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.)
Laparoscopic subtotal gastrectomy and Billroth I
LN meta 없으면 5YSR>97~100%
F/U : 처음 1년간은 3~6개월마다 이후에는 1년에 1~2회 내시경 검사 시행
Op date : 2010. 04. 20
PreOp Dx
Stomach cancer(R/O EGC)
Op name
Laparoscopy Assisted Distal Gastrectomy
Billroth I
95% of all malignant gastric neoplasms
Gastric cancer incidence has decreased worldwide
7. Intial Impression
Pneumonia
8. Initial Plan
IV antibiotics
Conservative care
Cardiology f/u
9. Image Study
Chest PA (07/03/09)
Increased of collapse/consolidation in RUL
10. Lab Data
일반 혈액 (07/03/09)
검사명 검사명 결과 참고치 단위 판정
CBC WBC COUNT 6.20 4.0~10.8 10^3/μL
RBC COUNT 4.30 4.5~6.
Chest tubes are routinely used to drain blood and other matter from the chest cavity after heart and lung surgery
Clogging of the chest tube can contribute to retained hemothorax, pleural effusion, empyema, pneumothorax, and subcutaneous emphysema
Clinicians often employ large-diameter tubes, however, such large-diameter tubes are associated with increased pain
Internal active tube clear
Pre op. Dx: Lt. UPJ stone, 15mm
Post op. Dx: Lt. UPJ stone, 15mm
Op name: Ureteroscopic exam with DJ catheter insertion
Op findings
15mm, yellowish irregular shape stone in Lt. UPJ
Lt. hydroureterosis
Lt. UPJ stone removal failed
Bladder, prostate, left ureter orifice was normal
S) Fever/ chill (-/-)
Pain (-)
O) V/S stable
Foley drainage: pinkish
A) s/p Ureteroscopic exam wit
혈류장애로 인해 갑작스러운 비경련성의 일시적, 가역적인 국소 신경학적 혹은 시력의 이상으로, 24시간 내에 그 증상이 완전히 사라지는 경우
발작이 단 한번만 일어나는 경우 ← 대부분 embolism이 원인
증상이 반복되는 경우 ← 매우 위험
TIA 발생 후
10~20%는 90일 이내에 뇌경색 발생
이 중 50%2
Respiratory Syncytial Virus
RNA virus, Paramyxoviridae
복제 시 주위 세포들과의 융합으로 다핵의 합포체를 만듬
Major cause of bronchiolitis and pneumonia in infant and children
Epidemiology
매년 유행, 전세계에서 발생
늦봄, 겨울, 봄에 주로 발생
생 후 1~6개월의 영아 (특히 2~3개월)
영아와 소아 폐렴의 25%
세기관지염의 75%