1/22(月)
◆今日の気持ち
(外科 4ヶ月目)
・opeを楽しんだ
・皮膚の下の炎症を、見極めきれない
●目指す医師像
まずは、医者
●今の目標
・外科を味わいきる
・「マクギーの身体診察学」を読み終える
●今日の新患・診断
・低カリウム血症
・MK
●今日の病院滞在時間
8時〜20時
●今日行ったこと・見たこと・知ったこと
・FA摘出
・脳動脈瘤クリッピング
・糸結び
「ロック」糸には軸糸と絡む糸の二種類あり。軸糸を動かさなければ緩まない。軸を動かすと組織も痛める。左右を入れ替え結びつつ、軸を動かさない。3つ目からは気楽に。
できる限りdistalで。他の人が作業できるから
人差し指で結び目を最後に押す
・大腸癌、播種・狭窄があっても少ないからバイパスの意義あり。MKで播種があれば、広がっているからバイパスは意味ない。
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