最初の精密検査？

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1. 小児における頸部リンパ節炎：診断的アプローチおよび初期マネージメントcervical lymphadenitis in children diagnostic approach and initial management [show details]
…Depending upon which studies were performed as part of the initial evaluation and risk factors identified in the initial evaluation or re-evaluation, additional testing may include: Repeat complete blood count …
2. 肺癌が疑われる患者の初期評価、診断、および病期分類の概要overview of the initial evaluation diagnosis and staging of patients with suspected lung cancer [show details]
… Most patients present for diagnostic evaluation because of symptoms suspicious for lung cancer or an incidental finding on chest imaging. The goal of the initial evaluation is to obtain sufficient clinical …
3. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチevaluation of and initial approach to the adult patient with undifferentiated hypotension and shock [show details]
… administered to prevent MOF and death . This topic reviews the clinical presentation as well as the initial diagnostic and therapeutic approaches to the adult patient with hypotension and suspected shock of unknown …
4. 貫通性頸部損傷：初期評価およびマネージメントpenetrating neck injuries initial evaluation and management [show details]
…recommendations of a number of trauma organizations that advocate using MDCT-A as part of the initial workup - in combination with the physical examination and a plain chest radiograph - due to its high …
5. 成人における鈍的胸部外傷の初期評価およびマネージメント initial evaluation and management of blunt thoracic trauma in adults [show details]
…validation study of this instrument included 9905 patients over the age of 14, evaluated at nine trauma centers, whose initial workup for blunt chest trauma included a plain CXR, chest CT, or both, which revealed …

English Journal

Targeted Workup after Initial Febrile Urinary Tract Infection: Using a Novel Machine Learning Model to Identify Children Most Likely to Benefit from Voiding Cystourethrogram.

, A A, .
The Journal of urology. 2019 07;202(1)144-152.
Significant debate persists regarding the appropriate workup in children with an initial urinary tract infection. Greatly preferable to all or none approaches in the current guideline would be a model to identify children at highest risk for a recurrent urinary tract infection plus vesicoureteral re
PMID 30810465

Variable and inaccurate serum IgG4 levels resulting from lack of standardization in IgG subclass assay calibration.

Bernasconi L, Mundwiler E, Regenass S, Aubert V, Hammerer-Lercher A, Heijnen I.
Clinical chemistry and laboratory medicine. 2019 Jun;().
Background The quantification of serum IgG4 is commonly performed during the diagnostic workup of IgG4-related diseases (IgG4-RD). According to recent literature, IgG4 values above 1.35 g/L are characteristic of IgG4-RD and support its diagnosis at initial presentation. The purpose of this study was
PMID 31188751

Chlorination-Promoted Skeletal Transformations of Fullerenes.

Yang S, Ioffe IN, Troyanov SI.
Accounts of chemical research. 2019 Jun;().
Classical fullerenes are built of pentagonal and hexagonal rings, and the conventional syntheses produce only those isomers that obey the isolated-pentagon rule (IPR), where all pentagonal rings are separated from each other by hexagonal rings. Upon exohedral derivatization, the IPR fullerene cages
PMID 31180640

Japanese Journal

The Usefulness of Colonoscopy for the Detection of Ileal Involvement in Intestinal Follicular Lymphoma Patients

Iwamuro Masaya,Takata Katsuyoshi,Hayashi Eiko,Kawano Seiji,Hiraoka Sakiko,Kawahara Yoshiro,Yoshino Tadashi,Okada Hiroyuki
Acta Medica Okayama 71(5), 391-398, 2017-10
… Colonoscopy is particularly recommended during the initial workup of patients with follicular lymphoma diagnosed at age ≤ 60 years. …
NAID 120006352358

化学療法・放射線同時併用療法終了後，早期に中枢神経および精巣上体に浸潤を来した節外性NK/T細胞リンパ腫，鼻型

佐々木裕哉,米澤昭仁,木下善博 [他],北川智也,森美奈子,大中貴史,今田和典
臨床血液 56(12), 2472-2476, 2015
症例は66歳の男性。鼻閉の精査目的に当院受診。鼻腔内腫瘍生検でextranodal natural killer/T-cell lymphoma, nasal type (ENKL)と診断された。骨髄生検，18F-FDG PET/CTの結果，鼻腔，副鼻腔，両側頚部リンパ節への浸潤が認められた。67% dose DeVIC療法とinvolved field radiation therapyを併用し …
NAID 130005116909

難治性癲癇患者に発症し, 診断と抗菌薬選択に苦慮したAcute Respiratory Distress Syndrome (ARDS)合併重症レジオネラ肺炎の1例

斉藤那由多,清水健一郎,吉井悠 [他],小島淳,石川威夫,齋藤桂介,桑野和善
感染症学雑誌 : 日本伝染病学会機関誌 : the journal of the Japanese Association for Infectious Diseases 87(3), 389-392, 2013-05-20
… however, it was difficult to make a definitive diagnosis because she had denied using a whirlpool spa and the initial urinary <i>Legionella</i> … We emphasize the importance of aggressive workup and empirical therapy for patients with <i>Legionella</i> …
NAID 10031189396