![[의학][PBL] gastric cancer-1](http://images.happyhaksul.com/thumb/373/372297-0001.gif)
![[의학][PBL] gastric cancer-2](http://images.happyhaksul.com/thumb/373/372297-0002.gif)
![[의학][PBL] gastric cancer-3](http://images.happyhaksul.com/thumb/373/372297-0003.gif)
![[의학][PBL] gastric cancer-4](http://images.happyhaksul.com/thumb/373/372297-0004.gif)
![[의학][PBL] gastric cancer-5](http://images.happyhaksul.com/thumb/373/372297-0005.gif)
![[의학][PBL] gastric cancer-6](http://images.happyhaksul.com/thumb/373/372297-0006.gif)
![[의학][PBL] gastric cancer-7](http://images.happyhaksul.com/thumb/373/372297-0007.gif)
![[의학][PBL] gastric cancer-8](http://images.happyhaksul.com/thumb/373/372297-0008.gif)
![[의학][PBL] gastric cancer-9](http://images.happyhaksul.com/thumb/373/372297-0009.gif)
![[의학][PBL] gastric cancer-10](http://images.happyhaksul.com/thumb/373/372297-0010.gif)
![[의학][PBL] gastric cancer-11](http://images.happyhaksul.com/thumb/373/372297-0011.gif)
분야
hwp2. 과거력
3. 사회력
4. 가족력
5. 현병력
6. 복부
7. vital sign
8. pre-op. lab
9. impression
10. 방사선 finding
11. diagnosis
12. op.
13. post-op. lab
위선암 (Gastric adenocarcinoma)
1.개요
2.원인/위험인자
3. 병리/분류
4. 위암 stage
5. 조기 위암의 내시경적 형태
6. 진행성 위암의 Borrmann 분류법
7. 임상양상
8. 진단
9. 수술이 불가능함을 시사하는 소견
10. 치료
11. 예후
12. 예방
임 ○ (68/M)
1. 주소
hunger pain(D:2M)
2. 과거력
non known disease history of hepatitis, pulmonary TBC
HTN:5년 전부터 medication
DM(+):2008년 전부터 medication
op.Hx(+):10년 전 appendectomy
3. 사회력
smoking(-), alcohol(+: heavy)
4. 가족력
non-specific
5. 현병력
상기 C/C로 local clinic evaluation상 gastric cancer detect
indigestion(+), N/V(-/-), fever/chills(-/-)
melena(-), hematemesis(-), Wt loss(-)
appetite:as usual, bowel habit:loose stool
6. 복부
soft & flat
no palpable organomefaly
previous op. scar(+): RLQ
7. vital sign
BP : 150/100
temperature : 36.4
PR : 70
RR : 20
8. pre-op. lab
CBC WBC 5.0
Hgb 14.2
Plt 271
CRP CRP
