Yoshinosuke Shimamura,Takuto Maeda,Hideki Takizawa
Yoshinosuke Shimamura
We present a case of IgA nephropathy complicated with palmoplantar pustulosis. The skin lesion improved with tonsillectomy. The purposes of this article were to aid physicians in understanding that (a) IgA nephropathy should be considered i...
Takashi Watari,Takashi Nagano,Yoshikazu Takinami
Takashi Watari
Endoscopy revealed a chicken meat impaction in the upper esophagus. On food removal, an esophageal web (thin membranous constriction) was revealed at the site and diagnosed as GVHD-induced esophageal web by the endoscopist.
Gram-ghost bacilli [0.03%]
грам阳性ghost杆菌
Hirokazu Kuroda,Naoto Hosokawa
Hirokazu Kuroda
A 76-year-old man presented with a 3-day history of a productive cough and right chest pain on inspiration. The Gram stain of the sputum showed unstained bacilli and polynuclear leukocytes, suggesting a diagnosis of pulmonary acid-fast baci...
Development of polymyalgia rheumatica during hospitalization and diagnosis based on history taking by physical and occupational therapists [0.03%]
根据物理治疗师和职业治疗师的病史采集进行风湿性疾病诊断并发现住院期间发生多肌炎性风湿病病例
Hiroki Isono,Yuri Ito,Noriko Takamura
Hiroki Isono
Polymyalgia rheumatica (PMR) is frequently reported in the outpatient setting and presents with pain, morning stiffness, mild fever, and fatigue. However, the clinical course of PMR during hospitalization is unknown. We report a case of PMR...
A case of amyotrophic lateral sclerosis which was diagnosed with progressive dysphagia and muscle atrophy [0.03%]
一例以进行性吞咽困难及肌萎缩为首发症状的ALS患者
Tadashi Komata
Tadashi Komata
A 79-year-old man presented to our outpatient clinic with symptoms of dysphagia, dysarthria, and muscle atrophy of the trunk and upper extremities. These symptoms were gradually progressive, and he had lost substantial weight-20 kg in 2 yea...
The association between physician's affiliation and patients' adherence to their antihypertensive medication and pharmaceutical knowledge [0.03%]
医师背景与高血压患者依从性及其药物知识的关联性研究
Shinji Matsumura,Kazuhiro Watanabe,Shunichi Fukuhara
Shinji Matsumura
Background: The aim of this study was to examine whether or not the type of physician is associated with the knowledge of and adherence to hypertensive medication among patients. ...
Transmission of methicillin-resistant Staphylococcus aureus in an acute care hospital in Japan [0.03%]
日本一家急性病医院中耐甲氧西林金黄色葡萄球菌的传播
Kaori Matsumoto,Seisho Takeuchi,Yoshio Uehara et al.
Kaori Matsumoto et al.
Background: Asymptomatic carriers of methicillin-resistant Staphylococcus aureus (MRSA) are important sources of nosocomial transmission. However, the route of transmission of MRSA is not completely understood. The purpos...
Choosing Wisely campaigns globally: A shared approach to tackling the problem of overuse in healthcare [0.03%]
全球范围内的“明智选择”运动：共同应对医疗领域过度治疗的问题
Karen B Born,Wendy Levinson
Karen B Born
Choosing Wisely, a campaign which launched in the United States in 2012, has now spread to over 20 countries around the world. Choosing Wisely campaigns share a core set of principles, which inform how campaigns operate and engage with phys...
Primary care doctor fostering and clinical research training in Sweden: Implications for Japan [0.03%]
瑞典全科医师培养和临床研究训练对日本的启示
Takashi Watari,Masahiro Hirose,Patrik Midlöv et al.
Takashi Watari et al.
In 2018, a new training program for primary care physicians was launched in Japan. As physicians responsible for the training of new primary care physicians, we have faced many problems, particularly in rural areas. The influence of this ne...
The Tokyo GIM Conference: Clinical reasoning conference from real cases [0.03%]
东京GIM大会：来自真实病例的临床推理会议
Satoshi Watanuki,Ryuichi Sada,Masahiro Ishikane et al.
Satoshi Watanuki et al.
The view of Tokyo GIM Conference.