• Title/Summary/Keyword: Pain: acute

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Acute Cervical Subdural Hematoma with Quadriparesis after Cervical Transforaminal Epidural Block

  • Lee, Jun Kyu;Chae, Ki Whan;Ju, Chang Il;Kim, Byoung Wook
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.483-486
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    • 2015
  • Cervical epidural steroid injection is frequently used in the conservative management of neck pain and cervical radiculopathy. Epidural cervical transforaminal injections are usually well-tolerated with mild side effects such as transient decreased sensory and motor function, or headache due to dural puncture. Although there are a few case reports about adverse effects of cervical epidural injection in the literature, it can cause severe complications such as large hematoma, infarction by spinal vascular injury. Subdural hematoma has been occurred much less common rather than epidural hematoma in the spinal cord. We report a rare catastrophic case of cervical spinal subdural hematoma with quadriparesis after cervical transforaminal epidural block.

A Case of Ancylostoma ceylanicum Infection Occurring in an Australian Soldier Returned from Solomon Islands

  • Speare, Rick;Bradbury, Richard Stewart;Croese, John
    • Parasites, Hosts and Diseases
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    • v.54 no.4
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    • pp.533-536
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    • 2016
  • A 26-year-old male member of the Australian Defense Force presented with a history of central abdominal pain of 4 weeks duration and peripheral eosinophilia consistent with eosinophilic enteritis. Acute hookworm disease was diagnosed as the cause. Adult worms recovered from feces after therapy with albendazole were morphologically consistent with Ancylostoma ceylanicum. As the patient had been deployed with the Regional Assistance Mission to Solomon Islands for 6 months prior to this presentation, it is very likely that the A. ceylanicum was acquired in Solomon Islands. Until now, it has been assumed that any Ancylostoma spp. recovered from humans in Solomon Islands is A. duodenale. However, this case demonstrates that human hookworm infection acquired in the Solomon Islands could be caused by A. ceylanicum.

Pharmacognostical Studies on the 'Jil-Kyung-Ee' (질경이의 생약학적 연구)

  • Kim, Jin-Soo;Jeong, Ae-Yeong;Lee, Joon-Do;Park, Jong-Hee
    • Korean Journal of Pharmacognosy
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    • v.27 no.2
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    • pp.146-154
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    • 1996
  • Korean folk medicine 'Jil-Kyung-Ee' has been used to cure female disease, acute gastritis, edema, abdominal pain and pleurisy. The botanical origin of the crude drug has not been confirmed pharmocognostically. To clarify the botanical origin of 'Jil-Kyung-Ee', the morphological and anatomical characteristics of the leaves and roots of Plantago species growing in Korea, i.e. P. asiatica L., P. camtschatica Cham., P. depressa Willd., P. lanceolata L., P. major L. var. japonica (Fr. et Sav.) Miyabe were compared. As a result, it was determined that 'Jil-Kyung-Ee' was the whole plant body of Plantago asiatica and Plantago camtschatica.

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Management of the First-time Traumatic Anterior Shoulder Dislocation

  • Wang, Sung Il
    • Clinics in Shoulder and Elbow
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    • v.21 no.3
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    • pp.169-175
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    • 2018
  • Traumatic anterior dislocation of the shoulder is one of the most common directions of instability following a traumatic event. Although the incidence of shoulder dislocation is similar between young and elderly patients, most studies have traditionally focused on young patients due to relatively high rates of recurrent dislocations in this population. However, shoulder dislocations in older patients also require careful evaluation and treatment selection because they can lead to persistent pain and disability due to rotator cuff tears and nerve injuries. This article provides an overview of the nature and pathology of acute primary anterior shoulder dislocation, widely accepted management modalities, and differences in treatment for young and elderly patients.

A Case of Rapidly Progressive Glomerulonephritis in $Henoch-Sch\"{o}nlein$ Purpura (급속 진행성 사구체신염형의 $Henoch-Sch\"{o}nlein$ 신염 1 례)

  • Chang Soo-Hee;Jo Dae-Sun;Lee Dae-Yeol
    • Childhood Kidney Diseases
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    • v.1 no.1
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    • pp.82-85
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    • 1997
  • The incidence of nephritis associated with Henoch-Sch nlein purpura varies, but glomerulonephritis consistently accounts for most of the associated morbidity and mortality. A very small number of Henoch-Sch nlein purpura develop rapidly progressive glomerulonephritis. A three-year old male patient who showed acute nephritic nephrotic syndrome developed abdominal pain, arthralgia and multiple purpurae on lower extremities later. Peritoneal dialysis was done at the 6th hospital day and continued for 7 months. Renal biopsy disclosed crescentic glomerulonephritis (with 81% crescent formation) and methylprednisolone pulse therapy was done. These days, his general condition is good, but serum creatinine levels are 1.2-1.3 mg/dL. This case was reviewed briefly with the literatures.

