong><\/span> \u306e\u9451\u5225\u3092\u8003\u3048\u306a\u304c\u3089\u3001\u305d\u308c\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u300c\u8840\u5c3f<\/strong>\u300dhematuria<\/strong> \u306e\u5b9a\u7fa9\u306f\u3001\u5c3f\u6c88\u6e23\u306b\u304a\u3044\u3066 presence of at least 5 red blood cells<\/strong> (RBCs<\/strong>) per high-power field<\/strong> (hpf<\/strong>) \u304c\u78ba\u8a8d\u3055\u308c\u308b\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u3046\u3061\u300c\u8089\u773c\u7684\u8840\u5c3f<\/strong>\u300d\u306f macroscopic<\/strong><\/span>\/gross hematuria<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u300c\u9855\u5fae\u93e1\u7684\u8840\u5c3f<\/strong>\u300d\u306f microscopic hematuria<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e hematuria\u3092\u78ba\u5b9a\u3059\u308b\u306b\u306f\u300c\u5c3f\u691c\u67fb<\/strong>\u300durinalysis<\/strong> (UA<\/strong>)<\/span> \u304c\u5fc5\u8981\u3067\u3059\u304c\u3001\u3053\u306e UA \u306f\u8a66\u9a13\u7d19\u3092\u4f7f\u3046 dipstick urine test<\/strong><\/span> \u3068\u3001\u5c3f\u6c88\u6e23\u3092\u9855\u5fae\u93e1\u3067\u89b3\u5bdf\u3059\u308b microscopic urine test<\/strong><\/span> \u306b\u5927\u5225\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e UA \u3067 RBCs \u304c\u78ba\u8a8d\u3055\u308c\u306a\u3044\u300c\u8272\u304c\u8d64\u3044\u5c3f<\/strong>\u300d\u306f\u3001 pseudo-hematuria<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e pseudo-hematuria \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u3001\u300c\u30d3\u30ea\u30eb\u30d3\u30f3\u5c3f<\/strong>\u300dbilirubinuria<\/strong> \u3001\u300c\u30df\u30aa\u30b0\u30ed\u30d3\u30ea\u30f3\u5c3f<\/strong>\u300dmyoglobinuria<\/strong> \u3001\u305d\u3057\u3066\u300c\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u5c3f<\/strong>\u300dhemoglobinuria<\/strong> \u306a\u3069\u306e\u4ed6\u306b\u3001\u300c\u8131\u6c34<\/strong>\u300ddehydration<\/strong> \u3084\u5c3f\u306e\u8272\u3092\u5909\u3048\u308b\u3088\u3046\u306a\u300c\u5185\u670d\u85ac<\/strong>\u300dmedications<\/strong> \u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u3053\u306e\u4ed6\u306b\u3082\u6b27\u5dde\u3067\u3088\u304f\u98df\u3079\u3089\u308c\u3066\u3044\u308b\u300c\u30d3\u30fc\u30c4<\/strong>\u300d beets<\/strong> \u306a\u3069\u306e\u8d64\u3044\u98df\u3079\u7269\u306e\u904e\u5270\u6442\u53d6\u3082 pseudo-hematuria \u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

UA \u3067 hematuria \u304c\u78ba\u8a8d\u3055\u308c\u305f\u3089\u3001\u5c3f\u6c88\u6e23\u3067\u300c\u8d64\u8840\u7403\u5186\u67f1<\/strong>\u300dRBC casts<\/strong><\/span> \u306e\u6709\u7121\u3092\u78ba\u8a8d\u3057\u307e\u3057\u3087\u3046\u3002\u6620\u753b\u3084\u30c9\u30e9\u30de\u306e\u300c\u914d\u5f79<\/strong>\u300d\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u308b cast<\/strong> \u3068\u3044\u3046\u5358\u8a9e\u306b\u306f\u300c\u578b\u306b\u306f\u3081\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308a\u3001\u533b\u7642\u3067\u306f\u300c\u30ae\u30d7\u30b9<\/strong>\u300d\u3084\u300c\u5c3f\u5186\u67f1<\/strong>\u300d\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u5c3f\u6c88\u6e23\u3067 RBC casts \u304c\u78ba\u8a8d\u3055\u308c\u308c\u3070\u3001\u305d\u306e hematuria \u306f\u7cf8\u7403\u4f53\u304c\u539f\u56e0\u3067\u8d77\u3053\u308b\u300c\u7cf8\u7403\u4f53\u6027\u8840\u5c3f<\/strong>\u300d glomerular hematuria<\/strong><\/span> \u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306b\u5bfe\u3057\u3066\u7cf8\u7403\u4f53\u304c\u539f\u56e0\u3067\u306a\u3044 