ISSN 2436-018X

JOURNAL OF HOSPITAL GENERAL MEDICINE

MARCH 2023 Volume5-2

Case report

Asymptomatic acute cholangitis detected
by dialyzer discoloration・・・・・・・・・・・・・・・・・・・ Koichiro Okumura  17

A case of airway emergency due to deep neck infection treated
by oral intubation without tracheostomy:Is tracheostomy essential
in the treatment of deep neck abscesses?・・・・・・・・・・ Tatsuya Takenaka  21

Brief report

Home Health Care Following Hospital Discharge Reduces
the Rehospitalization Rate of Patients with Heart Failure
Aged 75 Years or Older:A Prospective Descriptive Study ・・・・・Masaki Tago  25

A Case of Right Brachiocephalic Vein and Right Internal Jugular
Vein Thrombophlebitis Secondary to Air Entry into a Central Venous Catheter
Inserted into the Right Subclavian Vein・・・・・・・・・・・・・ Haruhiko Egawa  29

LETTERS TO THE EDITOR

Researching the proactiveness of Japanese medical students
in the COVID-19 era – A self-development experience ・・・・・・・ Mirai Omote  33

Teaching general hospitalists appropriate leadership skills and helping
them acquire these skills for use in diverse settings ・・・・・・・・ Masaki Tago  35

Acute Respiratory Failure due to Elevated Diaphragm Caused
by Sigmoid Volvulus・・・・・・・・・・・・・・・・・・・・ Takamitsu Sakamoto  37

Key Image of General Medicine

Klebsiella pneumoniae necrotizing fasciitis affecting muscle
and skin ・・・・・・・・・・・・・・・・・・・・・・・・・・・・ Shun Miyagawa  39

Diabetic muscle infarction・・・・・・・・・・・・・・・・・・・Tomohiro Hosoda  41
Pancoast tumor overlooked by chest X-ray ・・・・・・・・・・・・Yosuke Sasaki  43

JHGM 2023:5(2):17-20

Case report

Asymptomatic acute cholangitis detected
by dialyzer discoloration

Koichiro Okumura 1)2)※  Minami Toda 1)  Riho Yasuno 1)  Sayo Miyazak 1)
Teruhisa Oikawa 1)  Masato Hara 1)  Aya Kume 1)  Hitomi Kimura 1)
Yuki Nakamura 1)  Tadashi Onohara 3)  Yuka Nakamura 1)  Hiroko Beppu 1)
Hina Ogawa 1)  Ayumi Ishiwatari 1)  Yuiko Kamei 1)  Tomoko Kawanishi 1)
Toshie Ogawa 1)  Yasutomo Abe 1)  Mariko Endo 1)  Sachiko Wakai 1)
1) Nephrology Department, Tokyo Metropolitan Ohkubo Hospital
2) Nephrology Department, Tokyo Metropolitan Tama Medical Center
3) Urology Department, Tokyo Metropolitan Ohkubo Hospital

Key Words:Acute cholangitis, dialyzer, yellow

JHGM 2023:5(2):21-24

Case report

A case of airway emergency due to deep neck
infection treated by oral intubation without
tracheostomy:Is tracheostomy essential
in the treatment of deep neck abscesses?

Tatsuya Takenaka 1)2)  Daisuke Mizokami 1)※  Saki Takihata 1)
Koji Araki 2)  Akihiro Shiotani 2)
1) Nishisaitama-Chuo National Hospital, Otolaryngology, Head & Neck Surgery
2) National Defense Medical College, Otolaryngology, Head & Neck Surgery

Key Words:deep neck abscess, mediastinitis, tracheostomy

JHGM 2023:5(2):25-28

Brief report

Home Health Care Following Hospital Discharge
Reduces the Rehospitalization Rate of Patients
with Heart Failure Aged 75 Years or Older:
A Prospective Descriptive Study

Masaki Tago 1)¶※  Risa Hirata 1)¶  Noriko Ide 1)  Yoshimasa Oda 2)
Shun Yamashita 1)  Kenichiro Taniguch 3)  Naoko E Katsuki 1)  Shu-ichi Yamashita 1)
1) Department of General Medicine, Saga University Hospital
2) Department of General Medicine, Yuai-Kai Foundation and Oda Hospital
3) Department of Cardiology, Yuai-Kai Foundation and Oda Hospital
¶ These authors contributed equally to this work.

