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1. 新生児の評価assessment of the newborn infant [show details]
… the ears are considered low-set. An ear is posteriorly rotated if its vertical axis deviates more than 10 degrees from the vertical axis of the head. The ears should be inspected… respiratory distress. In infants with respiratory disease, grunting sometimes is audible only with a stethoscope. Palpation of the chest wall determines the apical impulse and locates the position of the heart … present in approximately 0.2 to 0.6 percent of singleton live births, and at a higher incidence in twin gestations . SUA is associated with an increased rate of chromosomal and other congenital anomalies, including…
2. 陣痛室および分娩室以外での急産precipitous birth not occurring on a labor and delivery unit [show details]
… failure) The fetal heart rate can be checked with a Doppler device, by auscultation with a stethoscope, or with use of a portable ultrasound unit, if available. A normal fetal heart rate is between…neonatal care is available. Obstetric or medical problems – Ask about obstetric issues, such as twin gestation, previous cesarean delivery, fetal anomalies, maternal bleeding diathesis, or other medical conditions …
3. 双胎妊娠：出産前の問題twin pregnancy prenatal issues [show details]
… anomalies also contribute to adverse outcome in twin births. In addition, monochorionic twins are at risk for complications unique to these pregnancies, such as twin-twin transfusion syndrome (TTTS), which can …
4. 双胎妊娠：陣痛および分娩twin pregnancy labor and delivery [show details]
… disorders, which may or may not be unique to twin pregnancy. Timing of delivery in these pregnancies is based on the type and severity of the disorder (eg, twin-twin transfusion syndrome, growth restriction, preeclampsia) …
5. （結合双胎を含む）一羊膜双胎monoamniotic twin pregnancy including conjoined twins [show details]
… placentation in twins. Monoamniotic, monochorionic placentation occurs with division at day 8 to 12; conjoined twins result from division at or after day 13. By comparison, diamniotic twins result from division …

Japanese Journal

音響學上雙耳聽診器集音部ノ非科學的ナルヲ論ジ其改良法ニ及ブ(第一報)

安原豐也
日本内科学会雑誌 20(4), 581-594, 1932
NAID 130000885890

雙耳聽診器ノ研究

溝淵忠雄
日本内科学会雑誌 18(7), 677-706, 1930
NAID 130000886236

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12469 マクピタSMP いる双耳型の聴診器 ★在庫処分エンジン聴診器

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「聴診」

　　[★]

英: auscultation

頚部：総頚動脈、甲状腺
胸部：肺、心臓
腹部：腸蠕動音、大動脈雑音
下肢：大腿動脈雑音

肺音の聴診

連続性	～	吸気時	strider				気道狭窄音	気道狭窄音
連続性	低調整	呼気時	rhonchi		≦200Hz	＞250ms		COPD、気管支喘息、気管支拡張症、びまん性汎細気管支炎
連続性	高調性	呼気時	wheeze		≧400Hz	＞250ms	気管壁がフラッタリングすることで発生	COPD、気管支喘息、気管支拡張症、びまん性汎細気管支炎。気管支喘息では複数の様々な音声が発生し、random polyphonic wheezes
連続性/断続性	高調性	吸気時	squawk			≦100ms	吸気により細い気管支が再開放する時に、気管支壁が短時間共振し発生	間質性肺炎、肺線維症、びまん性汎細気管支炎、過敏性肺臓炎、ウェゲナー肉芽腫症、気管支拡張症、石綿肺
断続性	低調整	吸気時	coarse crackle	early inspiratory crackle	250-500Hz	10～25ms	太い気道内の分泌液の膜の前後に、吸気時の圧較差が生じ、それが破れるときに発生。個々の音はfine crackleより長め	気管支拡張症、COPD、びまん性汎細気管支炎、進行した肺水腫
断続性	高調性	吸気時	fine crackle	late inspiratory crackle	500～1000Hz	≦5ms	呼気時に閉塞した末梢気道が吸気時に再開放されるときに発生	特発性間質性肺炎、特発性肺線維症、石綿肺、過敏性肺炎、肺水腫初期

腹部

<youtube>http://www.youtube.com/watch?v=yiVbKc4-CH0</youtube> <youtube>http://www.youtube.com/watch?v=oCsNpzEQ4OA</youtube>

「聴診器」

　　[★]

英: stethoscope
関: 聴診

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双耳聴診器

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Japanese Journal

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★リンクテーブル★

「聴診」

肺音の聴診

「聴診器」