• Title/Summary/Keyword: Foreign hospital

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A Case of Formation of Interbronchial Fistula Complicated by Long-standing Bronchial Foreign Body (장기간 체류한 기관지내 이물에 합병된 기관지간 누공 형성 1예)

  • Lee, Jong-Hyun;Kim, Sung-Jun;Lee, Duk-Young;Chou, Jong-Dae;Jung, Su-Lyong;Na, In-Kyun;Kim, Dong-Wook;Lee, Jin-Kwan
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.882-887
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    • 1998
  • In healthy adults, diagnosis of aspiration of foreign body into tracheobronchial tree is not difficult because various symptoms such as dyspnea, coughing, or cyanosis develop when foreign body is aspirated into tracheobronchial tree. But unless a clear history of an aspiration event can be obtained, diagnosis will be delayed. Early complications of tracheobronchial foreign body aspiration include asphyxia, cardiac arrest, dyspnea, laryngeal edema, and cyanosis. Late complications include pneumonia, lung abscess, bronchiectasis, hemoptysis, bronchial stenosis, and polyp. Treatment is removal of foreign body by operation or bronchoscopy. Currently, flexible bronchoscopy is preferred in adults than rigid bronchoscopy. A 36-year-old male visited to Dongkang hospital due to productive coughing and dyspnea. On auscultation, focal inspiratory wheezing was heard. On chest PA, mild emphysematous change was seen Flexible bronchoscopy was done. Bronchoscopically, mucoid impaction, surrounding inflammation, foreign body lodged in the right lower lobe bronchus, and interbronchial fistula(between right middle and lower lobe bronchus) were seen Foreign body($2.4\{times}1.3cm$ sized antacid package) was removed by flexible bronchoscopy. Later, history of aspiration of a piece of antacid package was found. We report a case of recurrent bronchitis with interbronchial fistula as a result of occult aspiration of foreign body with review of the literatures.

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Ingested Foreign Body Trapped in the Appendix: A Case Report (충수에서 발견된 섭취된 이물질 1예)

  • Ahn, Young-Jae;Park, Yoon-Joon;Kim, Myung-Joon;Han, Seok-Joo;Oh, Jung-Tak
    • Advances in pediatric surgery
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    • v.13 no.2
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    • pp.217-221
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    • 2007
  • Foreign body ingestion is a frequent event in the pediatric age group, but the incidence of foreign bodies in the appendix is very low. The authors report a case of ingested foreign body trapped in the appendix in a 7-year-old girl. The foreign body was successfully treated by laparoscopic appendectomy under fluoroscopic guidance.

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A Case of Foreign Body in Larynx Involving Thyroid (갑상선을 침범한 후두의 이물)

  • Han, Ju Hyun;Choi, Kyu Sung;Ahn, Pyung Ahn;Park, Gi Cheol
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.2
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    • pp.138-140
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    • 2017
  • Pharyngeal and laryngeal foreign bodies are common problem at ENT clinic. Removal of a foreign body is mostly simple with the manipulation of endoscope and various instruments. Rarely, migration of swallowed sharp foreign body makes complication. We describe a 74-year-old patient diagnosed with foreign body in larynx involving thyroid. In this case, we present this disease and the treatment course which has been successfully treated by surgical removal and conservative treatment. Furthermore, we discuss its symptoms, physical examinations through literature review.

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Clinical Experience of Foreign Body Granuloma in the Apex of Orbit (안와첨부 이물 육아종의 치험례)

  • Paik, Hye Won;Choi, Jong Woo;Chong, Hyun Kwon;Lee, Paik Kwon;Ahn, Sang Tae
    • Archives of Plastic Surgery
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    • v.32 no.1
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    • pp.131-134
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    • 2005
  • It is often difficult to identify and localize intraorbital foreign bodies despite of modern high-resolution imaging investigation. Especially, posteriorly located foreign bodies have increased risks of morbidity that surgical approach is often complicated. No matter how trivial it seems, retained foreign body, particularly organic in nature, may give rise to severe orbital and cerebral complications. High clinical suspicion, proper diagnostic studies, timely referral to a skilled orbital surgeon are mandatory. We report a case of intraorbital wooden foreign body that required two separate exploration for removal. Initial exploration failed to identify and locate the foreign body completely. After the operation, fistula formation and purulent discharge were developed and the imaging investigation results were equivocal, complicating the management. A second exploration yielded multiple intraorbital wooden foreign body in the apex of orbit. The patient fully recovered without complication. The evaluations and the details of management strategy are discussed.

