4/15(日) セミナー参加
◆今日の気持ち
(膠原病科 2週目)
●今の目標
・大学病院の仕事を覚える
●今日の新患・診断
●今日の病院滞在時間
8時〜9時半
●今日行ったこと・見たこと・知ったこと
・東洋医学の勉強会参加
・RAのMTP
亜脱臼して下に飛び出し、硬く触れる
・AS活動性評価
主幹でとらえる。拘縮は、活動性とは比例しない
・PSLは2割ずつ減らす
・CCrは三回とって平均とるべし。誤差があるものだから
・腎機能障害あるときに、Ca製剤内服は注意…
・リファンピシリンはPSLの代謝はやめる
・ペンタミジン(吸入薬)
STが使えないときに、ニューモシスチスの予防に使用
でも、5%には効果ない…
月に一回だから忘れやすい…
・消化器が動かないとき…
パントールで穏やかに動かす
エリスロシンでモチリンを介して平滑筋を動かす
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