{"id":2707,"date":"2020-05-13T10:40:51","date_gmt":"2020-05-13T01:40:51","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=2707"},"modified":"2020-05-13T11:16:42","modified_gmt":"2020-05-13T02:16:42","slug":"1%e6%9c%8828%e6%97%a5%e4%bb%98%e3%81%aeinternist-weekly-%e3%82%88%e3%82%8amksap-quiz%e3%81%ae%e7%b4%b9%e4%bb%8b","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~ACP\/2020\/05\/13\/1%e6%9c%8828%e6%97%a5%e4%bb%98%e3%81%aeinternist-weekly-%e3%82%88%e3%82%8amksap-quiz%e3%81%ae%e7%b4%b9%e4%bb%8b.html","title":{"rendered":"1\u670828\u65e5\u4ed8\u306eInternist Weekly \u3088\u308aMKSAP Quiz\u306e\u7d39\u4ecb"},"content":{"rendered":"<p>1\u670828\u65e5\u4ed8\u306eInternist Weekly \u3088\u308aMKSAP Quiz\u306e\u3054\u7d39\u4ecb\u3067\u3059\u3002<br \/>MKSAP Quiz: 6-month history of loose stools, bloating, weight loss<\/p>\n<p>6\u304b\u6708\u6301\u7d9a\u3059\u308b\u8edf\u4fbf\u3001\u8179\u90e8\u81a8\u6e80\u611f\u3001\u4f53\u91cd\u6e1b\u5c11<\/p>\n<p>32\u6b73\u306e\u5973\u6027\u306f\u30016\u30f6\u6708\u6301\u7d9a\u3059\u308b\u8edf\u4fbf\u3001\u8179\u90e8\u81a8\u6e80\u3001\u304a\u3088\u30733.2 kg\uff087\u30dd\u30f3\u30c9\uff09\u306e\u4f53\u91cd\u6e1b\u5c11\u3067\u8a3a\u5bdf\u3092\u53d7\u3051\u305f\u3002\u305d\u308c\u4ee5\u5916\u306b\u7279\u8a18\u3059\u3079\u304d\u4e8b\u9805\u306f\u306a\u3044\u3002 \u5f7c\u5973\u306e\u5144\u5f1f\u306f1\u578b\u7cd6\u5c3f\u75c5\u3067\u3042\u308a\u3001\u6bcd\u89aa\u306f\u81ea\u5df1\u514d\u75ab\u6027\u7532\u72b6\u817a\u75be\u60a3\u3067\u3042\u308b\u3002 \u5f7c\u5973\u306f\u4ed6\u306e\u75c7\u72b6\u306e\u8a34\u3048\u3082\u306a\u304f\u3001\u6295\u85ac\u3082\u306a\u3044\u3002<\/p>\n<p>\u8eab\u4f53\u8a3a\u5bdf\u3067\u3001\u30d0\u30a4\u30bf\u30eb\u30b5\u30a4\u30f3\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u6240\u898b\u306f\u6b63\u5e38\u3002 BMI\u306f19\u3002<\/p>\n<p>\u81e8\u5e8a\u691c\u67fb\uff1a<br \/>\u30d8\u30e2\u30b0\u30ed\u30d3\u30f311.0 g \/ dL\uff08110 g \/ L\uff09<br \/>\u30a2\u30e9\u30cb\u30f3\u30a2\u30df\u30ce\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30e9\u30fc\u30bc60 U \/ L<br \/>\u30a2\u30b9\u30d1\u30e9\u30ae\u30f3\u9178\u30a2\u30df\u30ce\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30e9\u30fc\u30bc42 U \/ L<br \/>\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f30.9 mg \/ dL\uff0815.4 \u00b5mol \/ L\uff09<br \/>\u30d5\u30a7\u30ea\u30c1\u30f36 ng \/ mL\uff086 \u00b5g \/ L\uff09<br \/>\u6b21\u306b\u5b9f\u884c\u3059\u308b\u6700\u3082\u9069\u5207\u306a\u691c\u67fb\u306f\u6b21\u306e\u3046\u3061\u3069\u308c\u3067\u3059\u304b\uff1f<\/p>\n<p>A.