1. Diagnosis
① DPL (Diagnostic Peritoneal Lavage)
- DPL은 trauma 후의 저혈압 또는 치료에 반응하지 않는 환자에게 있어서, 복강내 손상을 입증하는 빠르고 정확한 방법
- indications
. equivocal physical exam
. unexplained shock or hypotension
. altered sensorium
. general anesthesia for extra ab
has been described in AIH and may indicate an early stage of the disease before the development of interface hepatitis.[2]
Figure 1-1. Histopathology of interface hepatitis. The limiting plate of the portal tract is disrupted by a lymphoplasmacytic infiltrate. This histologic pattern is the hallmark of autoimmune hepatitis, but it is not disease specific. (Hematoxylin and eosin, ×200.)
Gram’s stain sensitivity = 60 - 90%
Depends on organism, experience, #
Culture sensitivity = 80 - 90%
Latex agglutination becoming more widely used due to simplicity and accuracy
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&
1. Introduction
As the computer technology like internet has been developing, many medical images and data related in medical is being applied to medical service for a diverse range of service such as diagnosis, management and treatment. A format of medical information and the standardization of the process of exchange are needed to control to enormous amount of information and exchange it.
Age : 37
Sex : Male
Anorexia, vomiting, systemic edema
Onset)내원 1달전
1년전부터 체력이 떨어지고 쉽게 피곤
약 3개월 전부터 한약 복용
감기가 떨어지지 않아 감기약을 수시 복용함
체중은 1년전에는 1kg감소, 최근 한달 동안 부으면서 약 2kg가량 증가
소변량이 매우 적고 야뇨 3회
계단을 오를 때나 운동할
갑상선에서
분비되는
호르몬(T3, T4)이
어떠한 원인에 의해
과다하게 분비되어
갑상선 중독증을
일으키는 상태
1. 그레이브스씨 병
주요 원인
2. 면역 기능 이상으로
갑상선에 염증
3. 갑상선 호르몬제
과량 복용
4. 뇌나 갑상선 암
갑상선 기능 항진증을 일으키는 대표적인 질환
The Definition of the ‘Psychopath’
The word psychopath was first used by the French psychiatrist Philippe Pinel in the 19th century, and the German psychologist Schneider explained the concept in the 1920s. It indicates a person who has ‘Psycho-pathy’. It is a personality disorder in which antisocial behavior happens without conscience and without reason. Psychopathy, which is also cal
With Agoraphobia
Axis II: none
Axis III: Past experience of anti-anxiety medication
Axis IV: job promotion offer from boss recently
Axis V: GAF (61~70) 65
Why that diagnosis?
Axis I: According to DSM-IV criteria, her symptoms are corresponding to the criteria of Panic Disorder with Agoraphobia. The diagnostic criteria are as follow.
FUO 양상의 감염질환
- 결핵, 농양이 가장 흔함
- 그 중 결핵(폐외 결핵, 속립 결핵, 폐결핵) 이 단일 질환 중 가장 흔하다!!!
- 잠복 농양은 최근의 수술환자, 당뇨, 면역 억제자에서 복강 및 골반 내에 발생한다.
FUO 양상의 결체조직질환
-juvenile rheumatoid arthritis (JRA, formerly called Still's disease) in younger pa