- 関
- 肥厚性幽門狭窄症
参考
- http://www.nurs.or.jp/~academy/igaku/t1/t1145.htm
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"
- used of flowers having usually only one row or whorl of petals; "single chrysanthemums resemble daisies and may have more than one row of petals"
- a base hit on which the batter stops safely at first base (同)bingle
- not divided among or brought to bear on more than one object or objective; "judging a contest with a single eye"; "a single devotion to duty"; "undivided affection"; "gained their exclusive attention" (同)undivided, exclusive
- existing alone or consisting of one entity or part or aspect or individual; "upon the hill stood a single tower"; "had but a single thought which was to escape"; "a single survivor"; "a single serving"; "a single lens"; "a single thickness"
- having uniform application; "a single legal code for all"
- hit a single; "the batter singled to left field"
- rise in bubbles or as if in bubbles; "bubble to the surface"
- a dome-shaped covering made of transparent glass or plastic
- a hollow globule of gas (e.g., air or carbon dioxide)
- an impracticable and illusory idea; "he didnt want to burst the newcomers bubble"
- cause to form bubbles; "bubble gas through a liquid"
- form, produce, or emit bubbles; "The soup was bubbling"
- to make melodious sounds; "The nightingale was singing"
- deliver by singing; "Sing Christmas carols"
- produce tones with the voice; "She was singing while she was cooking"; "My brother sings very well"
- marked by high spirits or excitement; "his fertile effervescent mind"; "scintillating personality"; "a row of sparkly cheerleaders" (同)effervescent, frothy, scintillating, sparkly
- emitting or filled with bubbles as from carbonation or fermentation; "bubbling champagne"; "foamy (or frothy) beer" (同)bubbly, foaming, foamy, frothy, effervescing, spumy
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
- 《名詞の前にのみ用いて》『たった一つ』(『一人』)『の』,単独の;《否定文で》ただ一つ(一人)(もない) / 《名詞の前にのみ用いて》『一人用の』・『独身の』・《名詞の前にのみ用いて》個々の,別々の / 単一の,単式の;(花が)一重咲きの,単弁の / 《英》(切符が)片道の / 〈C〉一人,1個;独身者 / 〈C〉《話》(ホテルの部屋,船室,列車寝台などの)一人用 / 〈C〉(野球で)シングルヒット,単打 / 《複数形で》(テニスなどの)シングルスの試合,単試合 / 《英》片道切符 / 《複数形で》《話》1ドル(ポンド)札 / …‘を'1人(1個)だけ選び出す《+『out』+『名,』+『名』+『out』》 / (野球で)シングルヒットを打つ
- 〈C〉『あわ』,あぶく / 〈U〉あわ立ち,あわ立ちの音 / 〈C〉(すぐ消える)あわのようなこと / 〈C〉『シャボン玉』 / 『あわ立つ』 / ぶくぶくと音を立てる,あわ立って流れる / 〈特に女性が〉気持をわかす,はしゃぐ《+『over』》
- 『歌う』;(…に)歌って聞かせる《+『to』(『for』)+『名』》;(楽器に合わせて)歌う《+『to』+『名』》・〈小鳥・虫などが〉『鳴く』,さえずる / 《文》(…を)詩(歌)にする,(詩(歌)を詠んで)賛美する《+『of』+『名』》・〈小川・風・弾丸・湯沸かし・耳などが〉歌うように鳴る・《米語》自白する;密告する・〈歌〉‘を'歌う・《副詞[句]を伴って》歌って…‘を'(…に)する・…‘を'唱える,詠唱する・《文》…‘を'詩(歌)にする,(詩(歌)に詠んで)賛美する・合唱の集い
UpToDate Contents
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English Journal
- A comparison between ultrasound-guided infraclavicular block using the "double bubble" sign and neurostimulation-guided axillary block.
- Tran de QH, Clemente A, Tran DQ, Finlayson RJ.SourceMontreal General Hospital, Department of Anesthesia, 1650 Ave. Cedar, D10-144, Montreal, Quebec, Canada. de_tran@hotmail.com
- Anesthesia and analgesia.Anesth Analg.2008 Sep;107(3):1075-8. doi: 10.1213/ane.0b013e31817ef259.
