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[의학과][신경외과] 신경외과 사례(70세 남성환자)에 대한 자료입니다.
목차
1.Review Of System
2.Physical Examination
3.Neurologic Examination
4.Problem List
5.Initial Impression
6.Plan
7.Initial Radiologic finding
본문내용
Neck
Neck vein engorgement (-/-)
Palpable cervical lymph node (-/-)
Neck stiffness (-)
Thorax and Lungs
Clear breath sound without rale
Symmetric chest wall expansion without retraction
Cardiovascular
Regular heart beat without murmur
Abdomen
Soft and flat abdomen
Normoactive bowel sound
Tenderness (-)
No palpable abdominal mass
Back
CVA tenderness (-/-)
Extremities
Pretibial pitting edema (-/-)
Higher cortical function
Orientation (T/P/P) : Severe dysarthria로 정확히 확인 못함
Judgement & Abstract thinking : Uncheckable
Memory (I/R/R) : Uncheckable
Language : Dysarthria(+), severe
Asomatognosia/ Anosognosia : (+)/(+)
참고문헌
Merritt’s Neurology, 11th ed, Lippincott
신경학(전정판), 서울대 의과대학, 2006, 서울대 출판부
신경학, 대한 신경과학회, 2007, 군자출판사