• 제목/요약/키워드: Clinical symptoms and signs

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방사선사진 검사 선택기준에 대한 고찰 (Review of Radiographic Selection Criteria : The update is necessary)

  • 이병도
    • 대한치과의사협회지
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    • 제51권1호
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    • pp.39-45
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    • 2013
  • Radiographic examinations are used to discover and define the type and extent of disease in many clinical situations. Currently, it is common for dental patients to receive dental radiographic examinations on a routine schedule with little variation in spite of different patient signs and symptoms. Such routine scheduling of radiographic examinations may result in unnecessary patient exposure. There is also the possibility of under-utilization of radiography; this can result in inadequate or excessively delayed diagnosis. Patient selection criteria are descriptions of clinical conditions derived from patient signs, symptoms and history that identify patients who are likely to benefit from a particular radiographic examination. It makes possible making individual decisions based on history, clinical examination and risk factors. The radiographic selection criteria of dentistry have been revised in accordance with recent guidelines and peer-reviewed research in USA and Europe, but the studies of these subjects are not sufficient in our nation. In this review article, the relating factors and update necessity of radiographic selection criteria are discussed.

갑상선기능항진증 환자 1례에 관한 증례보고 (The Clinical Study on 1 Case of Hyperthyroid Patient)

  • 김성균;이한배;이승희;진속창;민건우;정지천;박종혁
    • 대한한방내과학회지
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    • 제23권2호
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    • pp.238-243
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    • 2002
  • Objective : This study was to investigate diagnosis and treatment based on an overall analysis of signs and symptoms on a hyperthyroid patient. Methods : The observation of the clinical progress was carried out by conducting diagnosis and treatment based on an overall analysis of signs and symptoms with the patient diagnosed hyperthyroidism. Results : Treatments such as the invigoration of qi (益氣) nourishing m (養陰) was given because the patient showed the qi deficiency (氣虛) and m deficiency (陰虛). Conclusion : Diagnosis and treatment based on an overall analysis of signs and symptoms of a hyperthyroid patient had moderate effects on the improvement of the patients condition.

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신경정신과(神經精神科)를 내원(來源)한 두통환자(頭痛患者)에 대한 임상적(臨床的) 고찰(考察) (A Clinical Study of Patients with Headache visited Neuropsychiatry)

  • 심상민;허성
    • 동의신경정신과학회지
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    • 제11권1호
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    • pp.83-96
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    • 2000
  • Objectives: In order to study the effect of the oriental medical therapy on the patients who visited Neuropsychiatry and oriental medical differentiation of symptoms and signs with ABR (Autonomic Bioelectric Response recorder)-2000, these clinical studies were performed. Methods: Sixty six patients with headache were classified into three groups; the first is tension headache, the second is migraine headache, the last is the others, each group was investigated of a various characteristic, the effect of the oriental medical therapy and stress was measured by ABR-2000. Result: 1. According to the statics, the tention headache's rate was higher than migraine; on the whole woman's rate was higher than man's. however in the migraine the rate of sex was equal. 2. According to the cause facter, oversensitiveness, overexertion, dyspepsia, etc. were numorous in the order. 3. According to the oriental medical differentiation of symptoms and signs, the rate of stagnation of the liver-qi' s fire-transmission(肝鬱化火) and deficiency of qi(氣虛), these two types were highest. result of analyzing ABR-2000 is that stagnation of the liver-qi's fire-transmission(肝鬱化火) is the highest stress. 4. According to treatment rate, 80.3 percent of patients satisfied of treatment.

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청간소요산가미방(淸肝逍遙散加味方)으로 호전(好轉)시킨 울증(鬱症) 환자 치험 3례 (The Recovery of Symptoms and Signs in Three Cases of UL-Symptom(鬱症) Treated with Cheonggan-soyosan-gamibang)

  • 박지윤;전찬용;한양희;고재철
    • 대한한방내과학회지
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    • 제23권1호
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    • pp.133-140
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    • 2002
  • Objective : This study was designed to report the clinical effects of Cheonggan-soyosan-gamibang on patients who have suffered from UL-symptom(鬱症). Method : Patients complained of a headache, dizziness, chest discomfort, burning feeling, indigestion. Anorexia, insomnia, and fatigue, etc. We concluded that these symptoms are UL-symptoms(鬱症). Therefore, we treated patients with oriental medicine, especially Cheonggan-soyosan-gamibang, and found that those symptoms and signs were improved by VAS, which is visual analogue scale. Result : After patients were treated with Cheonggan-soyosan-gamibang, symptoms and signs were improved by VAS. Conclusion : Through this study, Cheonggan-soyosan-gamibang on patients who have suffered from UL-symptoms(鬱症), proved to be effective.

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개에서 발생한 결정뇨와 요로증후군에 대한 후향적 연구 (Retrospective Study of Crystalluria and Urinary Tract Symptoms in Dogs)

  • 오원석;오태호
    • 한국임상수의학회지
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    • 제27권4호
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    • pp.386-391
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    • 2010
  • This retrospective study was performed in 40 cases of canine crystalluria and urinary tract symptoms. Breed, age, sex, diet history and common clinical signs were investigated for patient information. CBC, serum chemistry, urinalysis, urine culture, urine sediment and urinary stone analysis were undertaken for clinicopathological diagnosis. Crystalluria and urinary tract symptoms occurred from 6 months till 14 years in this clinical investigation and the average age was 4.68 years. It had taken an average 7.4 weeks to correct crystalluria and urinary tract symptoms treated by supportive therapy and dietary management. In conclusion, regular clinical pathologic examination, treatment and diet management should be needed to prevent the formation of urolithiasis and urinary tract diseases in dogs with crystalluria and urinary tract symptoms.

