• 제목/요약/키워드: Patient evaluation

검색결과 3,008건 처리시간 0.034초

후복막강 임파종에 의한 좌골신경통 (Sciatica from Retroperitoneal Lymphoma)

  • 윤덕미;이윤우;박원선;김원주;김선희
    • The Korean Journal of Pain
    • /
    • 제10권2호
    • /
    • pp.258-261
    • /
    • 1997
  • Back pain with sciatica is a common clinical syndrome that may be the expression of an uncommon pathological process. We describe a case of retroperitoneal lymphoma mimicking herniated lumbar disc. 62 year old male patient with a clinical picture of sciatica as a first manifestation of retroperitoneal lymphoma. His pain was not response to conventional therapy, and progressively worsened. We reevaluated him and found huge retroperitoneal lymphoma in his pelvic cavity. So we discuss how to identify the few who had extra attention. It is important to rule out occult pathology in patient with an atypical presentation. In assessing a patient with a low back pain, accurate evaluation require a logical, step by step method.

  • PDF

심폐기 질환의 체계적인 진단과 장기-치료 관찰 (Systematic Diagnosis and Long-term Care of Cardiopulmonary Disease)

  • 김재웅
    • 한국식품영양학회지
    • /
    • 제11권2호
    • /
    • pp.171-178
    • /
    • 1998
  • K14 환자는 유방암 수술, 방사선 치료, 피부이식 수술, 무릎 관절통의 기왕력이 있는 고령의 여성 호흡 곤란증 환자로서 문진과 진찰, 혈압, 비만도 측정, 임상병리, 흉부 X-선, 심전도와 심초음파, 폐기능 검사 등 체계적인 심폐기 질환의 진단 결과 비난증과 고혈압, 좌심실 비대, 만성 폐질환의 소견이 있어 심폐기능 모두에서 문제성이 발견되었다. 검사 결과들의 정밀한 판독법 및 장기-치료 관찰 결과를 임상문헌과 함께 고찰하였다.

  • PDF

아토피 피부염 증례를 이용한 표준화환자 프로그램 연구 (Study of Standardized Patient Program Using Case Report of Atopic Dermatitis)

  • 이현우;홍승욱
    • 대한한의학회지
    • /
    • 제32권5호
    • /
    • pp.78-89
    • /
    • 2011
  • Objectives: The purpose of this study was to design a standardized questionnaire for patients with atopic dermatitis in oriental dermatology. Methods: We selected atopic dermatitis from the evaluation of students' satisfaction conducted by the Department of Oriental Dermatology, Dong-guk University College of Oriental Medicine in 2011. To design the questionnaire for atopic dermatitis, we made up descriptive materials consisting of history of the present illness, patient risk factors, past medical history, personal history, and physical examination. Results: Standardized patients (SP) were used in teaching and practicing interviewing and physical examination skills for students. The SP offers a readily available tool for teaching and evaluating the clinical performance and interpersonal skills of medical students. However, the SP program needs to be more thoroughly researched and developed. Research of pattern identification in atopic dermatitis is needed to design the questionnaire. Conclusions: Using an SP program is strongly recommended to teach and evaluate in oriental medicine clinical clerkships.

가철성 국소의치의 장착 (Initial Placement of Removable Partial Dentures)

  • 신수연
    • 구강회복응용과학지
    • /
    • 제29권3호
    • /
    • pp.299-307
    • /
    • 2013
  • 가철성 국소의치의 장착시 조정의 목적은 가장 좋은 보철물을 환자에게 제공하여 환자로 하여금 새 의치에 잘 적응하도록 하는 것이다. 이 과정에서는 다음과 같은 것들이 포함된다: (1) 완성된 보철물의 검사, (2) 국소의치의 구강내 안착, (3) 의치상 적합도의 평가, (4) 의치상 변연의 평가, (5) 교합조정, (6) 진료실 재부착, (7) 환자교육.

Implant failure associated with oral bisphosphonate-related osteonecrosis of the jaw

  • Shin, Eun-Young;Kwon, Young-Hyuk;Herr, Yeek;Shin, Seung-Il;Chung, Jong-Hyuk
    • Journal of Periodontal and Implant Science
    • /
    • 제40권2호
    • /
    • pp.90-95
    • /
    • 2010
  • Purpose: The aim of this study is to report a case of oral bisphosphonate-related osteonecrosis of the jaw (BRONJ) resulting in implant failure. Methods: A patient suspected of having BRONJ was referred to the Department of Periodontology, Kyung Hee University School of Dentistry for the evaluation and treatment of exposed bone around implants. Results: The patient, who had been taking oral bisphosphonates (BPs) for about a year, was successfully treated with systemic antibiotics, chlorhexidine mouth rinse, explantation, and surgical debridement of necrotic bone. Conclusions: The results of this case suggest that a patient taking BPs orally should be treated cautiously. Appropriate management including cessation of BPs and respective dental treatment may reduce the development of BRONJ.

