2/23(金)
◆今日の気持ち
(整形外科 4週目)
・CTで脊椎カリエスを見抜く整形指導医の眼を手に入れたい…
・読みたい本と文献の山が片付かない…
・昨日の当直は比較的楽だった
・専門医にいつもいろいろ教えてもらいながら隙間仕事をする。ずっと濃密な勉強をし続けられる毎日。それが自分が一番気持ちいい、理想像なのかもしれない。他人の上に立つこと、興味もてない。
●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
・ペニシリンアレルギー
・DM性下腿壊死
・中手骨骨折
●今日の病院滞在時間
当直〜21時半
●今日行ったこと・見たこと・知ったこと
・骨折徒手整復
・透視下整復
・上腕伝達麻酔
・トウ骨近位端骨折、尺骨肘脱臼ope
・NST勉強会
・トウ骨頭骨折はmiserable
・指尖部損傷ope方法
・上肢の稼動域
・関節のlag。足、伸展状態で持ち上げさせ、さらに伸展方向に曲げられたら、筋力低下の証拠
・脱臼の整復。骨折などに伴うもので軟部組織がボロボロになっているとなかなか戻らない。ガイドワイヤーで3週くらい固定して軟部組織回復すれば再脱臼しない確率が高まる
・事故の保険の証明書。フレキシブルに書いた方が患者のため
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