hematuria \u306f\u3001\u300c\u5c3f\u8def<\/strong>\u300d urinary tract<\/strong> \u306e\u3044\u305a\u308c\u304b\u304b\u3089\u300c\u51fa\u8840<\/strong>\u300d bleeding<\/strong> \u3092\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u305d\u3057\u3066 bleeding \u304c\u3042\u308c\u3070\u305d\u3053\u306b\u306f\u6b62\u8840\u4f5c\u7528\u304c\u50cd\u304f\u305f\u3081\u3001\u5c3f\u6c88\u6e23\u3067\u300c\u8840\u6813<\/strong>\u300dblood clots<\/strong><\/span> \u304c\u78ba\u8a8d\u3055\u308c\u308b\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u5c3f\u6c88\u6e23\u3067 blood clots \u304c\u78ba\u8a8d\u3055\u308c\u308c\u3070\u3001\u305d\u308c\u306f\u300c\u975e\u7cf8\u7403\u4f53\u6027\u8840\u5c3f<\/strong>\u300dnon-glomerular hematuria<\/strong><\/span> \u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u308b\u306e\u3067\u3059\u3002 <\/span><\/p>\r\n

\u201cCan\u2019t see, can\u2019t pee, can\u2019t hear a bee\u201d \u3063\u3066\u4f55\u306e\u75c5\u6c17\u306e\u3053\u3068\uff1f<\/strong><\/span>
\r\n\u3067\u306f\u307e\u305a glomerular hematuria<\/strong> \u306e\u539f\u56e0\u3068\u306a\u308b\u75be\u60a3\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u901a\u308a\u300c\u7cf8\u7403\u4f53\u75be\u60a3<\/strong>\u300d glomerular diseases<\/strong> \u306f\u3001\u5927\u304d\u304f\u5206\u3051\u3066 hematuria \u304c\u4e3b\u75c7\u72b6\u306e\u300c\u814e\u708e\u75c7\u5019\u7fa4<\/strong>\u300d nephritic syndrome<\/strong><\/span> \u3068\u3001proteinuria \u304c\u4e3b\u75c7\u72b6\u306e\u300c\u30cd\u30d5\u30ed\u30fc\u30bc\u75c7\u5019\u7fa4<\/strong>\u300d nephrotic syndrome<\/strong> \u306e2\u3064\u306b\u5206\u985e\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e nephritic syndrome<\/strong> \u306b\u306f\u591a\u304f\u306e\u75be\u60a3\u304c\u542b\u307e\u308c\u307e\u3059\u304c\u3001\u3053\u3053\u3067\u306f\u4ee3\u8868\u7684\u306a5\u3064\u306e\u75be\u60a3\u3092\u7c21\u5358\u306b\u3054\u7d39\u4ecb\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u300cIgA\u814e\u75c7<\/strong>\u300dIgA nephropathy<\/strong> (IgAN<\/strong>)<\/span> \u3068\u300c\u6eb6\u9023\u83cc\u611f\u67d3\u5f8c\u7cf8\u7403\u4f53\u814e\u708e<\/strong>\u300dpost-streptococcal glomerulonephritis<\/strong> (PSGN<\/strong>)<\/span> \u306e2\u3064\u306f\u300c\u4e0a\u6c17\u9053\u611f\u67d3<\/strong>\u300dupper respiratory tract infection<\/strong> (URTI<\/strong>) \u5f8c\u306b\u767a\u75c7\u3059\u308b\u306e\u3067\u3059\u304c\u3001IgAN \u306fURTI\u306b\u7d9a\u3044\u3066\u6bd4\u8f03\u7684\u65e9\u304f\u767a\u75c7\u3059\u308b\u306e\u306b\u5bfe\u3057\u3001PSGN \u306f\u300c\u6eb6\u9023\u83cc\u54bd\u982d\u708e<\/strong>\u300dstrep throat<\/strong><\/span> \u306a\u3069\u306e streptococcal infections \u306e\u5f8c\u3001\u6570\u9031\u9593\u306e\u6f5c\u4f0f\u671f\u9593\u3092\u7d4c\u3066\u767a\u75c7\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u907a\u4f1d\u6027\u75be\u60a3\u3067\u3042\u308b\u300c\u30a2\u30eb\u30dd\u30fc\u30c8\u75c7\u5019\u7fa4<\/strong>\u300d Alport syndrome<\/strong><\/span> \u306f\u3001hematuria \u306e\u4ed6\u306b\u3082 visual loss<\/strong><\/span> \u3084 hearing loss<\/strong><\/span> \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u9032\u884c\u3059\u308b\u3068\u300c\u672b\u671f\u814e\u4e0d\u5168<\/strong>\u300dend-stage renal disease<\/strong> (ESRD<\/strong>)<\/span> \u3068\u306a\u3063\u3066\u5c3f\u304c\u51fa\u306a\u304f\u306a\u308b\u3053\u3068\u304b\u3089\u3001 \u201cCan\u2019t see, can\u2019t pee, can\u2019t hear