Ultrasonographic Diagnosis of Subcutaneous Wooden Foreign Body (피하 조직에 발생한 나무 이물의 초음파 진단)

  • Choi, Ji-Hye;Keh, Seo-Yeon;Kim, Sung-Soo;Kim, Hye-Jin;Jang, Jae-Young;Choi, Hee-Yeon;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.28 no.1
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    • pp.163-172
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    • 2011
  • Subcutaneous foreign body causes recurrent problems such as chronic soft tissue swelling and discharge. Wooden foreign body is one of the most common foreign bodies found in subcutaneous region including face, interdigit, and thoracic or abdominal area. This report demonstrated three dogs with wooden foreign body located in subcutaneous region of thoracic wall, abdominal wall and upper eyelid, respectively. Three dogs showed prominent soft tissue swelling adjacent the foreign body. A sinus or drainage tract was developed in two of these dogs. Ultrasonography revealed that hyperechoic linear structure accompanied acoustic shadow in all dogs, and which was diagnosed as a subcutaneous foreign body. Anechoic or hyperechoic fluid and hypoechoic tissue circumscribed the foreign body. A subcutaneous foreign body in case 3 was removed by clamp under ultrasound-guide with sedation. Sinography was performed in case 1 and clarified that the wooden foreign body did not perforate the thoracic wall and there was no direct communication into thoracic cavity. Ultrasonography and sinography can be used to identify the subcutaneous foreign body and evaluate the inflammatory reaction and relationship between foreign body and adjacent structures.

The Two Cases of Initial Foreign Body Removal Failure Using Bronchoscopy (기관지 내시경으로 초기에 제거할 수 없었던 기도 이물 : 2례 보고)

  • Kim, Yeon-Soo;Nam, Seung-Yeon;Kwak, Byeong-Gon;Chang, Woo-Ik;Park, Kyung-Taek;Kim, Chang-Young;Ryoo, Ji-Yoon
    • Korean Journal of Bronchoesophagology
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    • v.13 no.2
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    • pp.77-81
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    • 2007
  • Foreign body aspiration is a cause of the accidental death at home. Therefore, early intervention and proper management is important. A bronchoscopy is indicated whenever there is a suggestive history and medical opinion. Occasionally, foreign body removal with bronchoscopy may be fail. But, on the situation, there is no definite recommended standard management. We experienced two cases of bronchial foreign body could not be removed with bronchoscopy at first intervention. The one was diagnosed too late. Endobronchial granulation tissue and edema made it impossible to find the foreign body at first bronchoscopy. After steroid and antibiotic therapy, foreign body could be removed with secondary bronchoscopy. Another was bronchial foreign body jammed tightly bronchus intermedius. Even after medical therapy, patient got aggravated. So foreign body was removed with bronchotomy.

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Right-to-Left Displacement of an Airgun Lead Bullet after Transorbital Entry into the Skull Complicated by Posttraumatic Epilepsy : A Case Report

  • Chao-bin Wang;Hui Wang;Jun-shuang Zhao;Ze-jun Wu;Hao-dong Liu;Chao-jia Wang;An-rong Li;Dawei Wang;Juntao Hu
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.598-604
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    • 2023
  • Penetrating head injury is a serious open cranial injury. In civilians, it is often caused by non-missile, low velocity flying objects that penetrate the skull through a weak cranial structure, forming intracranial foreign bodies. The intracranial foreign body can be displaced due to its special quality, shape, and location. In this paper, we report a rare case of right-to-left displacement of an airgun lead bullet after transorbital entry into the skull complicated by posttraumatic epilepsy, as a reminder to colleagues that intracranial metal foreign bodies maybe displaced intraoperatively. In addition, we have found that the presence of intracranial metallic foreign bodies may be a factor for the posttraumatic epilepsy, and their timely removal appears to be beneficial for epilepsy control.

