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1. 亜急性または慢性の手首の疼痛を有する成人の評価evaluation of the adult with subacute or chronic wrist pain [show details]
… the former mechanism occurs during a double-handed backhand stroke, as the dominant hand moves forcefully from pronation to supination… Palpation is possible around the ulnar border of the hand but becomes more difficult on the volar…
2. 前胸部拍動の検討examination of the precordial pulsation [show details]
… hand grip). Normally, an inward movement (systolic retraction) is appreciated by palpation of the lower left parasternal area.… occasional shaking of the entire precordium. In patients with severe dilated congestive cardiomyopathy, a double impulse may be visible over the apical region, usually due to a sustained left ventricular impulse …
3. 肩鎖関節障害acromioclavicular joint disorders [show details]
… Careful palpation of the AC joint, particularly along its superior aspect, can help identify the source of pain Direct palpation that elicits focal tenderness… The patient may be able to reproduce their pain by actively reaching across to put their hand on the opposite shoulder.…
4. 成人における肘痛の評価evaluation of elbow pain in adults [show details]
… placing one hand behind the elbow with the thumb and middle finger over the location of the medial and lateral collateral ligaments (just distal to the epicondyles), while the other hand holds the… Pain referred to the lateral elbow is suggested by the absence of increased pain with palpation or elbow movement,…
5. 乳児の肥厚性幽門狭窄症infantile hypertrophic pyloric stenosis [show details]
… The frequency of palpation of the "olive" typically was quite high (up to 92 percent) in a report from 1975 ,… age), if a sonographer with experience in detecting pyloric stenosis is available. In experienced hands, the sensitivity and specificity of ultrasonography for IHPS are above 95 percent, but the accuracy … two thin tracks of barium along the pyloric canal created by compressed pyloric mucosa (the "double-track" sign),…

Japanese Journal

診察法の意義と有用性のup to date腎・泌尿器系

荒川正昭
日本内科学会雑誌 86(12), 2225-2228, 1997-12-10
… 腎・尿路系の診察は,あくまで全身診察の一部であることを認識し,病歴,排尿状態を含めた自覚症状,尿検査,血液生化学・血清学検査,経静脈性腎盂造影,腹部CTあるいは超音波検査の結果と関連づけて評価することが大切である.双手触診法により腎を触知すること(renal ballotment),腹部の聴診により血管の狭窄によるbruitを聴くこと,直腸診にて前立線を触知することなどは,症例を重ねて修得してほしい技術である. …
NAID 10005526310