りんごの街の救急医

青森県弘前市の救急科専門医による日々の学習のまとめブログです!間違いなどありましたら是非ご指摘下さい。Twitterでも医療系のつぶやきをしています@MasayukiToc

救急外来での事例振り返り①

 

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