담석증
(Calculus of gallbladder with acute cholecystitis)
Ⅰ. 문헌고찰
1. 담낭의 구조와 기능
(1) 담낭이 구조
ㆍ담낭은 7~10㎝ 정도의 서양배 모양의 기관으로 간은 아래쪽 움푹 들어간곳에 놓여있다.
ㆍ담낭관은 담낭에서 나와 간의 간담관과 합쳐져서 총담관을 이룬다.
ㆍ총담관의 담즙은 Oddi괄약근을 통해
Acute Myocardial Infarction(급성 심근경색증)
ㆍ수 술 명 : Percutaneos Transluminal Coronary Angioplasty(경피적 관상동맥 성형술)
ㆍ입원경로 : ER 통해 adm.
ㆍ입원방법 : 침상
ㆍ입원동기 : 흉골 하에서 발생하여 등으로 방사되는 급성 흉통이 내원 2시간 전에 발생하 여 1시간동안 지속되어 응급실로 오시게 됨
(chief c
<심낭염의 종류 및 발생기전, 대동맥류의 분류, 진단 및 치료법>
1. 심낭염의 종류 및 발생기전
(1) Acute Pericarditis
- The most common pathologic process involving the pericardium
- The most common causes are viral infection and unknown (idiopathic).
1) Viral or Idiopathic Form of Acute Pericarditis
- Cause: coxsackievirus A or B, the virus of influenza, echov
통증, 탁한 소변, 불쾌한 냄새, 구토 이외에 고열
① 급성 신우염(acute pyelitis) : 감염이 신우 및 신실질까지 파급된 경우
② 만성 신우염(chronic pyelitis) : 임상에서 사용하는 요관 역류 신병증과 같은 의미를 갖는 경우가 많으며, 실질 내의 열류와 감염의 재발로 신장에 반흔을 보이는 경우를 의미한다.
acute myocardial infarction) is the common type of heart disease. It occur during the period when circulation to a region of the heart is obstructed and necrosis is occurring.
Over 50 % of the patients who visit an emergency room for heart pain go back to home because of wrong diagnosis. and 0.8 % of the wrong diagnosis lead patients to death. In this reason, developing advanced diagnosis method
Acute chest pain: acute coronary syndrome, unstable angina or myocardial infarction[3] ("heart attack", severe chest pain unrelieved by rest associated with evidence of acute heart damage)
Heart failure (difficulty in breathing or swelling of the extremities due to weakness of the heart muscle)
Diagnosis
The diagnosis of ischaemic heart disease underlying particular symptoms depends largely on
acute onset.
▶ Any course of OCD ?
The majority of patients chronically worsened better tread on the process, the worsening of the symptoms are sometimes associated with stress.
Approximately 15% of professional and social functions of the gradual degeneration is shown.
About 5% have a crush on in between the two with little or no symptoms may be.
The case of OCD and other disorders
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.)
skin
v Thus, a higher recurrence rate exists after spontaneous closure than flaps
Lower extremity wounds (Venous)
v Valvular incompetence venous pressure increase edema with plasma
extravasation
v Fibrinogen leakage fibrin layer around the capillaries impairs oxygen and
nutrient diffusion
v Leukocytes may be trapped and activated in obstructed capillaries oxygen