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2/22(木)

◆今日の気持ち
(整形外科 4週目)
・ヘルニアopeで、脈打つ透ける硬膜の向こうに見える馬尾神経にちょっと感動。見えない中で作業していたものを実際に眼にできると、嬉しい
・脊椎の解剖は苦手…
・妊娠、閉経で手の疾患が増えるのは何故だろう…?

●目指す医師像
まずは、医者

●今の目標
・整形外科を味わいきる

●今日の新患・診断
・趾骨折
・交通外傷
・リウマチ悪化
・肩鎖関節脱臼
・Baker嚢胞
・手OA(大菱形骨近位&遠位同時)
・ガングリオン??(違和感あり)

●今日の病院滞在時間
9時〜当直

●今日行ったこと・見たこと・知ったこと
・外来見学
・椎間板ヘルニア根治術

・ガングリオン、違和感感じたらMRI。悪性であっても一回くらいの生検なら問題ないという論もあり。
・肩鎖関節脱臼。昔と違って今は基本は保存療法。

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