Tokyo Metropolital Hiroo Hospital / JrSr - Hawaii Medical Education Program
Clinical Reasoning PBL Workshop
Gerald Stein, MD, FACP
April 12, 2024






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Hawaii Medical Education Program (HMEP) Website


Click to jerrydoc@ufl.edu to request Album > Pictures of JrSr HMEP Jerrinar and all other workshops
 


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Tokyo Metropolital Hiroo Hospital, 2024/04/12

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Dr Machi starts 12th Jerrinar workshop. Dr. Stein introduces guest Dr Kawamoto, Fukuoka Red Cross Hospital
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Dr Hosokawa, resident, Metropolitan Hiroo Hospital, Tokyo,presents patient's medical history of spinal pain and weight loss
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Dr Hosokawa presents patient's physical examination & vital signs with low blood pressure
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Dr Hirosue, nurse practitioner, Fujita Medical University ER shows her worksheet of differential diagnosis
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Dr Stein shows his worksheet with important daa and grouping data for preliminary diagnosis
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Dr Hosokawa shows patient's 5 vertebral osteoporotic fractures and gall bladder sludge in abdominal CT
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Dr Hosokawa adds additional history to document long duration weight loss consistant with anorexia nervosa
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Drs Takeuchi, Saito, Nurse Practitioner Hirosue and residents discuss multiple myeloma, other diagnosis for weight loss
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Dr Stein shows his worksheet with patient's many active diagnosis from complications of her anorexia nervosa
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Dr Stein emphasizes the use of FOCUSED Review of Systems to imporve history for improved diagnosis-7 systems for patient
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Dr Stein shows both psychological and medical disorders common with anorexia nervosa evaluations needing plans
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Dr Stein's slide explaining osteoporosis fracture riisks, causes, and treatment in patients with anorexia nervosa
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Dr Stein's slide of the many different renal pathologies in patients with anorexia nervosa
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Drs Machi, Saegusa-Beecroft and Stein thank our presenter, Dr Hosokawa, for his excellent slides, & residents for speaking