銃創(射創)と刺し傷（刺創）(Gunshot and Stab Wounds)

Gunshot and Stab Wounds

I've been taking online medical courses from various medical schools in America and Europe since 2013. In the case of the US courses, almost all of the basic courses offer exercises designed to help prepare for the US medical exams.

Something that has always stood out in these discussions and exercises is the numbers of them dealing with stabbing and gunshot injuries.

I've learned a lot about those kinds of injuries and situations.

*"For example, a wound from a bullet fired at close range leaves powder burns, whereas one fired from more than 4 or 5 feet away does not."

**A stab wound to the anterior chest lateral to the midaxillary line coupled with a winged scapula indicates damage to which nerve?

Answer: Long thoracic nerve

I could go on and on, but I think you get the picture.

References

*Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson; Aster, Jon. Robbins & Cotran Pathologic Basis of Disease, (Robbins Pathology) (Kindle Location 21755). Elsevier Health. Kindle Edition.

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**Davis, Jessica; King, Emily. Deja Review Pathology, Second Edition . McGraw-Hill Education. Kindle Edition.

銃創(射創)と刺し傷（刺創）

2013年よりアメリカやヨーロッパの様々な医大からオンラインコースを受けて来た。アメリカの基礎コースの場合、必ず医師免許試験の問題が含まれる。

アメリカのコースでは銃創(射創)と刺し傷（刺創）に関する問題が目立つ。ドイツの救急医療のコースを受けても偶然な矢の傷以外にはそのような障害が全然取り上げられなかった。

勿論アメリカの教科書にもその課題が含まれている。

＊例えば、近距離で撃った弾丸の傷には火薬やけどが残る。4,5フィート離れて撃ったものには残らない。

**中腋窩線の外側の前胸部の刺し傷と翼状肩甲の刺し傷の場合、どの神経が損傷されるか？

答：長胸神経

そのような例は沢山出せるが…

参考

*Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson; Aster, Jon. Robbins & Cotran Pathologic Basis of Disease, (Robbins Pathology) (Kindle Location 21755). Elsevier Health. Kindle Edition.

nerve

**Davis, Jessica; King, Emily. Deja Review Pathology, Second Edition . McGraw-Hill Education. Kindle Edition.

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