a bee<\/strong><\/span>\u201d \u3068\u3044\u3046\u97fb\u3092\u8e0f\u3093\u3060\u300c\u6697\u8a18\u6cd5\u300d mnemonics \u304c\u82f1\u8a9e\u570f\u306e\u533b\u5b66\u751f\u306b\u306f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u30b0\u30c3\u30c9\u30d1\u30b9\u30c1\u30e3\u30fc\u75c7\u5019\u7fa4<\/strong>\u300dGoodpasture\u2019s syndrome<\/strong><\/span> \u3068\u300c\u30a6\u30a7\u30b2\u30ca\u30fc\u8089\u82bd\u816b\u75c7<\/strong>\u300d Wegener\u2019s granulomatosis<\/strong><\/span> \u306f\u3001\u3069\u3061\u3089\u3082 hematuria \u306e\u4ed6\u306b\u300c\u8840\u75f0<\/strong>\u300dhemoptysis<\/strong><\/span> \u306a\u3069\u306e\u3088\u3046\u306a\u547c\u5438\u5668\u75c7\u72b6\u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u305d\u3057\u3066 Wegener \u306f\u3053\u306e2\u3064\u306b\u52a0\u3048\u3066\u300c\u526f\u9f3b\u8154\u708e<\/strong>\u300d sinusitis<\/strong><\/span> \u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u4ee5\u4e0a\u3001\u3053\u308c\u3089\u306e nephritic syndrome \u306e5\u3064\u306e\u75be\u60a3\u306e\u8981\u70b9\u3092\u307e\u3068\u3081\u308b\u3068\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\n
\r\nNephritic Syndrome<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> IgA nephropathy (IgAN): recent URTI & recurrent episodes<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Post-streptococcal glomerulonephritis (PSGN): 3 weeks after strep throat<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Alport syndrome: hematuria<\/strong> + hearing loss<\/strong> + visual loss<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Goodpasture\u2019s syndrome: hematuria<\/strong> + hemoptysis<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Wegener\u2019s granulomatosis: hematuria<\/strong> + hemoptysis<\/strong> + sinusitis<\/strong>
\r\n<\/span>
\r\n\u300c\u5c3f\u8def\u9589\u585e\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6\u300d\u306e\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b blood clots (+) \u3068\u306a\u308b non-glomerular hematuria<\/strong> \u306e\u539f\u56e0\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\u3053\u3053\u306b\u3082\u69d8\u3005\u306a\u75be\u60a3\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8\u306e\u300c\u533b\u5b66\u82f1\u8a9e<\/strong><\/span><\/span><\/a>\u300d\u306e\u6388\u696d\u3067\u306f\u521d\u5b66\u8005\u5411\u3051\u306b \u201cMISTER<\/strong><\/span>\u201d \u3068\u3044\u3046 mnemonics \u3092\u304a\u52e7\u3081\u3057\u3066\u3044\u307e\u3059\u3002<\/span>
\r\n
\r\nMISTER<\/strong><\/span>
\r\n\u3000<\/em>\u2022<\/strong> M<\/strong><\/span>alignancy
\r\n\u3000<\/em>\u2022<\/strong> I<\/strong><\/span>nfections
\r\n\u3000<\/em>\u2022<\/strong> S<\/strong><\/span>tones
\r\n\u3000<\/em>\u2022<\/strong> T<\/strong><\/span>rauma
\r\n\u3000<\/em>\u2022<\/strong> E<\/strong><\/span>xtra
\r\n\u3000<\/em>\u2022<\/strong> R<\/strong><\/span>enal
\r\n<\/span>
\r\n\u6700\u521d\u306e M<\/strong> \u306f\u300c\u60aa\u6027\u816b\u760d<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b malignancy<\/strong><\/span> \u3067\u3059\u3002<\/span>
\r\n
