センチネルループ徴候
WordNet
- place signs, as along a road; "sign an intersection"; "This road has been signed"
- (medicine) any objective evidence of the presence of a disorder or disease; "there were no signs of asphyxiation"
- a perceptible indication of something not immediately apparent (as a visible clue that something has happened); "he showed signs of strain"; "they welcomed the signs of spring" (同)mark
- a character indicating a relation between quantities; "dont forget the minus sign"
- a fundamental linguistic unit linking a signifier to that which is signified; "The bond between the signifier and the signified is arbitrary"--de Saussure
- a gesture that is part of a sign language
- a public display of a message; "he posted signs in all the shop windows"
- engage by written agreement; "They signed two new pitchers for the next season" (同)contract, sign on, sign_up
- approve and express assent, responsibility, or obligation; "All parties ratified the peace treaty"; "Have you signed your contract yet?" (同)ratify
- communicate silently and non-verbally by signals or signs; "He signed his disapproval with a dismissive hand gesture"; "The diner signaled the waiters to bring the menu" (同)signal, signalize, signalise
- mark with ones signature; write ones name (on); "She signed the letter and sent it off"; "Please sign here" (同)subscribe
- be engaged by a written agreement; "He signed to play the casino on Dec. 18"; "The soprano signed to sing the new opera"
- communicate in sign language; "I dont know how to sign, so I could not communicate with my deaf cousin"
- move in loops; "The bicycle looped around the tree"
- anything with a round or oval shape (formed by a curve that is closed and does not intersect itself)
- a flight maneuver; aircraft flies a complete circle in the vertical plane (同)loop-the-loop
- an intrauterine device in the shape of a loop
- a computer program that performs a series of instructions repeatedly until some specified condition is satisfied
- an inner circle of advisors (especially under President Reagan); "hes no longer in the loop"
- the basic pattern of the human fingerprint
- make a loop in; "loop a rope" (同)intertwine
- fasten or join with a loop; "He looped the watch through his belt"
- fly loops, perform a loop; "the stunt pilot looped his plane"
- having a handwritten signature; "a signed letter"
PrepTutorEJDIC
- (ある事実・状態・感情などの)『表れ』,印,気配,徴侯(indication);(…の)こん跡,計跡《+『of』+『名』》・『身ぶり』,手まね,合図 / 『標識』,看板 / (数学・音楽などの)記号 / (…の)『象徴』,シンボル(symbol)《+『of』+『名』》・《文》(…の)『前兆』,きざし《+『of』+『名』》・宮(きゅう)(黄道12区分の一つ) ・〈手紙・書類・作品など〉‘に'『署名する』・(…に)〈名前など〉‘を'書く《+『名』+『on』(『to』)+『名』》 / …‘を'雇う契約に署名する・…‘を'合図する,知らせる;…に合図する・署名する・契約書に署名して雇われる
- (糸・ひも・針金などで作った)『輪』・輪状のもの;(輪状の)湾曲部・(宙返り飛行・スケートなどで描く)輪・ループ (ある条件が成立するまで繰り返し実行される，プログラム中に記述された一連の命令のこと)・仲間、影響｝を受け合う間柄・同列の立場・「keep誰々in the loop」として、「keep誰々informed：情報を（人）に絶えず提供し続ける、報告を（人）に欠かさない、（人）に逐次連絡する、（人）に常に通知する」・避妊リング; (鉄道・電線などの)環状線(loop line)・…‘を'輪にする,輪で囲む・…‘を'輪で結ぶ,輪で締める《+『up』+『名,』+『名』+『up』》・輪になる,輪を描く
- 歩哨(ほしょう),番人
- 見よ,そら
UpToDate Contents
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English Journal
- Is the use of plain abdominal radiographs (PAR) a necessity for all patients with suspected acute appendicitis in emergency services?
- Oncel M, Degirmenci B, Demirhan N, Hakyemez B, Altuntas YE, Aydinli M.SourceGeneral Surgery Department, Kartal Education and Research Hospital, Istanbul, Turkey. mustafaoncel@hotmail.com
- Current surgery.Curr Surg.2003 May-Jun;60(3):296-300.
- PURPOSE: Almost all patients with suspected appendicitis have plain abdominal radiographies (PAR) at the emergency departments. The aims of this study are to evaluate the ability of PAR to diagnose suspected acute appendicitis in patients and to predict length of hospital stay (LOS).METHODS: Three b
- PMID 14972260
- [Acute appendicitis: a study on 118 patients].
