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&
폐 전체에 강한 섬유화가 일어나고 들숨 시 폐가 충분히 확장할 수 없기 때문에 호흡장애를 일으키는 질병
폐 섬유증 : 육질화 폐렴, 간질성 폐렴 말기
폐포벽의 비후, 폐포강의 파괴, 세기관지의 확장과 변형, 절단면이 벌집과 같이 보임
원인
1. 흡연 : 폐암을 일으키는 첫 번째 원인
ASSESSMENT)
상기 환자는 지난 9월 MCD 로 진단하고 prednisolone으로 치료받던 중 3주전부터 스스로 약을 끊고 지내다가 3가지 C/C 가 develop 되어 입원한 남자 환자로
① 식욕 없음
② abdominal pain, tenderness, rebound tenderness
③ dyspnea
④ ascite
⑤ pleural effusion
⑥ pyuria, hematuria
⑦ WBC 상승
⑧ hypotension
의 문제
History
The first historical account of MD was reported by Conte and Gioja in 1836
Guillaume Duchenne - first case of MD.
Professor Becker - a less severe form of muscular dystrophy in 1955
What is Muscular Dystrophy?(MD)
Muscular Dystrophy (MD) is a group of muscle diseases that weaken the musculoskeletal system
The main cause : the muscle tissue's cytoskeletal impairment t
(1) function : line of defense to protect our body
(2) skin is classified to lung
(3) Distinguish Disease with skin color
Disease : acne on face, especially cheek
Facial color : white and have a light red
Attack stage : acne moved forehead to cheek from 2 years ago.
Attack inducement
irregular eating habit
having a taste with instant food.
stress
lung parenchymal disease.
Abdomen Flat, Upright(04.18) : Normal
CT Abd+Pel Dynamic (04.18)
Rectal cancer with liver metastases post-op, s/p RFA.
Loculated fluid collection in the anterior aspect of Lt. lobe of the liver.
No evidence of local tumor recurrence from RFA-treated lesion.
No newly appearing lesion in the abd
CXR (2010.04.10)
No active lungdisease.
Abdomen Flat Upright (2010.04.10)
Feces in large bowel loops.
Contrast material in both urinary tracts without gross abnormality
CT Abd+Pel Dynamic (contrast) (2010.04.10)
Compared with previous CT scan taken on Feb 16,
Slightly increase in size and number of omental seeding nodules and peritoneal nodular lesi