敗血症性肺塞栓/悪魔の食べ物で苦しい

・自分の勉強および研修医への講義のため胸部画像の勉強を継続していないといけません。で、↓のようなレポートがありました。（大事なのはこのレポートとその引用文献）

Septic pulmonary embolism

Swain S, Ray A. BMJ Case Rep 2021;14:e246306. doi:10.1136/bcr-2021-246306

https://casereports.bmj.com/content/14/10/e246306

この報告のLearning pointsは↓

• In all patient with septic pulmonary embolic, the primary cause must be evaluated and addressed.

• Radiological features of septic pulmonary embolic may mimic other conditions like pulmonary vasculitis, extrathoracic metastasis from head and neck (commonly squamous cell carcinoma) and pulmonary thromboembolism.

・日本語で参考になったサイト↓

敗血症性肺塞栓症
-胸部CTの肺結節のアプローチを含めて-

http://hospi.sakura.ne.jp/wp/wp-content/themes/generalist/img/medical/jhn-cq-fukuchiyama-161126.pdf

・結節影、空洞陰影の鑑別診断にもこの病気を考えないといけませんね。

以下日記

・本日10/9（土）は、自然と５時４２分起床。朝勉というか某研究会のためのパワーポイント作成。朝食後出勤し８時頃病院着いて事務作業、９時過ぎから１２時前までコロナワクチン接種。大きな副反応を起こされる方がおられずホッとしまいした。１２時半まで事務作業して８番ラーメンで昼食取って１３時半頃帰宅。１４時から１６時ZOOMで「医療従事者のための産業保健研究会」参加。（超久しぶりの参加です）今回はCOVID19の話題。各病院の産業医のDr.がどう対応していったか。報告聞いていて思ったのは、産業医をサポートする役割の人がいると思いました.産業医は労働者と経営者をサポートするので、サポーター。そのサポーターを支えるサポーター、つまりサポーター・サポーターがいるなあと思いました。経営者が産業医をサポートするのはなかなかむずかしい。研究会・学会仲間が支え合わないといけないのかな．．．ZOOMなんかもっと使って交流会なんかしてもよいのでは、とか思っちゃいました。

・その後つづけて内科学会生涯教育講演会Ａセッションのアーカイブで高血圧の講演を聴きました。それから発表会の準備。ほぼ完成で、明日アップロードできるかな。

・今日は配偶者が悪魔の食べ物を造って私は今、苦しんでいます。その苦しみから逃れるためアルコールをいただいています。酔っ払っていますが、あとすこし真面目な本を読んで寝たいと思います。ちなみに悪魔の食べ物とはカレーです。

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