Urine Cx. Acinetobacter baumani
3/6 Blood Cx. Enterococcus faecalis
심장 내 vegetation 확인위해 TTE시행
Antibiotics change (Tazocin, Minocin add. Netilmycin stop)
3/13 Fever 및 Leukocytosis, CRP, ESR 정상
Total stitch out 시행
TOPIC : Cerebral Venous Thrombosis
Background
an uncommon cause of cerebral infarction
may occur with headache and cranial nerve palsies
2.학습내용
1. 응급환자 사정 및 분류
1)응급환자 사정 : 일차사정
일차적 사정 시 환자의 생명 유지 능력을 위협하는 문제점들을 즉각적으로 파악하기 위해 신속하게 사정해야한다. 환자의 기도 및 호흡, 순환 상태를 파악하고 환자에게 필요한 적절하고도 즉각적인 간호 수행이 포함된다.
1)기도
'
Cancer patients with venous thrombosis at diagnosis have a worse prognosis.
- Distant metastasis: 44% versus 35.1%
- 1 year survival rate: 12% versus 36%
Cancer patients are more likely to have large, proximal, persistent, and recurrent venous thrombosis.
Clinical diagnosis alone lacks sensitivity and specificity for acute venous thrombosis.
Diagnostic imaging studies such as d
Venous sinus thrombosis
History, Clinical features, CT, Angiography, MRA, MRV, Biopsy etc.
Emergent noncontrast cranial CT
Standard initial imaging technique
DDx from ICH or mass lesion
Identify parenchymal bleeding >1cm in diameter
Hyperdense artery sign (acute thrombus in a vessel)
Sulcal effacement
Loss of the insular ribbon
Loss of gray-white interface, mass effect
Acu