\r\nurinary tract \u3067\u306e\u4ee3\u8868\u7684\u306a malignancy \u306b\u306f\u3001 kidney cancer<\/strong>, bladder cancer<\/strong>, and prostate cancer<\/strong> \u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u305d\u306e\u4ee3\u8868\u7684\u306a\u764c\u306e\u7a2e\u985e\u306f\u305d\u308c\u305e\u308c renal cell carcinoma<\/strong> (RCC<\/strong>)<\/span>, transitional cell carcinoma<\/strong> (TCC<\/strong>)<\/span>, and prostatic adenocarcinoma<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u307e\u305f\u60aa\u6027\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u300c\u524d\u7acb\u817a\u80a5\u5927\u75c7<\/strong>\u300denlarged prostate<\/strong><\/span> \/ benign prostatic hyperplasia<\/strong> (BPH<\/strong>)<\/span> \u3082 hematuria \u3092\u5f15\u304d\u8d77\u3053\u3059\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002 <\/span><\/p>\r\n

\u3053\u3046\u3044\u3063\u305f\u816b\u760d\u6027\u75be\u60a3\u306f\u80a5\u5927\u5316\u3059\u308c\u3070\u300c\u7247\u5074\u6027\u306e\u816b\u7624<\/strong>\u300d unilateral mass<\/strong> \u3092\u5f15\u304d\u8d77\u3053\u3059\u4ed6\u3001\u300c\u5c3f\u8def\u9589\u585e\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6<\/strong>\u300d urinary obstructive symptoms<\/strong><\/span> \u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u4e0b\u8a18\u306b\u5177\u4f53\u7684\u306a\u5c3f\u8def\u9589\u585e\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6\u306e\u533b\u5b66\u82f1\u8a9e\u3068\u3001\u305d\u308c\u3092\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u304c\u3069\u306e\u3088\u3046\u306b\u8868\u73fe\u3059\u308b\u306e\u304b\u3092\u793a\u3057\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Urinary Obstructive Symptoms<\/strong>
\r\n\u2022<\/strong> Urinary hesitancy<\/strong><\/span>: \u201cWhen I try to urinate, it takes a while to get started.\u201d
\r\n\u2022<\/strong> Terminal dribbling<\/strong><\/span>: \u201cOnce I\u2019ve finished, a few drops keep coming out for a little while.\u201d
\r\n\u2022<\/strong> Nocturia<\/strong><\/span>: \u201cI\u2019m up twice a night to urinate.\u201d
\r\n\u2022<\/strong> Urinary straining<\/strong><\/span>: \u201cI have to push hard to urinate.\u201d
\r\n<\/span>
\r\n\u5c3f\u304c\u51fa\u306b\u304f\u3044\u300c\u6392\u5c3f\u9077\u5ef6<\/strong>\uff08\u305b\u3093\u3048\u3093<\/strong>\uff09\u300d\u3092 urinary hesitancy<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u30b5\u30c3\u30ab\u30fc\u3084\u30d0\u30b9\u30b1\u30c3\u30c8\u30dc\u30fc\u30eb\u3067\u30dc\u30fc\u30eb\u3092\u5c0f\u523b\u307f\u306b\u89e6\u308b\u3053\u3068\u3092 dribble \u3068\u547c\u3073\u307e\u3059\u304c\u3001\u300c\u5c3f\u304c\u6ef4\u308b<\/strong>\u300d\u3053\u3068\u3082 dribble<\/strong> \u3068\u547c\u3073\u3001\u305d\u3053\u304b\u3089 BPH \u306a\u3069\u3067\u6392\u5c3f\u5f8c\u306b\u5c3f\u6f0f\u308c\u3059\u308b\u300c\u7d42\u672b\u6ef4\u4e0b<\/strong>\u300d\u3092 terminal dribbling<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u307e\u305f\u591c\u306b\u6392\u5c3f\u306e\u305f\u3081\u306b\u8d77\u304d\u308b\u3053\u3068\u3092\u300c\u591c\u9593<\/strong>\uff08\u983b<\/strong>\uff09\u5c3f<\/strong>\u300dnocturia<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u3044\u308f\u3086\u308b\u300c\u304a\u306d\u3057\u3087<\/strong>\u300dbedwetting<\/strong><\/span> \u3084\u300c\u5c3f\u5931\u7981<\/strong>\u300d urinary incontinence<\/strong><\/span> \u3068\u306f\u7570\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u6392\u5c3f\u3059\u308b\u305f\u3081\u306b\u304a\u8179\u306b\u529b\u3092\u5165\u308c\u306a\u304f\u3066\u306f\u306a\u3089\u306a\u3044\u300c\u8179\u5727\u6392\u5c3f<\/strong>\u300d\u306f urinary straining<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u5c3f\u8def\u611f\u67d3\u75c7\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6\u300d\u306e\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>