Key Words:Heart failure, Home health care, Rehospitalization

JHGM 2023:5(2):29-32

Brief report

A Case of Right Brachiocephalic Vein
and Right Internal Jugular Vein Thrombophlebitis
Secondary to Air Entry into a Central Venous Catheter
Inserted into the Right Subclavian Vein

Haruhiko Egawa
Internal Medicine, Sakai Wakabakai Hospital

Key Words:Thrombophlebitis, Central venous catheter, Air entry

JHGM 2023:5(2):33-34

LETTERS TO THE EDITOR

Researching the proactiveness
of Japanese medical students in the COVID-19 era
– A self-development experience

Mirai Omote 1)  Yuki Otsuka 2)※
1) School of Medicine, Kanazawa Medical University
2) Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

JHGM 2023:5(2):35-36

LETTERS TO THE EDITOR

Teaching general hospitalists appropriate leadership
skills and helping them acquire these skills for use
in diverse settings

Masaki Tago 1)※  Risa Hirata 1)  Kiyoshi Shikino 2)  Takashi Watar 3)
Yosuke Sasaki 4)  Hiromizu Takahashi 5)  Shinichi Katsukurai 6)
Satoshi Watanuki 7)  Keita Kondo 8)  Taro Shimizu 6)
1) Department of General Medicine, Saga University Hospital
2) Department of General Medicine, Chiba University Hospital
3) General Medicine Center, Shimane University Hospital
4) Department of General Medicine and Emergency Care, Toho University School of Medicine
5) Department of General Medicine, Faculty of Medicine, Juntendo University
6) Department of Diagnostic and Generalist Medicine, Dokkyo Medical University
7) Department of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center
8) Community Based Medicine, Fujita Health University

JHGM 2023:5(2):37-38

Key Image of General Medicine

Acute Respiratory Failure due to Elevated Diaphragm
Caused by Sigmoid Volvulus

Takamitsu Sakamoto 1)※  Yoshihisa Fukuda 2)
1) Department of General Medicine, Fukuoka Tokushukai Medical Center
2) Department of Gastroenterology, Fukuoka Tokushukai Medical Center

Key Words:abdominal distension, endoscopic detorsion, bilateral diaphragmatic paralysis

JHGM 2023:5(2):39-40

Key Image of General Medicine

Klebsiella pneumoniae necrotizing
fasciitis affecting muscle and skin

Shun Miyagawa 1)※   Izumi Kitagawa 2)
1) Department of Internal Medicine, Naze Tokushukai Hospital
2) Department of General Internal Medicine, Shonan Fujisawa Tokushukai Hospital

Key Words:Klebsiella pneumoniae, necrotizing fasciitis, skin necrosis

JHGM 2023:5(2):41-42

Key Image of General Medicine

Diabetic muscle infarction

Tomohiro Hosoda 1)※  Katsura Emoto 2)
1) Department of Infectious Disease, Kawasaki Municipal Kawasaki Hospital
2) Department of Diagnostic Pathology, Keio University Hospital

Key Words:diabetes, misdiagnosed, muscle infarction

JHGM 2023:5(2):43-44

Key Image of General Medicine

Pancoast tumor overlooked by chest X-ray

Yosuke Sasaki   Yuta Eguchi   Tadashi Maeda
Tomoyuki Shigeta  Yoshihisa Urita
Department of General Medicine and Emergency Care, Toho University School of Medicine

Key Words:back pain, lung cancer, nocturnal pain, pleuritic pain, shoulder pain