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家庭医による家庭医のためのプライマリケア上達術 » 失神の評価

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失神の評価

失神の評価

http://www.aafp.org/afp/2011/0915/p640.html

ちょっと長めだが、内容はよいレビューである。時間のある人はぜひ、一読をお勧めする。失神は成人の40％が経験した事のあるくらい超コモンな疾患？だが、原因がわからないことも多い。心原性であることを除外するために外来では一苦労する。失神でもっとも多いのは原因不明というこも押させておきたい（３４％）。2番目は迷走神経反射１８％、次に心原性１４％である。ＲＯＳＥという新しいリスクアセスメントツールをチェック。BRACES, BNP、bradycardia、rectal examination with positive fecal occult blood test; anemia、chest pain、ＥCG、 ＳＡＴＯ２を元に評価するというもので、興味深い。

update: 2011/09/15 | 家庭医プライマリケアアップデート
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