\r\n\u201cMI<\/strong>STER\u201d \u306e I<\/strong> \u306f\u300c\u611f\u67d3\u75c7\u300d\u306e infections<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u5c3f\u8def\u611f\u67d3\u75c7<\/strong>\u300d urinary tract infection<\/strong> (UTI<\/strong>)<\/span> \u306e\u8d77\u56e0\u83cc\u3068\u3057\u3066\u6700\u3082\u591a\u3044\u306e\u304c\u300c\u30b0\u30e9\u30e0\u9670\u6027\u83cc<\/strong>\u300d gram-negative bacteria<\/strong> \u3067\u3042\u308b\u300c\u5927\u8178\u83cc<\/strong>\u300d E. coli<\/strong><\/span> \u3067\u3059\u3002\u305d\u3057\u3066 urinalysis \u306b\u304a\u3044\u3066 gram-negative bacteria \u304c\u5b58\u5728\u3059\u308b\u3068\u3001\u300c\u785d\u9178\u5869<\/strong>\u300dnitrates<\/strong> \u304c\u300c\u4e9c\u785d\u9178\u5869<\/strong>\u300dnitrites<\/strong><\/span> \u306b\u5909\u5316\u3057\u307e\u3059\u3002\u3053\u306e nitra<\/span>tes\uff08\u300c\u30ca<\/strong>\u30a3\u30c8\u30ec\u30a3<\/span>\u30c8\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068nitri<\/span>tes\uff08\u300c\u30ca<\/strong>\u30a3\u30c8\u30e9\u30a3<\/span>\u30c8\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u3088\u304f\u4f3c\u3066\u3044\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

UTI \u3068\u3057\u3066 urethra \u304c\u611f\u67d3\u3059\u308b\u3068\u300c\u5c3f\u9053\u708e<\/strong>\u300d urethritis<\/strong><\/span> \u304c\u3001bladder \u304c\u611f\u67d3\u3059\u308b\u3068\u300c\u8180\u80f1\u708e<\/strong>\u300dcystitis<\/strong><\/span> \u304c\u3001\u305d\u3057\u3066 kidney \u304c\u611f\u67d3\u3059\u308b\u3068\u300c\u814e\u76c2\u814e\u708e<\/strong>\u300d pyelonephritis<\/strong><\/span> \u304c\u767a\u751f\u3057\u307e\u3059\u3002\u81ea\u5df1\u514d\u75ab\u6027\u75be\u60a3\u3084\u4ee3\u8b1d\u6027\u75be\u60a3\u3067\u814e\u81d3\u306b\u708e\u75c7\u304c\u751f\u3058\u308b\u5834\u5408\u306b\u306f nephritis<\/strong> \u3068\u3044\u3046\u8868\u73fe\u304c\u4f7f\u308f\u308c\u308b\u306e\u306b\u5bfe\u3057\u3001\u3053\u306e pyelonephritis<\/strong> \u306f\u611f\u67d3\u75c7\u306e\u5834\u5408\u306e\u307f\u306b\u4f7f\u308f\u308c\u308b\u8868\u73fe<\/strong>\u3067\u3042\u308b\u3053\u3068\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u308c\u3089\u306e UTI \u3067\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u300c\u5c3f\u8def\u611f\u67d3\u75c7\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6<\/strong>\u300dUTI symptoms<\/strong> \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u4e0b\u8a18\u306b\u5177\u4f53\u7684\u306a\u75c7\u72b6\u306e\u533b\u5b66\u82f1\u8a9e\u3068\u3001\u305d\u308c\u3092\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u304c\u3069\u306e\u3088\u3046\u306b\u8868\u73fe\u3059\u308b\u306e\u304b\u3092\u793a\u3057\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

UTI Symptoms<\/strong>
\r\n\u2022<\/strong> Dysuria<\/strong>: \u201cIt burns when I pee.\u201d
\r\n\u2022<\/strong> Urinary frequency<\/strong>: \u201cI feel like I want to pee all the time.\u201d
\r\n\u2022<\/strong> Urinary urgency<\/strong>: \u201cOnce I get the feeling I need to pee, I have to go right away.\u201d
\r\n\u2022<\/strong> Foul-smelling urine<\/strong>\/pyuria<\/strong>: \u201cMy pee smells bad.\u201d
\r\n<\/span>
