2/6(火)
◆今日の気持ち
(整形外科 2週目)
●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
・Parkinson, 歯車様固縮
・TB、大腿骨感染
●今日の病院滞在時間
7時〜19時
●今日行ったこと・見たこと・知ったこと
・頚椎性脊椎症で10秒テスト。
・ホフマン、トレムナー
・アンクルクローヌス
・大腿骨頚部骨折。内側型だと歩くこと可能なこともある。
欧米では「内側」「外側」としない。内側型は単に頚部骨折。他に、転子部・転子間・転子下骨折、など(英文のガイドラインを確認しておく…)
頚部への動脈は、内側大腿回旋動脈(大腿深動脈の枝)と閉鎖動脈寛骨臼枝
・脊椎opeで怖いのは血腫。術後のCTでairがあれば安心
・足の長さの違い。上前腸骨棘から踵まで。3cm以上の左右差があれば有意
・ガンマネイルは外反しているとつらい →CHS
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