Research on Ways to Attract Foreign Patients Based on Analysis of Foreign Patients Who Visited Hospital of Korean Medicine (한방병원에 내원한 외국인 환자 분석을 통한 외국인 환자 유치 방안 연구)

  • Jun, Jae Yun;Nam, Ji Hwan;Lee, Min Jung;Kim, Kie Won;Lim, Su Jin;Lee, Chong Whan;Lee, Seul Ji
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.107-114
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    • 2013
  • Objectives : The purpose of this study is to analyze actual status of foreign patients who visited hospital of Korean medicine and suggest developmental direction of korean medical tourism. Methods : This study includes 675 foreign patients who visited spine-specialized hospital of Korean medicine from January 1, 2012 to December 31, 2012. Based on computerized medical records, patients' age, gender, country, date of initial and last visit, chief complaint, treatment period and species of treatment were collected. These data were used for analyzation of actual condition of medical tourism at hospital of Korean medicine. Results : A total of 675 foreign patients visited spine-specialized hospital of Korean medicine. 395 patients(59 %) were female and the forties was the most common by ages. Patients from Japan were the most common followed by Russia and United States of America. Patients visited hospital 5.1 times during 27.4 days in average. There were 526 cases of spinal pain and only 52 cases were non-musculoskeletal disease. The most frequently performed treatment was general acupuncture treatment while moxibustion and bee venom acupuncture were remarkably infrequently treated. Conclusions : The result of this study suggests potential possibility of development of Korean medical tourism focused on disease cure as well as current trend of beauty and Korean medical experience at the Korean medical tourism field.

Challenges in Patient Counseling and Medication Reconciliation for Foreign Inpatients in Korea (외국인 입원환자의 복약상담과 입원약력관리 현황에 관한 탐색적 연구)

  • Jin, Hye Kyung;Rhie, Sandy
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.1
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    • pp.34-41
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    • 2015
  • Objective: This study is to evaluate the awareness, needs, and barriers in patient counseling for hospitalized foreign patients. As the number of foreign population increases in Korea, demands on quality of Korean health services are rapidly increasing. Previously most of the studies have focused on the availability and utilization of healthcare service, and prevalence of disease for foreigners, however, no study has been conducted on quality of direct-patient care such as patient counseling. Method: In the present study, a survey was conducted on a total of 161 participants between March 7 and May 7 in 2014. The study subjects were consisted with 103 foreign patients who had experienced inpatient care within 1 year and 58 hospital pharmacists who work in the hospital with foreign inpatients. Results: Firstly, the hospital pharmacists were highly aware of the necessity of counseling for foreign inpatients. Secondly, the largest portion of barrier to patient counseling service was accounted a lack of foreign language skills. Lastly, the monitoring of efficacy, potential adverse reactions and discharge follow-up were emphasized. Conclusion: Effective communication skills would be essential to improve pharmaceutical care services to foreign inpatients.

A Case of Thyroid Cartilage Calcification which was Misunderstood as an Esophageal Foreign Body (식도 이물로 오인된 갑상 연골의 석회화 1예)

  • Kang Mu Hyun;Jang Min Hee;;Ju Young Min
    • Korean Journal of Bronchoesophagology
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    • v.10 no.2
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    • pp.52-54
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    • 2004
  • Esophageal foreign bodies are common problems in the part of otolaryngology department, and may cause severe complications such as esophageal ulceration, esophageal perforation, periesophagitis, tracheoesophageal fisula, pneumothorax and pyothorax. Therefore, early diagnosis and intervention is needed to reduce morbidity and motality. But, calcification of the laryngeal cartilages may masquerade as foreign body in some patients with a history of foreign body ingestion. Recently, We experienced a case of calcification of thyroid cartilage which was misunderstood as an esophageal foreign body and report this case with a review of literatures.

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