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3/9(金)

◆今日の気持ち
(脳外科 2週目)
・専門医の眼も、つくづくほしいな…

●目指す医師像
まずは、医者

●今の目標
・脳外科を味わいきる

●今日の新患・診断
・交通外傷x2
・脳震盪
・交通外傷で念のためとったCTで、下垂体腫瘍あり…。聞いてみると最近眼が見えにくいとのこと。よめなかった…

●今日の病院滞在時間
8時半〜18時半

●今日行ったこと・見たこと・知ったこと
・外来見学

・慢性硬膜下血腫
 2ヶ月フォローして安堵する
・オグザレル
 日本の会社が出しているから、いい薬だけれどevidenceないとされる
・後頭葉梗塞
 幻覚、けっこうみえる。癲癇の幻覚だと変なものが見える
・leukoaraiosis 白質ヒハク化
・ルリッド にきび
・T2スターを脳でとると、古い出血が黒く強調
・FLAER
 T2で正常な水分を黒く抜く。異常な水のしみが強調される
・意識消失はTIAは考えにくい」
・下垂体腫
 T1の造影にてチェック
 X線横から撮影で、トルコ鞍の辺縁が不整になったり、石灰化が見えたり
・Bell麻痺
 星状神経根ブロックで血流増やすのも手
・交通事故
 筋肉が緊張するから、抗コリン剤やベンゾジアゼピンで急性期は休ませるのも手

・医学略語
 MDE 食後(独)
 M・T・A・Vds 朝・昼・夕・寝る前 (独)
 TD ターゲスドーゼ 一日分(独)
 F 食前
 NM 薬だけ
 Rp recipe 処方せよ(ラテン) = Rx
Sx symptom
Tx terapy
Dx diagnosis
DD differential diagnosis
do Ditto(同上)のさらに略
 CBC complete blood count
LOC loss of consciousness
 tapering ステロイド漸減
 

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