간기능 이상을 초래하는 유전성 대사질환 (Overview on Inborn Error of Metabolism involving Hepatic System)

  • 유한욱
    • 대한유전성대사질환학회지
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    • 제13권1호
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    • pp.20-29
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    • 2013
  • Inborn error of metabolism usually presents with a constellation of clinical pictures involving multiorgan systems. Because of its rarity and clinical diversity, it is difficult to make diagnosis accurately and efficiently. Many inborn error of metabolism shows predominantly hepatic symptoms and signs. The onset of symptoms is also varying depending the disease. The onset might be even prenatal, either neonatal or infantile, and late childhood. The major manifestation patterns are jaundice or cholestasis, hepatomegaly with or without splenomegaly, hypoglycemia and acute or chronic hepatocellular dysfunction. Based on pronounced hepatic symptoms and onset of symptoms, differential diagnosis can be more easily made with subsequent further laboratory investigation. In this review paper, major inborn error of metabolism with hepatic symptoms are described from the perspective of mode of clinical presentations.

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한의병증에 대한 신경정신과적 증상 기술 연구 (A Study on Neuropsychiatric Symptoms and Signs of Disease Pattern in Korean Medicine)

  • 장재순;김가나;조성훈
    • 동의신경정신과학회지
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    • 제27권4호
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    • pp.249-259
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    • 2016
  • Objectives: This study aimed to develop a standard understanding of neuropsychiatric symptoms and signs of Disease Pattern Identification/syndrome in Korean Medicine. Methods: We investigated various published articles, and the proposals are based on a comparative analysis between Korean medicine literature and DSM5, ICD-10. To improve our understanding, we engaged in a consultation through discussions with the advisory committee. Results: We describe the physical and neuropsychiatric symptoms in a modern sense of the major disease Pattern in Korean Medicine. We also proposed a profound understanding of the neuropsychiatric symptoms and signs of Disease Pattern Identification/syndrome in Korean Medicine. Conclusions: Compared with DSM5, ICD-10, the system of neuropsychiatric diagnosis in Korean medicine, could be profoundly organized into a system in a modern sense. It would be helpful to apply this understanding to clinical practices. There are several points of consideration in this study. The system of neuropsychiatric diagnosis in Korean medicine cannot be a perfect match for DSM5 or ICD-10. In addition, we could not reach a complete consensus on the disease pattern. Although there are some limitations to this study, it is meaningful to have an understanding of the neuropsychiatric symptoms and signs in Korean medicine through discussions with the advisory committee. This trial is expected to be applicable to related research in the future.

4개 응급센터에 내원한 비만치료제 중독 환자들의 다양한 임상양상 경험: 16례 (16 Cases of Anti-obesity Drug Intoxication Experienced in 4 Emergency Departments)

  • 한승훈;소병학;정원중;김형민
    • 대한임상독성학회지
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    • 제10권2호
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    • pp.111-117
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    • 2012
  • Purpose: In Korea, few studies have examined the acute toxicity of anti-obesity drugs. The purpose of this study is to analyze the general characteristics and clinical aspect of acute anti-obesity drug intoxication. Methods: We retrospectively investigated patients admitted to the emergency department after anti-obesity drug intoxication between March, 2004 and February, 2012. The medical records of these patients were reviewed for demographic data, toxicologic history, time elapsed to presentation, clinical symptoms and signs, treatment, and outcome. Results: There were a total of 18 anti-obesity intoxication cases during the study period; of 16 which were included in our study. The purchasing route of the anti-obesity drug was mainly through a doctor's prescription (68.8%), however, some were obtained through the internet and the pharmacies. The mean time to The most commonly ingested antiobesity drug was sibutramine (31.3%) and many of the cases (62.5%) were multi-drug ingestions. The most common clinical manifestations were gastrointestinal symptoms (94%), but, CNS symptoms (75%) and cardiovascular symptoms (75%) were almost equally present. 13 patients (81%) were discharged after clearance of toxic symptoms and signs with a mean observational period of 7.0 hours. 3 patients were admitted for observation and treatment; of which 1 patient died due to fatal complications. Conclusion: Most anti-obesity intoxications show mild toxicity and a nonfatal clinical course. However, the recent trend toward prescribing psychostimulant anti-obesity medication, which can be fatal after an acute overdose, calls physicians' attention to treating of anti-obesity intoxications.

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An Osteolytic Meningioma en Plaque of the Sphenoid Ridge

  • Baek, Jin-Uk;Cho, Young-Dae;Yoo, Jae-Chul
    • Journal of Korean Neurosurgical Society
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    • 제43권1호
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    • pp.34-36
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    • 2008
  • Meningioma en plaque (MEP) is a rare tumor characterized more by its clinical and biological behavior than its histological appearance. Hyperostosis of the skull is one of the characteristic signs of MEP. This bony change can produce clinical symptoms and signs in MEP by pressing against adjacent structures. The authors report a rare case of an osteolytic MEP extending from the sphenoid wing into the orbital wall, middle fossa, and temporalis muscle.