ISSN 2436-018X
JOURNAL OF HOSPITAL GENERAL MEDICINE
MARCH 2021 Volume 3-2
Case report
ANCA-related vasculitis with severe lung damage
that progressed rapidly after onset ・・・・・・・ Hiroaki Takeoka 42
A case of hereditary hemorrhagic telangiectasia
complaining of shunt encephalopathy diagnosed
by fast Fourier transform and contrast-enhanced
ultrasonography ・・・・・・・・・・・・・・・・・ Junichi Sakagami 49
A patient with recurrent metastatic colonic cancer
on hemodialysis successfully treated with
panitumumab-based chemotherapy ・・・・ ・・・・・・・ Kenji Ina 54
Key Image of General Medicine
Electrocardiography diagnosed severe hypokalaemia
in anorexia nervosa ・・・・・・・・・・・・・・・・・ Yuki Otsuka 59
Esophageal pneumatosis associated with
a cholesterol embolism・・・・・・・・・・・・・・・Shogo Shirota 61
A case of retropharyngeal calcific tendinitis with
severe posterior neck pain and sweating ・・・・・・Hiroki Isono 63
Brief report
Special contribution
Case report
ANCA-related vasculitis with severe lung damage
that progressed rapidly after onset
Satoshi Nimura 2) Shigeki Nabeshima 1)
1)General Medicine, Fukuoka University Hospital
2)Department of Pathology, Fukuoka University Chikushi Hospital
Key Words:Anti-neutrophil cytoplasmic antibody, Crescentic glomerulonephritis, Alveolar hemorrhage
Case report
A case of hereditary hemorrhagic telangiectasia
complaining of shunt encephalopathy diagnosed
by fast Fourier transform and
contrast-enhanced ultrasonography
Takamitsu Sakai 4) Satomi Kitano 4) Masanaga Yamawaki 2)
Yoshito Itoh 3) Keizo Kagawa 1)3)
1)Fukuchiyama City Hospital
2)Department of Diagnostic Medicine, Kyoto Prefectural University of Medicine
3)Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine
4)Clinical Laboratory and Medicine, Kyoto Prefectural University Hospital
Key Words:Enhanced ultrasonography, HHT, Shunt encephalopathy
Case report
A patient with recurrent metastatic colonic cancer
on hemodialysis successfully treated
with panitumumab-based chemotherapy
Masako Sakakibara 3) Satoshi Kayukawa 2) Yoshihiro Ohta 4)
1)Department of Psychosomatic Medicine, Nagoya Memorial Hospital
2)Department of Clinical Oncology, Nagoya Memorial Hospital
3)Department of Nephrology, Nagoya Memorial Hospital
4)Department of Internal Medicine, Shinseikai 1st Hospital
Key Words:Colonic cancer, hemodialysis, panitumumab, irinotecan
Key Image of General Medicine
Electrocardiography diagnosed severe hypokalaemia
in anorexia nervosa
Department of General Medicine,
Okayama University Graduate School of Medicine,
Dentistry and Pharmaceutical Sciences
Key Words:anorexia nervosa, electrocardiogram, hypokalaemia
Key Image of General Medicine
Esophageal pneumatosis associated
with a cholesterol embolism
Department of Internal Medicine,
National Hospital Organization Tochigi Medical Center
Key Words:Pneumatosis intestinalis, esophageal pneumatosis, cholesterol embolism
Key Image of General Medicine
A case of retropharyngeal calcific tendinitis
with severe posterior neck pain and sweating
Department of General Medicine, HITO Medical Center
Key Words:retropharyngeal calcific tendinitis, crowned dens syndrome, neck pain
Brief report
A case of contact dermatitis in which application of 1%
of Diphenhydramine Cream was considered to be
an exacerbating factor
Department of General medical surgery,
Independent Administrative Institution National Hospital Organization Miyagi Hospital
Key Words:1% of Diphenhydramine Cream, contact dermatitis, patch test
Special contribution
A statement on the ten skills characteristic of
exemplary Japanese hospitalist practice
Yosuke Sasaki 4) Hiromizu Takahashi 5) Taro Shimizu 6)
1)Department of General Medicine, Saga University Hospital
2)Postgraduate Clinical Training Center, Shimane University Hospital
3)Department of General Medicine, Chiba 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
Key Words:skill of the hospitalist, Japanese hospitalist, specialty of the hospitalist
Recently, the role of general practice in hospitals has become as important as that of specialty practices in Japan. Some societies that are fostering a new field of hospitalists in Japan have discussed the ideal hospitalist, however, they have not yet come to agreement in determining the specific competencies of the profession. Therefore, between September 2019 and February 2020, six expert hospitalists proposed ten newly advocated skills characteristic of the Japanese hospitalist. We designed this statement based on a systematic narrative literature review. Further, we referred to the publications of the Society of Hospital Medicine, the Japan Primary Care Association, and the Japanese Society of Hospital General Medicine. Our statement on the ten characteristic skills contains leadership, management skills, up-to-date medical knowledge, community-based comprehensive care, medical education, clinical research, and academic hospitalists as important keywords of the Japanese hospitalist. Therefore, this statement aims to guide young physicians to contribute to community health care stability and development in Japan. The highlighting of the characteristic skills of a hospitalist will result in an explicit role model for young physicians and set the framework for developing competency for people who are leaders in educating future physicians planning to become hospitalists.