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The Study of Enema Therapy as One of the Detoxification Therapy (해독요법 중 관장요법에 대한 고찰)

  • Lee, Myeong-Jong
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.23-36
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    • 2004
  • Objective : It is recently reported that enema therapy can be effective to enteric disease as well as painful disease, skin disease, immune disease. We look around many reports, books and make a comparative study of colon irrigation, coffee enema, retention enema. Method : I referred to many papers and books about three kinds of enema therapy. Results and Conclusions : 1. Colon irrigation remove fecal inpaction from colon and stimulate perisitalsis by injecting clean water to colon and also increase absorption ability. 2. Coffee enema inject coffee directly to colon, it is effective to detoxification, reducing pain by discharge of bile juice and toxic matters. 3. Retention enema use many kinds of suitable herb medicine to cure different disease by absorption to rectal mucous membrane. It is effective to acute, chronic disease, inflammatory disease.

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Diagnosis of Anterior Cruciate Ligament Injury (전방십자인대 손상의 진단)

  • Ahn, Jin-Whan
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.26-30
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    • 1997
  • Recently, the incidence of anterior cruciate ligament injury is rapidly increasing because many young Korean are actively participating in sports activities including basketball, skiing and soccer. Sometimes acute ACL injuries arc misdiagnosed as sprain because of pain and muscle spasm. An accurate physical examination and careful history taking are very important to diagnose the ACL injuries. Therefore author described the skill of history taking and the technique of physical examination to diagnose ACL injuries. The most sensitive test is the Lachman's test, which is performed with the knee in 200 of flexion, the femur stabilized with full flexed examiner's knee placed behind patient's distal thigh and one hand of examiner, and the proximal tibia grasped with the other. The pivot shift test is a passive motion test that attempts to subluxate the tibia anteriorly, then have it reduce rapidly. The pivot shift test is very sensitive test to diagnose the chronic ACL injuries.

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Acute Cervical Spinal Subdural Hematoma Not Related to Head Injury

  • Kim, Hee-Yul;Ju, Chang-Il;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.467-469
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    • 2010
  • We report an extremely rare case of traumatic cervical spinal subdural hematoma not related to intracranial injury. There has been no report on traumatic cervical spinal subdrual hematoma not related to intracranial injury. A 27-year-old female patient was admitted to our emergency room due to severe neck pain and right arm motor weakness after car collision. On admission, she presented with complete monoplegia and hypoesthesia of right arm. Magnetic resonance imaging (MRI) revealed subdural hematoma compressing spinal cord. Lumbar cerebrospinal fluid (CSF) analysis revealed 210,000 red blood cells/$mm^3$. She was managed conservatively by administrations of steroid pulse therapy and CSF drainage. Her muscle power of right arm improved to a Grade III 16 days after admission. Follow-up MRI taken 16th days after admission revealed almost complete resolution of the hematoma. Here, the authors report a traumatic cervical spinal SDH not associated with intracranial injury.

Mesalizine-Induced Acute Pancreatitis and Interstitial Pneumonitis in a Patient with Ulcerative Colitis

  • Chung, Min Jae;Lee, Jae Hee;Moon, Kyung Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.4
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    • pp.286-291
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    • 2015
  • Ulcerative colitis (UC) is a chronic idiopathic inflammatory bowel disease. Mesalizine for the first-line therapy of UC has adverse effects include pancreatitis, pneumonia and pericarditis. UC complicated by two coexisting conditions, however, is very rare. Moreover, drug-related pulmonary toxicity is particularly rare. An 11-year-old male patient was hospitalized for recurring upper abdominal pain after meals with vomiting, hematochezia and exertional dyspnea developing at 2 weeks of mesalizine therapy for UC. The serum level of lipase was elevated. Chest X-ray and thorax computed tomography showed interstitial pneumonitis. Mesalizine was discontinued and steroid therapy was initiated. Five days after admission, symptoms were resolved and mesalizine was resumed after a drop in amylase and lipase level. Symptoms returned the following day, however, accompanied by increased the serum levels of amylase and lipase. Mesalizine was discontinued again and recurring symptoms rapidly improved.

Cystic Adventitial Disease of the Popliteal Artery: Resection and Repair with Autologous Vein Patch

  • Maeng, Young-Hee;Chang, Jee-Won;Kim, Sun-Hyung
    • Journal of Chest Surgery
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    • v.44 no.3
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    • pp.266-268
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    • 2011
  • Cystic adventitial disease is rare, but it is one of the well-recognized causes of non-atherosclerotic arterial stenosis or obstruction. Despite one of its most common symptoms being chronic intermittent claudication, it may be misdiagnosed as arterial embolism when presented with acute ischemic symptoms. Surgical resection is recommended because of recurrence or a low success rate with aspiration or endovascular stent. We performed resection and repair with autologous vein patch for cystic adventitial disease of the popliteal artery of a 57-year-old man presenting with pain, pallor, and paresthesia, without any postoperative complications or recurrence.