• Title/Summary/Keyword: Admission Patient

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Left Atrial Myxoma; Report of a case (좌심방 점액종의 치험 1례)

  • 채종욱
    • Journal of Chest Surgery
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    • v.13 no.3
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    • pp.250-255
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    • 1980
  • Myxoma is a benign growth constituting nearly 50% of all primary cardiac tumors. It is important because it can be abolished by surgical therapy and is usually fatal if unrecognized and untreated. Recently a wider use of echocardiogram as the screening test of valve lesions can be expected to increase the number of myxomas found preoperatively. We report a case of left atrial myxoma which was diagnosed by echocardiogram before surgery, and was successfully removed with the aid of extracorporeal circulation. The patient was a 24-year old woman who had suffered from mitral valvular symptoms for 2 months before admission. At operation, a tumor, measuring 5.2 x 4.3 x 4.7 cm, was extremely friable, villous gelatinous mass and it was removed from its origin near the closed fossa ovalis, including its stalk and a portion of the septum. The postoperative course was uneventful. The patient is clinically well and without symptoms of heart disease.

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How to Manage the Pediatric Nutritional Support Team: Updates

  • Yang, Hye Ran
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.15 no.2
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    • pp.79-84
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    • 2012
  • Pediatric patients in hospital are at risk of malnutrition at admission and even during their hospitalization. Although the concept of nutritional support team (NST) was introduced to hospitals for optimal nutritional care since 1960s and the benefits of pediatric NST have been proven by many studies and reports in terms of patient clinical outcome and cost saving, the pediatric NST is not widespread yet. The pediatric NST composed of pediatricians, dieticians, pharmacist, and nutrition support nurses as core members dedicated to nutritional care in children should be independent of central NST or other disciplines, but closely cooperate with other teams in hospitals. There is no doubt that a multidisciplinary NST is an effective way to provide appropriate nutritional support to an individual patient. Therefore, the implementation of the pediatric NST in hospitals should be recommended to provide optimum nutritional support including enteral tube feeding and parenteral nutrition and to assess pediatric patients at risk of malnutrition.

A Case study of Urinary Disturbance Treated with Soeumin's Bojungikgi-tang (소음인(少陰人) 보중익기탕(補中益氣湯)으로 호전된 요실금(尿失禁) 환자 치험 1례)

  • Oh, Jin-Ah;Shin, Mi-Ran
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.4
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    • pp.396-405
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    • 2013
  • Objectives The purpose of this study was to evaluate the effects of Soeumin's Bojungikgi-tang, which is based on the Sasang constitutional medicine, for the patient who has suffered from Urinary Disturbance. Methods A 29 year-old woman who suffered from Urinary Disturbance but had no significant organic lesion, was enrolled in this study. The patient had the symptoms including urinary incontinence, pollakiuria, painful urination, discomfort after urinating, general body weakness, chilling sign, and abdominal pain. We diagnosed her as Soeumin Yang Depletion pattern and treated with Soeumin's Bojungikgi-tang. Results After 12 days of admission treatment with Soeumin's Bojungikgi-tang, remarkable improvement was seen on her total number of urination and the Qualiveen Questionnaire score. Conclusions This clinical case indicates that Soeumin's Bojungikgi-tang is effective in treatment of a Soeumin Mang-yang Syndrome, including Urinary Disturbance.

Clinical Study of Dysphagia in Stroke Patients (1) (Preliminary paper) (뇌졸중환자의 연하장애에 관한 임상적 연구 (1))

  • Ko, Seong-Gyu
    • The Journal of Internal Korean Medicine
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    • v.18 no.1
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    • pp.62-68
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    • 1997
  • Dysphagia generally has a good prognosis after stroke involving cerebral hemisphere or braibstem, but it could have serious consquence with dehydration leading to haemoconcentration, renal failure and aspiration leading to pneumonia. This preliminary report was written for main report. The main report will be written to give an objective guide post of management and treatment in stroke patient with dysphagia. The objective guide posts were follows as, 1. Close examination for relationship between dysphagia in stroke patients and other neurological deficits 2. Influence on the prognosis of dysphagia in stroke patients by the grade of dysphagia at admission time. 3. The realtionship between the site and size of brain damage and the grade and prognosis of dysphagia 4. The frequency and prognosis of dysphagia in stroke patients according to sex and age. 5. The rate and speed of recovery with dysphagia after stroke. 6. Frequency and process of complications, aspiration pneumonia, weight loss, sore, in stroke patient group with dysphagia.

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A Case of Neobladder Rupture Following Blunt Trauma (둔상으로 인한 인공방광 파열 1예)

  • Sul, Young Hoon;Lee, Moon Haeng;Lee, Sang Il;Cheon, Kwang Sik;Song, In Sang
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.101-104
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    • 2012
  • Bladder rupture following blunt trauma is rare, and no neobladder rupture following blunt trauma has yet been reported. We present a case of neobladder rupture following blunt trauma. The patient was a 65-year-old male patient who had been treated for bladder cancer via a radical cystectomy with an orthotopic ileal neobladder four years prior to this admission, and who was admitted to our emergency department due to multiple trauma after a 1.5 m fall. Primary repair was performed for the neobladder rupture.