\r\n\u300c\u547c\u5438\u56f0\u96e3\u300d\u3092\u610f\u5473\u3059\u308b dyspnea \u306e dys- \u306f\u300c\u56f0\u96e3\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u304c\u3001dysuria<\/strong><\/span> \u306e dys- \u306f\u300c\u75db\u307f<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308b\u306e\u3067\u300c\u6392\u5c3f\u75db<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u5c3f\u91cf\u306e\u7570\u5e38\u3067\u3042\u308b\u300c\u591a\u5c3f<\/strong>\u300dpolyuria<\/strong> \u3068\u300c\u4e4f\u5c3f<\/strong>\u300doliguria<\/strong> \u3068\u7570\u306a\u308a\u3001\u300c\u983b\u5c3f<\/strong>\u300d\u306b\u306f -uria \u3092\u4f7f\u3063\u305f pollakiuria \u3067\u306f\u306a\u304f\u3001urinary frequency<\/strong><\/span> \u306e\u65b9\u304c\u533b\u5b66\u82f1\u8a9e\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u300c\u5c3f\u610f\u5207\u8feb<\/strong>\u300d\u306f urinary urgency<\/strong><\/span> \u3068\u306a\u308a\u3001\u81ed\u3044\u304c\u5f37\u3044 foul-smelling \u300c\u81bf\u5c3f<\/strong>\u300d\u306f pyuria<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u899a\u3048\u3066\u304a\u304d\u305f\u3044\u5c3f\u8def\u7d50\u77f3\u75c7\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>
\r\n\u201cMIS<\/strong>TER\u201d \u306e S<\/strong> \u306f\u300c\u7d50\u77f3\u75c7\u300d\u306e stones<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e stones \u306f\u533b\u5b66\u82f1\u8a9e\u3067\u306f calculus<\/strong>\uff08\u5358\u6570\u5f62\uff09calculi<\/strong>\uff08\u8907\u6570\u5f62\uff09\u306e\u4ed6\u3001\u300c\u7d50\u77f3\u75c7\u300d\u3092\u8868\u3059 lithiasis<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u7d50\u77f3\u304c\u3067\u304d\u308b\u90e8\u4f4d\u306b\u3088\u3063\u3066\u300c\u5c3f\u8def\u7d50\u77f3\u75c7<\/strong>\u300d urolithiasis<\/strong><\/span> \u306e\u533b\u5b66\u82f1\u8a9e\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u5909\u5316\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

Urolithiasis<\/strong>
\r\nKidney stones: nephrolithiasis<\/strong><\/span>\/renal calculus<\/strong>
\r\nUreter stones: ureterolithiasis<\/strong><\/span>\/ureter calculus<\/strong>
\r\nBladder stones: cystolithiasis<\/strong><\/span>\/bladder calculus<\/strong>
\r\n<\/span>
\r\n\u75db\u307f\u306e\u300c\u73fe\u75c5\u6b74\u300d history of present illness \u3067\u306f OPQRST<\/strong> \u3068\u3044\u3046 checklist \u304c\u6709\u540d\u3067\u3059\u304c\u3001urolithiasis \u306e\u75db\u307f\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u7279\u5fb4\u304c\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

O<\/strong>nset: sudden<\/strong> onset
\r\nP<\/strong>rovoking & P<\/strong>alliating Factors: can\u2019t keep still<\/strong>
\r\nQ<\/strong>uality: stabbing<\/strong> pain
\r\nR<\/strong>egion & R<\/strong>adiation: flank\/loin to groin<\/strong>\/testicles
\r\nS<\/strong>everity: 11<\/strong>\/10<\/strong>, worse than childbirth
\r\nT<\/strong>iming: colicky<\/strong>
\r\n<\/span>
\r\n
\r\n\u3053\u306eurolithiasis \u3067\u306e pain \u306f\u300c\u7a81\u7136\u306e\u767a\u75c7<\/strong>\u300dsudden onset<\/strong><\/span> \u3067\u59cb\u307e\u308a\u3001\u4f53\u4f4d\u3092\u5909\u3048\u3066\u3082\u8efd\u5feb\u305b\u305a\u300c\u3058\u3063\u3068\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044<\/strong>\u300dcan\u2019t keep still<\/strong><\/span> \u75db\u307f\u3068\u306a\u308a\u307e\u3059\u3002\u307e\u305f\u305d\u306e\u6027\u72b6\u306f sharp<\/strong> \u3067\u300c\u30ca\u30a4\u30d5\u3067\u523a\u3055\u308c\u308b<\/strong>\u300dstabbing<\/strong><\/span> \u3088\u3046\u306a\u75db\u307f\u3068\u5f62\u5bb9\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u300c\u8107\u8179<\/strong>\u300dflank<\/strong> \u3084\u300c\u8170<\/strong>\u300dloin<\/strong><\/span> \u304b\u3089\u59cb\u307e\u308a\u3001\u300c\u9f20\u5f84\u90e8<\/strong>\u300dgroin<\/strong><\/span> \u3084\u300c\u7cbe\u5de3<\/strong>\u300dtesticles<\/strong> \u306b\u653e\u6563\u3057\u3001\u75db\u307f\u306e\u7a0b\u5ea6\u306f\u300c1\u304b\u308910\u3067\u8a00\u3046\u306811<\/strong>\u300d11 