- Fujita W, Shigemoto H, Nishimoto T, Tsukiyama K, Ugaji Y.AbstractOne hundred eighteen patients with acute appendicitis operated on at Kawasaki Medical School Hospital during the 8-year period from Aug. 1, 1976 to Feb. 29, 1984 were reviewed. There were 78 children and 40 adults. The clinico-pathological types of acute appendicitis were: simple acute in 35 cases (29.7%); phlegmonous in 30 cases (25.4%); gangrenous in 24 cases (20.3%) and perforated in 29 cases (24.6%). Of the 78 children, 27 (34.6%) had perforated appendixes, whereas of the 40 adults only 2 (5.0%) showed perforated appendicitis. The initial symptoms were abdominal pain in 96.6%; nausea, vomiting or both in 33.1%, and fever in 11.9%. The physical findings on admission were abdominal tenderness in 99.2%, rebound tenderness in 52.5% and palpable mass in 17.8%. The mean body temperature on admission was 37.2 degrees C, and mean WBC count was 12,900/mm3. The roentgenography of the abdomen revealed the "sentinel loop sign" in 66.3%. In the patients under 15 years of age, the frequency of perforation seen in those underwent operation within 24 hours after onset and in those after 24 hours was 12.7% and 56.4%, respectively. From this result, it is advised that all the young patients suspected of having acute appendicitis should be admitted to the hospital promptly, and the diagnosis should be made within 24 hours.
- Nippon Geka Gakkai zasshi.Nippon Geka Gakkai Zasshi.1985 Apr;86(4):464-9.
- One hundred eighteen patients with acute appendicitis operated on at Kawasaki Medical School Hospital during the 8-year period from Aug. 1, 1976 to Feb. 29, 1984 were reviewed. There were 78 children and 40 adults. The clinico-pathological types of acute appendicitis were: simple acute in 35 cases (
- PMID 4000102
Japanese Journal
- 緊急検査と診断確定:その進め方と手順 (特集 腹部急性疾患の最新の治療とケアのポイント) -- (知っておきたい知識)
- 急性腹膜炎による麻痺性イレウス (特集 イレウス) -- (麻痺性イレウス)
Related Links
- 急性膵炎のとき十二指腸あるいは上部の空腸，急性胆嚢炎のとき右上腹部の腸管の一 部，急性虫垂炎のとき虫垂周囲の腸管の一部がぽっかりと拡張することがある．この ようなことをセンチネルループサイン(Sentinel loop sign：見張り番ループサイン）という ． ...
★リンクテーブル★
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- 次の文を読み、60～62の問いに答えよ。
- 9か月の乳児。嘔吐を主訴に来院した。
- 現病歴：昨夜から37.8℃の発熱を認めた。黄色水様の下痢が5回あり、食欲は低下していた。今朝から排便はない。母乳を3回与えたが、3回とも吐いた。顔色不良で、激しく泣いた後、ぐったりする状態を繰り返している。
- 発育・発達歴：在胎39週、胎盤早期剥離のため、緊急帝王切開で出生した。体重3，225g。Apgarスコア3点(1分)。追視2か月、あやし笑い3か月、首のすわり6か月、寝返り6か月、お坐り9か月。母乳栄養で、生後5か月から離乳食を開始している。
- 家族歴：特記すべきことはない。
- 現症：身長72cm、体重7,800g。体温37.5℃。心拍数140/分、整。無表情でうとうととしている。皮膚と口唇とは乾燥し、皮膚色は蒼白である。眼瞼結膜はやや貧血様で、眼球結膜に黄染を認めない。咽頭に軽度の発赤を認める。心音と呼吸音とに異常を認めない。腹部は平坦で、右下腹部は空虚であり、右上腹部を触ると激しく泣く。項部硬直を認めない。
- 検査所見：血液所見：赤血球311万、Hb10.7g/dl、Ht31%、白血球12，600(好中球66%、好酸球3%、好塩基球2%、単球5%、リンパ球24%)、血小板21万、血液生化学所見：血糖76mg/dl、総蛋白6.2g/dl、アルブミン3.4g/dl、尿素窒素9.0mg/dl、クレアチニン0.8mg/dl、総ビリルビン0.7mg/dl、AST21IU/l、ALT18IU/l、LDH362IU/l(基準340～700)、ALP580IU/l(基準780以下)、Na138mEq/l、K4.5mEq/l、CI97mEq/l。CRPl.8mg/dl。
[正答]
※国試ナビ4※ ［102B061］←［国試_102］→［102C001］
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- 英
- sentinel loop sign
- 同
- sentinel loop徴候
- 関
- 急性膵炎
[show details]
- 腹部単純X線写真で、近接する炎症により腸管が限局的に拡張している所見(参考.2)
- 腹部単純X線写真で、左上腹部付近にガス像
- 限局性腹膜炎に伴う局所性イレウスを示唆する。
- 膵炎では心窩部、胆嚢炎では右上腹部、虫垂炎では右下腹部にsentinel loopが見られる (RNT.201)
参考
- http://www.nurs.or.jp/~academy/igaku/s5/s5611.htm
- http://www.wrongdiagnosis.com/medical/sentinel_loop_sign.htm
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- 関
- indication、manifestation、signature、stigma、stigmata、symptom、symptomatic
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- 関
- ansa、ring、wheel
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センチネルループ徴候