Takanori Uehara

Learn More
Aortic dissection generally causes severe chest pain and ischemic symptoms related to branch vessel occlusion, but patients with this disease might present with unexpected symptoms. We report a case of a man with pain extending from the nuchal region to both shoulders and fever for 3 weeks. Bilateral trapezius ridge pain, which is characteristically(More)
RATIONALE, AIMS AND OBJECTIVES To investigate the subsequent behaviour of doctor-shopping patients (defined as those attending multiple hospitals for the same complaint) who consulted our department and factors related to cessation of doctor shopping. METHODS Patients who presented without referral to the Department of General Medicine at Chiba University(More)
BACKGROUND This study aimed to clarify the influence of predicting a correct diagnosis from the history on physical examination by comparing the diagnostic accuracy of auscultation with and without clinical information. METHODS The participants were 102 medical students from the 2013 clinical clerkship course. Auscultation was performed with a cardiology(More)
Cases of sprue-like enteropathy associated with olmesartan have sporadically been encountered since it was first reported in 2012, and their most characteristic manifestation is severe diarrhea. We herein report the first case of sprue-like enteropathy manifesting as Wernicke-Korsakoff syndrome due to vitamin B1 malabsorption with only minimally increased(More)
Objectives We examined whether problem-based learning tutorials using patient-simulated videos showing daily life are more practical for clinical learning, compared with traditional paper-based problem-based learning, for the consideration rate of psychosocial issues and the recall rate for experienced learning. Methods Twenty-two groups with 120(More)
Background: There have been some studies of common primary care diseases in Japan, but no reports on which diseases it is difficult for general physicians to diagnose in daily practice. In this study, we identified diseases that provided a diagnostic challenge for Japanese general physicians in daily practice. Methods: The subjects were new undiagnosed(More)
of both lower limbs, suggesting subcutaneous inflammation (like the groove sign; FIGURE 1C). Thus, subcutaneous panniculitis was considered the cause of fever and erythema. Blood tests revealed increased levels of lactate dehydrogenase (399 IU/l) and soluble interleukin-2 receptor (3563 U/ml). Contrast-enhanced computed tomography of the chest, abdomen,(More)
A 66-year-old man presented with 5 episodes per week of recurrent severe back pain for 2 weeks. At an emergency clinic, laboratory tests, electrocardiography, contrastenhanced thoracoabdominal computed tomography, and upper gastrointestinal endoscopy had revealed nothing remarkable. His history included aspirin-induced asthma, hypertension, and(More)
A 65-year-old Japanese man was admitted with a 4-month history of fatigue and exertional dyspnea. Transthoracic echocardiography revealed a vegetation on the aortic valve and severe aortic regurgitation. Accordingly, infective endocarditis and heart failure were diagnosed. Although a blood culture was negative on day 7 after admission, a prolonged blood(More)