- BACKGROUND: Ultrasound-guided infraclavicular block can be performed using the double bubble sign. Previously described, the double bubble sign consists superiorly of the axillary artery (in short axis) superimposed on an inferior bubble created by local anesthetic injection. In this study, we compa
- PMID 18713932
- Pictorial review of the many faces of bronchioloalveolar cell carcinoma.
- Patsios D, Roberts HC, Paul NS, Chung T, Herman SJ, Pereira A, Weisbrod G.SourceDepartment of Medical Imaging, University Health Network and Mt Sinai Hospitals, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada. dapatsios@hotmail.com
- The British journal of radiology.Br J Radiol.2007 Dec;80(960):1015-23. Epub 2007 Oct 16.
- Bronchioloalveolar cell carcinoma (BAC) has a varied appearance on CT that often leads to an incorrect or delayed diagnosis. The purpose of this pictorial review is to define common CT characteristics that are specific to BAC. A retrospective review was undertaken of 20 CT scans of pathologically pr
- PMID 17940131
- Single or double bubble: sign of trouble! Congenital pyloric atresia: report of two cases and review of literature.
- Parshotam G, Ahmed S, Gollow I.SourcePaediatric Surgery, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia. gerapk@rediffmail.com
- Journal of paediatrics and child health.J Paediatr Child Health.2007 Jun;43(6):502-3.
- Congenital pyloric atresia is a very rare anomaly. It can occur as an isolated anomaly and can be associated with other conditions such as aplasia cutis congenital/epidermolysis bullosa or multiple intestinal atresias. We present two cases of congenital pyloric atresia, solitary air bubble on X-ray
- PMID 17535187
Japanese Journal
- 肥厚性幽門狭窄症に類似した腹部単純X線像を呈した中腸軸捻転の1例 (主題 肝・消化器疾患)
Related Links
- 1.single bubble sign 2.string sign 1は胃泡のみが目立つ 2は幽門の狭小と長さの増加 肥厚性幽門狭窄症の術前処置としての輸液について、知るところを述べよ。 1.循環不全、乏尿がある場合: ...
- 十二指腸の球部より遠位で完全な閉塞があると十二指腸球部が拡張し胃と同じくらいの大きさになると単純X線写真上二つの巨大な風船があるように見える。これが double bubble signと呼ばれるものであるが、胎生期にある程度長期間敢然 ...
★リンクテーブル★
[★]
- 英
- hypertrophic pyloric stenosis
- 関
- 肥厚性幽門狭窄、幽門狭窄症
概念
- 幽門輪状筋の肥厚により幽門部の狭窄、通過障害をきたす。
- 生後2-3週より胃液、ミルクを嘔吐(無胆汁性)
病因
- 幽門の輪状筋の肥厚。生後には肥厚は存在せず、徐々に肥厚
疫学
- 500出生に一人。男児が女児の4-5倍多い (PED.1017)
病態
- 生後2-3週頃より嘔吐が始まり、回数、量が次第に増加し、1-2週間で噴水状となる(SPE.487)
- 生後2-4週で発症(PED.1017)
症状
- 噴水状嘔吐、低Clアルカローシス
- 脱水、電解質異常、低栄養
身体所見
- 胃: 胃蠕動の亢進
- 腹部:肥厚した幽門筋は上腹部正中ないし右側に母指頭大の硬い腫瘤として触知:オリーブ状腫瘤
検査
- 血算、血液生化学、動脈血ガス:低Cl性代謝性アルカローシス、低K血症、脱水による血液濃縮
- 腹部単純X線:胃の拡張・蠕動亢進、小腸ガスの減少
- 腹部超音波検査:細菌は幽門肥厚を直接描出して確定診断できる(PED.1017)
診断
- 身体所見(オリーブ状腫瘤)
- 検査(超音波:幽門部の筋層の厚さが4mm以上、長さが16mm以上)
治療
参考
- http://www.learningradiology.com/notes/ginotes/hypertrophicstenosispage.htm
国試
[★]
- 関
- indication、manifestation、signature、stigma、stigmata、symptom、symptomatic
[★]
- 関
- individual、mono、private、select、simple、unity
[★]
- 関
- foam
[★]
- 過去sang-過去分詞sung
[★]
- 関
- aerate、aeration