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1. 子宮摘出時の予防的膣尖部挙上術prophylactic vaginal apex suspension at the time of hysterectomy [show details]
…organ prolapse (POP), increases the risk of subsequent POP . Prophylactic suspension of the vaginal apex at the time of hysterectomy has been recommended in an attempt to reduce this risk. This topic will…
2. 成人の続発性自然気胸の治療treatment of secondary spontaneous pneumothorax in adults [show details]
…guideline only : Small – A space from the pleural line to the apex of <2 cm (small pneumothorax). Large – A space from the pleural line to the apex of ≥2 cm (large pneumothorax). Stability – A stable patient …
3. 心雑音が認められる乳児や小児へのアプローチapproach to the infant or child with a cardiac murmur [show details]
…when present, is useful in distinguishing this condition from pulmonary stenosis. Apex – A systolic thrill at the apex can occur in patients with mitral regurgitation. Diastolic thrills – Diastolic thrills …
4. 成人の原発性自然気胸の治療treatment of primary spontaneous pneumothorax in adults [show details]
…States typically uses a cutoff of 3 cm between the pleural line and the chest wall at the level of the apex on a chest radiograph while in Europe, physicians use a cutoff of 2 cm at the level of the hilum …
5. 前胸部拍動の検討examination of the precordial pulsation [show details]
…diameter. The apex impulse is best palpated when the patient lies in a left lateral decubitus position (rotated 45 to 90 degrees from supine) . Both the systolic and diastolic portions of the apex impulse should …