의식장애 (Diseases of Consciousness)
1.의식장애-introduction
1.1. 의식장애(Diseases of Consciousness)의 subtype
- 의식장애는 뇌병변, 전신 장애 두 가지로 크게 나눌 수 있다.
뇌병변은 또 국소적, 미만성으로 나눈다.
1.1.1. 뇌병변 - 국소적 - 반구 혹은 뇌줄기(출혈, 경색, 덩이(종양, 농양, 탈출))
- 미만성
(1) no effective treatment
(2) lung transplantation
(3) smoking cessation
7) 예후
Factors influencing progression
① cumulative exposure to asbestos
② duration of exposure
③ type of asbestos exposure
3. 탄광부 진폐증 (Coal Worker's Pneumoconiosis)
1) 석탄분진을 흡입하여 발생
2) simple : opacity < 1 cm
사례 1. <1994년 9월 서울 종암동 임용석 내과>
1-1. 임순이 할머니에게서 나타나고 있는 중독 증상들은 ①난청(hearing loss), ②빈뇨(urinary frequency), ③갈증(thirst), ④진행성 중추신경계억제(progressive CNS depression), ⑤발열(hyperpyrexia), ⑥호흡수 증가(increased respiratory), ⑦빈맥(tarchycardia) 등 일곱 가지로 요약할 수
Fantastic Voyage Script
Sorry we got you up at this hour, Mr Grant.
I thought I was on vacation.
Wha it all about?
I cant tell you.
- Where are we goin?
- I cant tell you that either.
Youre to stay inside, Mr Grant, and wait.
Your ID card, please.
Thank you.
- Hello, Grant.
- General Carter.
- Good to see you again.
- The Pentagon, wasnt it?
Come on.
Benes! What the devil happened?
The other side
Pathology- Two theories
Cupulolithiasis
Schuknect (1969)
Heavy debris settle on the cupula of the canal
Transforming it from a transducer of angular acceleration into a transducer of linear acceleration
Canalolithiasis
Parnes and McClure(1991), Epley(1992), Brandt and Steddin(1992)
The debris-possibly particles detached from the otoliths- congeal to form a free-floating clot(plug)
Gr