암은 우리나라에서 첫 번째로 흔한 사망원인이며, 환경공해와 스트레스 증가 등 여러 가지 요인으로 인해 암 발생률 또한 해마다 증가하는 추세이다. 암을 진단받은 대상자의 두려움이 5D, 즉 죽음(Death), 기형(Disfigurement), 불구(Disability), 의존성(Dependence), 대인관계의 어려움(Disruption of relationship)으로 표
6. Impression: C5 complete dislocation & Quadriparalysis
7. 향후 Plan & 보호자에게 말해 줄 수 있는 Complication
Plan: 먼저 Gardner traction으로 decompression (하는 이유: further fracture의 방지 ), 척수 손상으로 호흡정지, 심정지 가능성이 높음. 수술의 필요성 설명.
수술:
Open reduction & Posterior cervical lateral mass screw fi
Typical patient - young male(18–30yrs)
First, chronic pain and stiffness
in the lower part of the spine.
Associated with an inflammation of the eye, fatigue and sometimes nausea.
Tumor necrosis factor-alpha (TNF α)
& IL-1
90% of the patients express
HLA-B27 genotype
Medication- Anti-inflammatory drugs- Disease-modifying antirheumatic drug- TNF-α blocker(pr
Disease Review
-Deep neck infection-
General Consideration
Where is the origin?
Tonsillitis and pharyngitis - before antibiotic era
Poor dental hygiene and injection drug abuse - now
Others
Trauma, surgical trauma, esophageal perforation, laryngopyocele, infected branchial cleft, and thyroglossal duct cysts, thyroiditis
Cause severe illness and death
Surgery is often necessary
Antibiotics resist
PLEASANTVILLE
A Fairytale by Gary Ross
October 7, 1996
"He was part of my dream of course
but then I was part of his dream too."
- Lewis Carroll "Through the looking glass"
FADE IN:
INT. HIGH SCHOOL AUDITORIUM. DAY.
A college counselor stands at the Podium lecturing the high
school seniors about their future.
COLLEGE COUNSELOR
... For those of you going on to college
next year, the chance of fin