Dialog System Using Multimedia Techniques for the Elderly with Dementia

  • 김성일;정현열
    • 한국음향학회지
    • /
    • 제21권4호
    • /
    • pp.170-170
    • /
    • 2002
  • The goal of the present research is to improve a quality of life of the elderly with a dementia. In this paper, it is realized by developing the dialog system that is controlled by three kinds of modules such as speech recognition engine, graphical agent, or database classified by a nursing schedule. The system was evaluated in an actual environment of a nursing facility by introducing it to an older male patient with dementia. The comparison study between dialog system and professional caregivers was then carried out at nursing home for 5 days in each case. The evaluation results showed that the dialog system was more responsive in catering to needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did.

호흡기 보조를 받는 환자에서 발생한 하인두 천공 (A Case of Hypopharyngeal Perforation in a Trauma Patient on Ventilatory Support)

  • 박권재;박창민;정상석;방정희
    • Journal of Trauma and Injury
    • /
    • 제27권3호
    • /
    • pp.75-78
    • /
    • 2014
  • Hypopharyngeal perforation is a rare, but fatal, complication. Clinical signs and symptoms of this condition are neck pain, odynophagia, dysphagia, fever, vomiting, cervical swelling and subcutaneous emphysema. However, these signs are obscured in patient suffering from severe trauma who has had an endotracheal tube inserted, which delay proper evaluation and treatment. Here, we report a case of hypopharyngeal perforation in a trauma patient who had an endotracheal tube inserted for mechanical ventilation.

감초사심탕(甘草瀉心湯)을 이용한 위궤양 환자에서 나타난 위장관 증상 치험 1례 (A Case Report of Gastrointestinal Symptoms in Gastric Ulcer Treated with Gamchosasim-tang)

  • 김경림;정유진;김경민
    • 대한한방내과학회지
    • /
    • 제40권5호
    • /
    • pp.878-887
    • /
    • 2019
  • Objective: The purpose of this case report was to report the effect of Gamchosasim-tang in patients with gastrointestinal symptoms due to gastric ulcer. Methods: We treated a patient suffering from epigastric pain, sucking sensations in the epigastrium, and nausea using Gamchosasim-tang (甘草瀉心湯) for 35 days. The patient's symptoms were charted and evaluated using a visual analogue scale (VAS) and a gastrointestinal symptom rating scale (GSRS). Results: After treatment, the symptoms related to gastric ulcer were decreased and evaluation using the VAS and GSRS showed improvement in the patient. Conclusion: This study shows that Korean medicine treatment with Gamchosasim-tang may be valuable for relieving gastric ulcer symptoms.

전신성 건선 환자의 한방 치료 임상 보고 1례 (A Clinical Case of Systemic Psoriasis with Korean Medical Treatment)

  • 김지희
    • 한방안이비인후피부과학회지
    • /
    • 제31권1호
    • /
    • pp.91-105
    • /
    • 2018
  • Objectives : The purpose of this study is to report the Sik-yang-seng(食養生) therapy with Korean Medicine and acupuncture on a chronic psoriasis patient who is occurred to latrogenic cushing's syndrome. Methods : The patient who has been diagnosed psoriasis had symptoms with latrogenic Cushing's syndrome. The patient was treated with Sik-yang-seng(食養生) therapy including Korean Medicine and acupuncture. Evaluation was done by PASI score, itching score, statistics and pictures. Results : After treatment, the PASI score of patients with Sik-yang-seng(食養生) therapy including Korean Medicine and acupuncture was 1.8 which means 95.5% improvement. Conclusions : Korean medical treatment performed with Sik-yang-seng(食養生) therapy can help recovery of Biwi(脾胃)function therefore can increase effect of the treatment of psoriasis and latrogenic Cushing's syndrome.

Rhinolith: An incidental radiographic finding

  • Maheshwari, Nisha;Etikaala, Badirinath;Syed, Ali Z.
    • Imaging Science in Dentistry
    • /
    • 제51권3호
    • /
    • pp.333-336
    • /
    • 2021
  • Rhinoliths are foreign bodies composed of mineralised deposits in the nasal cavity that are rarely encountered in routine dental practice. The current report presents a case of a 77-year-old female patient who visited a dental treatment centre for a routine dental check-up and prophylaxis. On the clinical examination, the patient did not report any breathing difficulty, nasal obstruction, or any form of discharge. Panoramic radiography showed a horizontally magnified radiopaque structure in the right nasal fossa region. Cone-beam computed tomography (CBCT) revealed a hyperdense entity with a laminated presentation in the right nasal fossa. The hyperdense entity was diagnosed as a rhinolith based on the radiographic findings. Although the patient was asymptomatic, a referral was made to an ear, nose, and throat surgeon for a further evaluation. This report highlights the importance of CBCT imaging in the diagnosis of soft-tissue calcifications.