{"id":3891,"date":"2025-09-04T22:57:38","date_gmt":"2025-09-04T13:57:38","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3891"},"modified":"2025-09-04T22:57:40","modified_gmt":"2025-09-04T13:57:40","slug":"clinical-problem-solving%e3%82%88%e3%82%8a","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3891","title":{"rendered":"Clinical Problem-Solving\u3088\u308a"},"content":{"rendered":"\n<p><strong><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcps2500075\">A 37-year-old woman presented to the emergency department with a 4-day history of acute pain, swelling, and bruising on the upper portion of the left knee after using an electronic massage gun.<\/a><\/strong><\/p>\n\n\n\n<p>\u8868\u984c\u306e\u8ad6\u6587\u3092AI\u3068\u3068\u3082\u306b\u8aad\u307f\u8fbc\u307f\u307e\u3057\u305f<br>\uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8aad\u3093\u3067\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u3001\u753b\u50cf\u3084\u81e8\u5e8a\u691c\u67fb\u6240\u898b\u7b49\u306f\u5143\u6587\u732e\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\uff09<\/p>\n\n\n\n<p><strong>\u96fb\u5b50\u30de\u30c3\u30b5\u30fc\u30b8\u30ac\u30f3\u4f7f\u7528\u5f8c\u306b\u5de6\u819d\u306e\u75db\u307f\u3001\u816b\u308c\u3001\u5185\u51fa\u8840\u3092\u767a\u75c7\u3057\u305f37\u6b73\u306e\u5973\u6027\u306e\u75c7\u4f8b\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002<\/strong>\u00a0\u5f7c\u5973\u306e\u75c5\u72b6\u306f<strong>\u8ca7\u8840\u3068\u80ba\u9ad8\u8840\u5727\u75c7\u3078\u3068\u9032\u884c\u3057\u3001\u69d8\u3005\u306a\u691c\u67fb\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u304c\u3001\u6700\u7d42\u7684\u306b\u30d3\u30bf\u30df\u30f3C\u6b20\u4e4f\u75c7\uff08\u58ca\u8840\u75c5\uff09\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/strong>\u00a0\u305d\u306e\u5f8c\u3001<strong>\u30d3\u30bf\u30df\u30f3C\u88dc\u7d66\u306b\u3088\u308a\u3001\u60a3\u8005\u306e\u8840\u6db2\u5b66\u7684\u3001\u80ba\u3001\u304a\u3088\u3073\u76ae\u819a\u306e\u7570\u5e38\u306f\u3059\u3079\u3066\u5287\u7684\u306b\u6539\u5584\u3057\u307e\u3057\u305f\u3002<\/strong>\u00a0\u672c\u7a3f\u306f\u3001<strong>\u58ca\u8840\u75c5\u306e\u7a00\u306a\u81e8\u5e8a\u75c7\u72b6<\/strong>\u3001\u7279\u306b\u8f38\u8840\u3092\u5fc5\u8981\u3068\u3059\u308b\u9244\u6b20\u4e4f\u6027\u8ca7\u8840\u3084\u80ba\u9ad8\u8840\u5727\u75c7\u306a\u3069\u306e\u75c7\u72b6\u306b\u3064\u3044\u3066\u8a73\u8ff0\u3057\u3001<strong>\u7dbf\u5bc6\u306a\u75c5\u6b74\u8074\u53d6\u306e\u91cd\u8981\u6027\u3092\u5f37\u8abf\u3057\u3066\u3044\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/output.mp3\"><\/audio><\/figure>\n<div class=\"powerpress_player\" id=\"powerpress_player_164\"><audio class=\"wp-audio-shortcode\" id=\"audio-3891-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/output.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/output.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/output.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/output.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=3891-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/output.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"output.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>A 37-year-old woman presented to the emergency department with a 4-day history of acute pain, swelling, and br&#8230;<\/p>\n","protected":false},"author":1,"featured_media":3848,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-3891","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-podcast"],"jetpack_featured_media_url":"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/07\/A-bright-and-cheerful-illustration-in-the-same-style-as-a-medical-education-website-showing-a-resea.png","jetpack_shortlink":"https:\/\/wp.me\/p9b6zl-10L","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3891","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3891"}],"version-history":[{"count":2,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3891\/revisions"}],"predecessor-version":[{"id":3894,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3891\/revisions\/3894"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/media\/3848"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}