4/2(月)
◆今日の気持ち
(膠原病科 1週目)
・今までとまったく違うひとたちと仕事をするのは、不安…
●今の目標
・内科感覚を取り戻す
●今日の新患・診断
・成人Still病
●今日の病院滞在時間
8時半〜20時
●今日行ったこと・見たこと・知ったこと
・新入職員オリエンテーション
・成人Stillはアレルギーが多い
・エンブレルr
ヒト可溶型TNFαレセプター。レミケードは抗体だからcellにもついて溶かしたりする…ので副作用激しい。あと、レミケードはマウスの鎖への抗体を防ぎ活性化を維持するためMTXと一緒に使用しなければならない問題もある
・若年男性バセドウ 5〜10%に周期性四肢麻痺
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