Ⅰ. 서론
3학년이 되어서 여러 파트를 임상 실습을 했지만 소아과는 이번이 처음이었다. 병원 분위기라든지 모든 것들이 성인들과는 달라서 실습을 시작하기가 너무 어려웠다. 그래서 Vital을 하면서 협조가 잘될 것 같은 부모님들을 먼저 관찰 했고, 아직 소아에 대해서 여러 면에서 지식이 부족했
Yellowfever (YF) is a viral haemorrhagic fever transmitted by infected mosquitoes.
Sylvatic (or jungle) yellowfever occurs in tropical rainforests where monkeys, infected by sylvatic mosquitoes, pass the virus onto other mosquitoes that feed on them
The intermediate cycle of yellowfever transmission occurs in humid or semi-humid savannahs of Africa, and can produce small-scale epidemics in ru
수 있다.
: 모기나 벼룩 등의 절지동물이 바이러스 전염의 reservoir로 작용한다.
: yellowfever virus (황열바이러스), Japanese encephalitis virus (일본뇌염바이러스)
‧ 여러 가지 사람의 pathogen이 포함되어 있다.
: Japanese encephalitis virus (일본뇌염), rubella virus (풍진), HCV (C형 간염), yellowfever virus (황열)
YellowFever
Sleeping Sickness(Trypanosomiasis)
Chagas Disease
Dengue Fever(breakbone fever)
Schistosomiasis
So, how many kinds of tropical disease?
First, there are six tropical disease which was selected by WHO.
There are Malaria, Lymphatic Filariasis, Leprosy, Buruli ulcer, YellowFever, and Sleeping Sickness.
Others are Dengue Fever, Schistosomiasis, and so on.
*
Malaria
Malaria is caused by
Basic Script
The French tried to build a canal here
before the Americans.
At the height of their effort,
500 workers...
...were dying every week
from malaria and yellowfever.
They couldnt come up with
cemetery space fast enough...
...not to mention the morale problem
all those crosses would have made.
So they bought shiploads
of vinegar in Cuba...
...and in each barrel,
they sealed one corpse.
A
yellowfever.
You name it, they got it.
You see that, Mr. Dietrich?
You are looking at the largest
private air force in the entire world.
What do you think of that, now?
Its your money.
Start them up!
I saw the rough cut of the new
Tod Browning movie, London After Midnight.
Lon Chaney is incredible.
Its his best performance
in a long time.
Its gonna be a big hit.
The cards are great.
Its supposed
fever virus), Cytorhabdovirus(대표적 예; Lettuce necrotic yellows virus), Nucleorhabdovirus(대표적 예;Potato yellow dwarf virus)가 있다.
㉠ general morphology
130-240nm x 70-80nm크기의 envelope이 있는 나선형 바이러스로서 전체적으로 총알모양을 하고 있으며, 음성극성의 한가닥 RNA를 genome으로 가지고 있다.
㉡ genome
약 11.5 k
Ⅱ. 병력
1. 주증상(chief complaints) : Fever, Headache
위 환자는 2017년 05월 25일 만취 후 계단에서 20바퀴 굴러 떨어져 머리를 수상 후 ○○병원 응급실로와 suture 시행했으며, 응급 ct결과 minimal SDH와 Pnuemocephalus가 관찰되었다. 입원중 두통과 고체온 양상이 있었으며, lab 수치또한 wbc, hct, hb가 이상수치가 나