A case of cystic carcinoma of the trachea (기관에 발생한 Adenoid Cystic Carcinoma 치험 1예)

  • 김송명
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.153-160
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    • 1983
  • Adenoid cystic carcinoma is a rare primary tracheal tumor and this tumor behave slow growth, low-grade ma!ignancy, locally invasion and long-term host survival. Operation with the primary goal of complete excision is the treatment of choice but this tumor require excessive margins at surgical removal because of locally invasive cancer. A 45-years-old male patient had complained paroxysmal coughing from 1 year ago prior to admission and was diagnosed pre-operatively as endotracheal adenoma. He had been treated by operation, and combined with radiotherapy by 4 MeV. Lineal Accelerator. The tracheal mass was removed by tracheo-bronchotomy transpleurally and right total pneumonectomy was performed. There was post-operative course uneventfully and no post-operative complication. The patient Is free from cancer until post-operative 1 year clinically and alive with good healthy.

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Presumed Subarachnoid Migration of an Epidural Catheter -A case report- (경막외 카테터의 지주막하강으로의 이전 -증례 보고-)

  • Kim, Ki-Jun;Park, Byoung-Hark;Lee, Youn-Woo;Yoon, Duck-Mi;Nam, Yong-Taek;Kim, Seung-Jun
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.311-313
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    • 1998
  • Continuous epidural catheter insertion is common practice in postoperative analgesia. Subarachnoid migration of epidural catheter is a rare complication. Presumed delayed subarachnoid migration of an epidural catheter occured in a 58-year-old female patient after subtotal gastrectomy. Delayed respiratory depression occured 7 hrs after transfer to admission room. She was intubated and had ventilatory care. The fluid from the epidural catheter was examined and the result showed that gucose was 107 mg% and protein was 31 mg%. Immediate naloxone administration and ventilatory care for one day was done. The patient discharged without any sequalae.

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A Severe Retropharyngeal Hematoma after Stellate Ganglion Block -A case report- (성상신경절차단 후 생긴 심한 후인두 혈종 -증례보고-)

  • Lee, Kang Hun;Yoon, Duck Mi
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.62-65
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    • 2008
  • A 73-year-old man with sudden sensory neural hearing loss received a stellate ganglion block. Two hours after the block, the patient complained of newly developed neck discomfort. After an additional two hours, the neck swelled up gradually and neck pain and dyspnea developed. A plain radiograph of neck revealed narrowing of the upper airway; a tracheostomy was performed and the dyspnea was improved. On the next day, the pain site extended to the right scapula and a CT image revealed a huge retropharyngeal hematoma. Hematoma evacuation and bleeder ligation were then performed and the patient was discharged on the fourth day after admission without any complications. A practitioner should always remember to educate the patients about possible complications and undertake intensive observation when performing procedures, even in patients who do not initially present with a compromised airway.

Neonatal Encephalopathy Complicated with Septic Arthritis in a Foal

  • Jeong, Hyohoon;Oh, Taeho
    • Journal of Veterinary Clinics
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    • v.35 no.5
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    • pp.243-246
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    • 2018
  • A 2-day-old Thoroughbred foal weighing 58 kg was admitted to the Equine Hospital of Korea Racing Authority (KRA) Jeju Stud Farm with clinical signs including loss of suckling behavior and barking. Neonatal encephalopathy (NE) was diagnosed based on history and typical clinical signs of NE. The foal seemed to recover in 5 days of intensive care and treatment but then was complicated with the septic arthritis of left hock joint on the $6^{th}$ day of admission. A course of aggressive systemic antimicrobial therapy with joint lavage for 8 days was conducted and the foal was fully recovered and discharged. The follow up on the patient after 2 years revealed that the patient achieved a great success as a racehorse without any unexpected sequel. This report describes a course of NE complicated with septic arthritis in a foal and the clinical outcome of the intensive care and treatment in detail. To our knowledge, this is the first report which describes NE complicated with septic arthritis in a foal in Republic of Korea.

Management of Diabetic Foot Problems (당뇨병성 족부병변의 관리)

  • Park, Yoon-Jeong;Yun, So-Young
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.98-105
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    • 1998
  • The purposes of this article are to review the pathogenesis, prevention, and management of amputation due to diabetes mel1itus complications, and to report one case who had lost his toes due to diabetes mellitus. A primary cause for hospital admission of the patient was foot ulcer. Since many amputations in diabetic patients are precipitated by such ulcers, a program for active prevention and optimal treatment of diabetic foot lesions might decrease the risk of amputation. Diabetic foot ulcers and, ultimately, amputation can stem from a variety of pathways. The combination of peripheral neuropathy, peripheral vascular disease and infections is the harbinger of the final cataclysmic events of gangrene and amputation. As the physical therapist is often involved in the treatment of diabetic patients, the therapist should be aware of the followings: the patient's type of diabetes and the severity of the diabetes, the complications of the disease, the effects of exercise, the importance of wearing proper shoes and education to patients about appropriate diabetic foot care.

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