out of 10<\/strong><\/span> \u3068\u306a\u308a\u3001\u300c\u51fa\u7523<\/strong>\u300dchildbirth<\/strong> \u306e\u75db\u307f\u3088\u308a\u3082\u3072\u3069\u3044\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u5c3f\u8def\u3082\u300c\u7d50\u8178<\/strong>\u300dcolon<\/strong> \u3068\u540c\u69d8\u306b\u300c\u8815\u52d5\u904b\u52d5<\/strong>\u300dperistalsis<\/strong> \u3092\u3059\u308b\u305f\u3081\u306b\u3001\u305d\u306e\u7d4c\u904e\u306f\u300c\u6ce2\u306e\u5f80\u6765\u306e\u3088\u3046\u306b\u73fe\u308c\u308b<\/strong>\u300dcomes in waves<\/strong> \u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e colicky<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u3067\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u201cK-Y\u201d \u3063\u3066\u82f1\u8a9e\u3067\u306f\u3069\u3093\u306a\u610f\u5473\u306b\u306a\u308b\u306e\uff1f<\/strong><\/span>
\r\n\u3067\u306f\u6700\u5f8c\u306b MISTER<\/strong> \u306e\u5f8c\u534a\u3067\u3042\u308b T\u30fbE\u30fbR<\/strong> \u3092\u305d\u308c\u305e\u308c\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u201cMIST<\/strong>ER\u201d \u306e T<\/strong> \u306f\u300c\u5916\u50b7\u300d\u306e trauma<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e trauma \u306b\u306f\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u300c\u5c3f\u9053\u30ab\u30c6\u30fc\u30c6\u30eb<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b Foley catheter<\/strong><\/span> \u306e\u633f\u5165\u306b\u3088\u308b\u5916\u50b7\u304c\u4ee3\u8868\u7684\u3067\u3059\u3002\u3061\u306a\u307f\u306b\u65e5\u672c\u8a9e\u306e\u300cKY\u300d\u306f\u300c\u7a7a\u6c17\u8aad\u3081\u306a\u3044\u300d\u306e\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067 \u201cK-Y<\/strong>\u201d \u3068\u8a00\u3048\u3070\u3001 Foley catheter \u306e\u633f\u5165\u306a\u3069\u306b\u4f7f\u3046\u300c\u6f64\u6ed1\u5264<\/strong>\u300d lubricant<\/strong> \u306e\u5546\u6a19\u3067\u3042\u308b K-Y Jelly<\/strong><\/span> \u3092\u60f3\u8d77\u3055\u305b\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u201cMISTE<\/strong>R\u201d \u306e E<\/strong> \u306f\u300c\u305d\u306e\u4ed6\u300d\u306e extra<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u3053\u3067\u306f\u300c\u6fc0\u3057\u3044\u904b\u52d5<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b strenuous exercises<\/strong><\/span> \u3084\u300c\u6708\u7d4c<\/strong>\u300dmenstruation<\/strong><\/span>\/menses<\/strong><\/span> \u306a\u3069\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u6700\u5f8c\u306e \u201cMISTER<\/strong>\u201d \u306e R<\/strong> \u306f\u300c\u814e\u81d3<\/strong>\u300d\u306e renal<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u305f\u3060\u3053\u306e\u5834\u5408\u306e renal diseases\u306f\u3001\u300cglomerular diseases \u3067\u3082 kidney cancer \u3067\u3082\u306a\u3044\u75be\u60a3\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u4ee3\u8868\u7684\u306a\u75be\u60a3\u3068\u3057\u3066\u306f\u300c\u591a\u767a\u6027\u56a2\u80de\u814e<\/strong>\u300dpolycystic kidney disease<\/strong> (PKD<\/strong>)<\/span> \u3092\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u816b\u7624\u304c unilateral \u3067\u3042\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3042\u308b malignancy \u3068\u306f\u7570\u306a\u308a\u3001\u3053\u306e PKD \u3067\u306f bilateral masses<\/strong><\/span> \u3092\u8a8d\u3081\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/span><\/p>\r\n

