Introduction (What is plasma?)
1. Definition of plasma
Plasma is one of the four fundamental states of matter, along with solid, liquid, and gas. It is an ionized gas consisting of a collection of charged particles, including ions, electrons, and neutral atoms or molecules. Plasma can be found naturally in the universe in the form of stars, lightning, and auroras, but it can also be artif
● Definition of plasma
Plasma is one of the four fundamental states of matter, along with solid, liquid, and gas. It is an ionized gas consisting of a collection of charged particles, including ions, electrons, and neutral atoms or molecules. Plasma can be found naturally in the universe in the form of stars, lightning, and auroras, but it can also be artificially created and controlled for
Laboratory Monitoring of Patients with HIV Infection
Patients with CD4+ T cell counts <200/L are at high risk of disease from P. jiroveci, while patients with CD4+ T cell counts <50/L are at high risk of disease from CMV, mycobacteria of the M. avium complex (MAC), and/or T. gondii. Patients with HIV infection should have CD4+ T cell measurements performed at the time of diagnosis and every 3&
I.
1. 문제 제시
35세의 젊은 여자가 2개월 전부터 팔 다리 부종이 나타나고, 전부터 있던 호흡곤란이 악화되어 내원하였다. 1달 전부터 손, 발 피부에 검은 자반이 생겼다고 한다.
2. 단서 인식
- 35세 젊은 여자
- 2달 전부터 팔 다리 부종
- 전부터 있던 호흡곤란 악화
- 1달 전부터 손 발 피부에
Present Illness
7일전에 치과에서 scaling과 발치 후에 출혈이 있었으나 약 12시간이 지나도 멎지 않음
7일 전부터 목이 아프고 열이 나는 감기증상
병원치료후 호전이 되지 않아 혈액검사 시행 후 심한 빈혈증이 진단됨
4개월 전 좌측 발목염좌로 인한 2개월간 기브스와 약물복용
약물 복용하던 중 좌측
5.2 Drug Delivery System
5.2.1 Advantage of Nano-drug delivery system
By diagnosis, and for treatment, we need enhanced drug delivery system. Drug delivery system of these days is just eat and let it flow through the body. It is not good at efficiency. Because the digestive system sometimes digest and remove the drug before it reaches to the target.
For enhancing the efficiency of drug
(2) 사전에 발작을 방지하는 방법
- 제 1선택 : 아초산제를 정기적으로 복용한다.
최근에 많이 사용되고 있는 것으로 효과가 천천히 나타나 약효가 오랫동안 지속되는 초산이소솔바이트가 있다.
- 제 2선택 : 칼슘 길항제를 들 수 있는데 관상동맥을 포함, 전신의 혈관을 확장시켜 심장으로 가는 혈류
Review of systems
Urogenital
Dysuria (-), Frequency (-), Nocturia (-)
Urgency (-), Oligouria(-), Hematuria (-)
Musculoskeletal
Muscle or joint pain (-), Limitation in motor activity (-)
Backache (-)
Skin
Rashes (-), Eruption (-), Jaundice (-), Itching (-), Lumps (-), Changes in hair or nails (-)
General status
V/S
BP : 110/80mmHg – PR : 64/min – RR : 20/mi
1. Graves’ disease
-antithyroid drug: PTU, carbimazole, methimazole
-radioiodine: 131I
2. Acute Gastro-Enteritis
-GFS f/u
Thyrotoxicosis is defined as the state of thyroid hormone excess and is not synonymous with hyperthyroidism
But, the major etiologies of thyrotoxicosis are hyperthyroidism caused by Grave’s disease, toxic MNG, and toxic adenomas
2. Pathogenesis (cont.)