 |
 |
 |
 |
0ACP_JC2024_02_25.jpg
Announcement for the ACP-Japan Chapter
International Exchange Planning Committee
Workshop |
1HPI.png
Dr Tomite introduces his patient's medical
history of headache and fever |
2HPI2.png
Dr Tomite introduces his patient's medical
history of headache and fever, suspicious for
meningitis. Antibiotics given! |
3Neuro1.png
Dr Tomite shows patient's neurologic examination
positive for nuchal rigidity and Jolt
accentuation test |
 |
 |
 |
 |
4DrTsusuWorksheet1.png
Audience member Dr. Tsusu discusses her
worksheet of important data and grouping with
early diagnosis |
5DrTsusuWorksheet2.png
Audience member Dr. Tsusu discusses her
worksheet of iinitial diagnosis-assessment and
plan of studies and treatment |
6DrsHirosueTamoto1.png
Audience members Hirosue & Tamato Sensei
discusses their worksheet important data &
grouping early diagnosis |
7DrsHirosueTamoto2.png
Audience members Hirosue & Tamato Sensei
discusses their worksheet initial diagnosis,
plan of studies, and treatment |
 |
 |
 |
 |
8LabLPFluid.png
Dr Tomite shows patient's lumbar puncture
abnormal fluid results, consistent with aseptic
meningitis |
9AssessmentPlan.png
Dr Tomite show his assessment and plan for his
aseptic meningitis patient |
10aDay7SuddenChanges.png
Dr. Tomite explains the sudden patient's changes
on hospital day 7: diplopia, urinary retention
and paraparesis |
10NeuroDay7.png
Dr. Tomite sudden patient's changes of
paraparesis and continued jolt accentuation
positive |
 |
 |
 |
 |
11DrTsusuThinking.png
Dr. Tsusu is thinking about patient's sudden
clinical.worsening: acute cauda equina syndrome |
12DrsHirosueTamoto.png
Hirosue & Tamato Sensei discusses the
patient's sudden clinical changes.Tamoto Senei
consults and reads to find answers |
13Day7Differentia Diagnosis.png
Dr Tomite makes complete list of possible
differential diagnosis to explain patient's
sudden clinical worsening |
14Day9Differentia Diagnosis.png
Dr Tomite narrows his list of differential
diagnosis to caude equina syndrome and lumbar
radiculitis-Elsberg syndrome |
 |
 |
 |
 |
15HospitalCourse.png
Dr. Tomite shows the graphic chart of the
patient's hospital course. |
16DrSteinLPFluid.png
Dr. Stein gives lecture showing chart of
cerebral spinal fluid abnormalities with
differential diagnosis |
17DrSteinElsberg.png
Dr Stein shows features of Elsberg and
meningitis retentiin syndromes with added
patient's overlaping features |
18FinalGroup.png
Drs. Tsutsumi & Stein thank Dr Tomite for
his presentation and the audience for their
participation at end of workshop |
