Present Illness
상기 만 4세 5개월 환아는 2004년 11월 10일(9일전)부터 URI로 화순OO병원에서 치료 중 11.10~11.13일(내원 6~9일전) 사이에 발생한 fever(susteined fever pattern)의 호전이 없어 2004년 11월 19일에 본원으로 내원. fever와 severe cough가 지속되어 chest x-ray를 찍고 본원에 입원함.
Growth & development
1. 출생 전:
and signs:
Nonspecific andinsidious,
consisting mainly offeverand night sweats, weight loss, anorexia, general malaise, and weakness
Cough: nonproductive ->purulent sputum, blood streaking
Hemoptysis
Pleuritic chest pain
Dyspnea
Rales in the involved areas during inspiration, coughing
Pallor and finger clubbing
Mild ane
, 근무력감, 월경 불규칙
Hyperactivity, irritability, dysphoria
Heat intolerance and sweating
Palpitation
Fatigue and weakness
Weight loss with increased appetite
Diarrhea
Polyuria
Oligomenorrhea, loss of libido
Signs
Tachycardia; atrial fibrillation in the elderly
Tremor
Goiter
Warm, moist skin
Muscle weakness, proximal myopathy
Lid retraction or lag
Gynecomastia
in rice wine market.
4. To obtain the rice wine export revenue to China 12,000 million won
4. Situation Analysis
4-1. SWOT analysis
Strength Weakness
* High technical skills
: High quality of fermentation technology.
* Becoming bigger and modernization of the industry.
* Priority of marketing skills, awareness, and preference.
: Only listed enterprise of Rice wine industry.
* W
in motor activity (-)
Backache (-)
Skin
Rashes (-), Eruption (-), Jaundice (-), Itching (-), Lumps (-), Changes in hair or nails (-)
General status
V/S
BP : 110/80mmHg – PR : 64/min – RR : 20/min – BT : 36.8℃
General appearance : Acute ill looking appearance
Mental status : alert
Head & neck
Normocephalus
Icteric sclera(+)
Pinkish conjuctivae
No pal