神経循環無力症
WordNet
- an abnormal loss of strength (同)astheny
UpToDate Contents
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English Journal
- [CME EKG 49. Acute decline in the general status of unknown origin. Hyperkalemia].
- Meyer M1, Brunckhorst C.
- Praxis.Praxis (Bern 1994).2015 Jun 17;104(13):709-11. doi: 10.1024/1661-8157/a002038.
- PMID 26081387
- [COGNITIVE DISORDERS IN PATIENTS WITH TRAUMATIC ENCEPHALOPATHY].
- Matyash MN, Khudenko LI.
- Likars'ka sprava / Ministerstvo okhorony zdorov'ia Ukraïny.Lik Sprava.2015 Apr-Jun;(3-4):104-9.
- As a result of examination 147, patients with traumatic encefalopatìû (TE) were explained the features of cognitive disorders, selected major psihopatologìcnì syndromes. The moderate cognitive disorders (KP) in patients THOSE, were observed in 40%bolnykh with the psikhorganicheskim syndrome, in
- PMID 26827449
- [FEATURES OF PTSD IN THE PARTICIPANTS OF THE ANTI-TERRORIST OPERATION--UKRAINIAN SYNDROME].
- Matyash MN, Khudenko LI.
- Likars'ka sprava / Ministerstvo okhorony zdorov'ia Ukraïny.Lik Sprava.2014 Dec;(12):105-12.
- The article gives information about the results of research of characteristics of post traumatic stress disorder (PTSD) in the participants of the anti-terrorist operation (ATO), and refugees. Drawn attention to the fact that the demonstration took place in the study of PTSD patients, in the form of
- PMID 26638477
Japanese Journal
- 田村 直俊,島津 邦男
- 自律神経 = The Autonomic nervous system 37(5), 549-556, 2000-10-15
- NAID 10007845579
- Life events and neurocirculatory asthenia. A controlled study
Related Links
- asthenia [as-the´ne-ah] debility; loss of strength and energy; weakness. adj., adj asthen´ic. neurocirculatory asthenia Da Costa syndrome. tropical anhidrotic asthenia a rare condition occurring under conditions of heat stress, in which ...
- 1: Neurocirculatory Asthenia A clinical syndrome characterized by palpitation, SHORTNESS OF BREATH, labored breathing, subjective complaints of effort and discomfort, all following slight PHYSICAL EXERTION. Other symptoms ...
★リンクテーブル★
[★]
- 英
- chest pain, thoracodynia, pectoralgia
- 同
- 胸部痛
- 関
- 胸壁痛。胸部圧迫感
鑑別疾患
- 診断エッセンシャルズ新訂版
救急疾患
その他
鑑別診断
- DIF.84
胸痛の質
- 圧迫されるような痛み：狭心症、心筋梗塞
- 刺すような痛み：心膜炎、胸膜炎、肋間神経痛
胸痛と呼吸困難
- 参考1
- 気胸、肺炎、胸膜炎、慢性閉塞性肺疾患、慢性閉塞性肺疾患の悪化、肺癌などの肺疾患、心不全
診察
【現病歴】
誘因、発生様式(突発、緩徐)、経時的変化(一定、動揺、増悪/寛解傾向)、部位(一番痛い部位、放散する部位)、軽快因子、増悪因子、(反復するエピソードあれば)前回との比較、随伴症状
【既往歴】基礎疾患(DM, HT, DL)
【嗜好】smoking, alcohl
【服用薬】
【職業】
【身体所見】
Appearance: Face anguish, Diaphoresis, Cyanosis
Vital:
Consciousness:
BT , BP / , HR (L Arm/R Arm, Lower Extrimity), RR , SpO2
Lymphnode: swollen/no swollen, breath sound →/↑/↓
Chest
Heart:Is →/↑/↓, IIs →/↑/↓, IIIs(±)/IVs(±), murmur, friction rub ±
Lung: crackle/rale
Abdomen: soft/hard, tenderness
Extremity: cold/pulse/edema
Skin: dry/wet/hot/cold
【検査】
ECG: ST segment change
Blood test:
biochemistry: CK-MB, Troponine T, AST, LDH, H-FABP
Blood count: WBC
Arterial blood gas: PaO2 torr
A-aDO2 = 150 - PaCO2/ 0.8 (torr) - PaO2 (normal below 20 Torr)
Chest XP:
Heart echography:
参考
- 1. 肺血栓塞栓症および深部静脈血栓症の診断、治療、予防に関するガイドライン（2009年改訂版）
- http://www.j-circ.or.jp/guideline/pdf/JCS2009_andoh_h.pdf
[★]
- 英
- cardiac neurosis
- 同
- 神経循環無力症 neurocirculatory asthenia, NCA →心臓神経症といわれる事が多い
[show details]
[★]
- 関
- (n.)sthenia 強壮、昂進