\u6297\u30b0\u30ea\u30a2\u30b8\u30f3IgA\u6297\u4f53<br \/>B.\u6297\u30b5\u30c3\u30ab\u30ed\u30df\u30bb\u30b9\u30bb\u30ec\u30d3\u30b7\u30a8IgA\u6297\u4f53<br \/>C.\u6297\u5e73\u6ed1\u7b4b\u6297\u4f53<br \/>D.\u6297\u7d44\u7e54\u30c8\u30e9\u30f3\u30b9\u30b0\u30eb\u30bf\u30df\u30ca\u30fc\u30bcIgA\u6297\u4f53<\/p>\n<p>\u539f\u6587\u306f\u4ee5\u4e0b\u306e\u30ea\u30f3\u30af\u304b\u3089\u3054\u89a7\u9802\u3051\u307e\u3059\u3002<br \/><a href=\"https:\/\/l.facebook.com\/l.php?u=http%3A%2F%2Facpinternist.org%2Fweekly%2Farchives%2F2020%2F01%2F28%2F3.htm%3Ffbclid%3DIwAR1PUka_AlcrK3xWvY1Uzv9nn_xMSunJevtCyuC1vtAgI8aPzN3aRu7auZE&amp;h=AT39RZYSntVICtBMx71s7LdN3dvjVMtAteMBltLd9BsgFXdLUb7gumg14D27Q3lOwX77wkhf0q_bdU9bGN4xp1q04aAnhei4mAjsaBErOmSKHAgKccw93Nt3J5LMp9pBVMstqzfDUY49PyGqokgJ7ERGkcqlGrsWLkVXnRKQhJKBOYBGdlVBwM61dNbhr0MN3KEvJWq4s0qSrEyDdBW4tJz-cQpQeT6uvd_xfMbmTLMxcy1eEKmi2GYvTJSzaiCND2rucjCmwi_-qQZ9vTdUbPGZi5mv0Rlf8vvFdCN8RWkThJjSWXcSWngh29z5ic_n-p_cj0TE7k3sYIpwh8tcDygEkde3oqPihdeDdwwSaMcmQ0PjVFLDHzEj4yJYDk-r7xdTtKCVZGvclKL3ACfOCD9tp2YAvO9guHDZyP4GftdkNtXZihHWbhHiPsenRGIye3vMWX7CEIPP9waR0HBjEsWB6vfv0OfClCVTZMJsGvK6w1hPuCx8hsFg9fbobbkZ2r5aPrkLdpmAgb6IVFJhBANSp9SJ80Raflikn6aS5Vuy8EZzezHC4M4_oA_mndKAhtf79_Zf_Q_-Yn5FO1J-1KbH9alsDGIQlHB8rka-o05J_jGAzxj8yrgGyVxwg2AYDjs\">http:\/\/acpinternist.org\/weekly\/archives\/2020\/01\/28\/3.htm<\/a><\/p>\n<p>\uff03 celiac disease\u3000<\/p>\n<p>PRC\u59d4\u54e1\u3000 \u9234\u6728\u514b\u5178<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1\u670828\u65e5\u4ed8\u306eInternist Weekly \u3088\u308aMKSAP Quiz\u306e\u3054\u7d39\u4ecb\u3067\u3059\u3002MKSAP Quiz: 6-month history of loose stools, bloating, weight loss 6\u304b\u6708\u6301\u7d9a\u3059\u308b\u8edf\u4fbf\u3001\u8179\u90e8\u81a8\u6e80\u611f\u3001\u4f53\u91cd\u6e1b\u5c11 32\u6b73\u306e\u5973\u6027\u306f\u30016\u30f6\u6708\u6301\u7d9a\u3059\u308b\u8edf\u4fbf\u3001\u8179\u90e8\u81a8\u6e80\u3001\u304a\u3088\u30733.2 kg\uff087\u30dd\u30f3\u30c9\uff09\u306e\u4f53\u91cd\u6e1b\u5c11\u3067\u8a3a\u5bdf\u3092\u53d7\u3051\u305f\u3002\u305d\u308c\u4ee5\u5916\u306b\u7279\u8a18\u3059\u3079\u304d\u4e8b\u9805\u306f\u306a\u3044\u3002 \u5f7c\u5973\u306e\u5144\u5f1f\u306f1\u578b\u7cd6\u5c3f\u75c5\u3067\u3042\u308a\u3001\u6bcd\u89aa\u306f\u81ea\u5df1\u514d\u75ab\u6027\u7532\u72b6\u817a\u75be\u60a3\u3067\u3042\u308b\u3002 \u5f7c\u5973\u306f\u4ed6\u306e\u75c7\u72b6\u306e\u8a34\u3048\u3082\u306a\u304f\u3001\u6295\u85ac\u3082\u306a\u3044\u3002 \u8eab\u4f53\u8a3a\u5bdf\u3067\u3001\u30d0\u30a4\u30bf\u30eb\u30b5\u30a4\u30f3\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u6240\u898b\u306f\u6b63\u5e38\u3002 BMI\u306f19\u3002 \u81e8\u5e8a\u691c\u67fb\uff1a\u30d8\u30e2\u30b0\u30ed\u30d3\u30f311.0 g \/ dL\uff08110 g \/ L\uff09\u30a2\u30e9\u30cb\u30f3\u30a2\u30df\u30ce\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30e9\u30fc\u30bc60 U \/ L\u30a2\u30b9\u30d1\u30e9\u30ae\u30f3\u9178\u30a2\u30df\u30ce\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30e9\u30fc\u30bc42 U \/ L\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f30.9 mg \/ dL\uff0815.4 \u00b5mol \/ L\uff09\u30d5\u30a7\u30ea\u30c1\u30f36 ng \/ mL\uff086 \u00b5g \/ L\uff09\u6b21\u306b\u5b9f\u884c\u3059\u308b\u6700\u3082\u9069\u5207\u306a\u691c\u67fb\u306f\u6b21\u306e\u3046\u3061\u3069\u308c\u3067\u3059\u304b\uff1f A.\u6297\u30b0\u30ea\u30a2\u30b8\u30f3IgA\u6297\u4f53B.\u6297\u30b5\u30c3\u30ab\u30ed\u30df\u30bb\u30b9\u30bb\u30ec\u30d3\u30b7\u30a8IgA\u6297\u4f53C.\u6297\u5e73\u6ed1\u7b4b\u6297\u4f53D.\u6297\u7d44\u7e54\u30c8\u30e9\u30f3\u30b9\u30b0\u30eb\u30bf\u30df\u30ca\u30fc\u30bcIgA\u6297\u4f53 \u539f\u6587\u306f\u4ee5\u4e0b\u306e\u30ea\u30f3\u30af\u304b\u3089\u3054\u89a7\u9802\u3051\u307e\u3059\u3002http:\/\/acpinternist.org\/weekly\/archives\/2020\/01\/28\/3.htm \uff03 celiac disease\u3000 PRC\u59d4\u54e1\u3000 \u9234\u6728\u514b\u5178<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[61],"tags":[],"class_list":["post-2707","post","type-post","status-publish","format-standard","hentry","category-articles"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9nUTT-HF","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/2707","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/comments?post=2707"}],"version-history":[{"count":1,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/2707\/revisions"}],"predecessor-version":[{"id":2708,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/2707\/revisions\/2708"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/media?parent=2707"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/categories?post=2707"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/tags?post=2707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}