\u4ee5\u4e0a\u304c hematuria \u306e\u7c21\u5358\u306a\u9451\u5225\u65b9\u6cd5\u3067\u3059\u3002\u521d\u5b66\u8005\u306e\u65b9\u3082\u3053\u306e\u7c21\u5358\u306a\u9451\u5225\u65b9\u6cd5\u3092\u96db\u5f62\u306b\u3057\u3066\u7df4\u7fd2\u3059\u308c\u3070\u3001\u82f1\u8a9e\u306e Post CC OSCE \u3067hematuria \u3092\u4e3b\u8a34\u3068\u3057\u305f\u75c7\u4f8b\u306b\u3082\u3046\u307e\u304f\u5bfe\u5fdc\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30b3\u30fc\u30d2\u30fc\u3092\u98f2\u307f\u3059\u304e\u3066 urinary urgency \u3092\u611f\u3058\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u3093\u306a\u7686\u3055\u3093\u304c off to spend a penny \u3059\u308b\u524d\u306b\u3001\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u8840\u5c3f\u306e\u9451\u5225\u75be\u60a3\u3068\u305d\u306e\u8981\u70b9\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Approach to Hematuria<\/strong>
\r\nRBC casts<\/strong> (+): Glomerular Hematuria<\/strong><\/span>
\r\n\u3000<\/em>Nephritic Syndrome<\/strong><\/span>
\r\n\u3000\u3000<\/em>\u2022 IgA nephropathy (IgAN): recent URTI & recurrent episodes
\r\n\u3000\u3000<\/em>\u2022 Post-streptococcal glomerulonephritis (PSGN): 3 weeks after strep throat
\r\n\u3000\u3000<\/em>\u2022 Alport syndrome: hematuria<\/strong> + hearing loss<\/strong> + visual loss
\r\n\u3000\u3000<\/em>\u2022 Goodpasture\u2019s syndrome: hematuria<\/strong> + hemoptysis
\r\n\u3000\u3000<\/em>\u2022 Wegener\u2019s granulomatosis: hematuria<\/strong> + hemoptysis<\/strong> + sinusitis<\/strong>
\r\nBlood Clots<\/strong> (+): Non-Glomerular Hematuria<\/strong><\/span>
\r\n\u3000<\/em>\u201cMISTER<\/strong><\/span>\u201d
\r\n\u3000\u3000<\/em>\u2022<\/strong> M<\/strong><\/span>alignancy: Urinary obstructive<\/strong> symptoms\/unilateral<\/strong> mass
\r\n\u3000\u3000<\/em>\u2022<\/strong> I<\/strong><\/span>nfections: URI<\/strong> Symptoms
\r\n\u3000\u3000<\/em>\u2022<\/strong> S<\/strong><\/span>tones: sudden<\/strong> onset\/can\u2019t keep still<\/strong>\/stabbing<\/strong>\/loin to groin<\/strong>\/very severe<\/strong>\/colicky<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> T<\/strong><\/span>rauma: Foley catheter<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> E<\/strong><\/span>xtra: Strenuous exercises<\/strong> & menses<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> R<\/strong><\/span>enal: polycystic kidney disease<\/strong> (PKD<\/strong>)\/bilateral<\/strong> masses<\/span><\/p>\r\n

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

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

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","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\u8840\u5c3f\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u6392\u5c3f\u300durination \u306f\u533b\u5b66\u6559\u80b2\u306b","protected":false},"author":15,"featured_media":6863,"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-7189","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\/7189","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=7189"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7189\/revisions"}],"predecessor-version":[{"id":7190,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7189\/revisions\/7190"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6863"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}