• Title/Summary/Keyword: Unusual symptom

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Cervico-mediastinal Lipoma - A Case Report - (경부 종격동 지방종;1례 보고)

  • 임승현
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.912-915
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    • 1992
  • Mediastinal lipomas are fairly unusual tumors. They are usually lobulated, encapsulated and found in the anterior mediastinum. Although benign, they may grow to an huge size, but they no specific symptom. We experienced a case of large cervico-mediastinal lipoma, which successfully resected. This report reviews our experience with the review of literature.

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Time Course of Symptom Disappearance after Microvascular Decompression for Hemifacial Spasm

  • Oh, Eun-Tak;Kim, Eun-Young;Hyun, Dong-Keun;Yoon, Seung-Hwan;Park, Hyeon-Seon;Park, Hyung-Chun
    • Journal of Korean Neurosurgical Society
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    • v.44 no.4
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    • pp.245-248
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    • 2008
  • Objective : This study is to investigate time course of symptom disappearance in patients whose spasm relieved completely after microvascular decompression (MVD). Methods : Of 115 patients with hemifacial spasm (HFS) who underwent MVD from April 2003 to December 2006, 89 patients who had no facial paralysis after operation and showed no spasm at last follow-up more than 1.5 years after operation were selected. Symptom disappearance with time after MVD was classified into type 1 (symptom disappearance right after operation), type 2 (delayed symptom disappearance) and type 3 (unusual symptom disappearance). Type 2 was classified into type 2a (with postoperative silent period) and type 2b (without silent period). Results : Type 1, type 2a, type 2b and type 3 were 38.2%, 48.37%, 124% and 1.1%, respectively. Delayed disappearance group (type 2) was 60.7%. Post-operative symptom duration in all cases ranged from 0 to 900 days, average was 74.6 days and median was 14 days. In case of type 2, average post-operative symptom duration was 115.1 days and median was 42 days. Five and 3 patients required more than 1 year and 2 years, respectively, until complete disappearance of spasm. In type 2a, postoperative silent period ranged from 1 to 10 days, with an average of 24 days. Conclusion : Surgeons should be aware that delayed symptom disappearance after MVD for HFS is more common than it has been reported, silent period can be as long as 10 days and time course of symptom disappearance is various as well as unpredictable.

Study of Relationship between China BeunJungLonChi and DongEuiBoGam BeunJungLonCh (중의 변증론치와 동의보감의 변증론치에 대한 연구)

  • Ko Heung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.16-21
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    • 2004
  • It is different from the DongEuiBoGam(東醫寶鑑) of Korea traditional medicine that China BeunJungLonChi(中醫辨證論治) was made for the scientific and systematic assortment of China medicine. Symptom(症)is more important than symptom complex(證)in china BeunJungLonChi at DonEuBoGam. And unusual symptoms generally are diseases in DongEuiBoGam. DongEuiBoGam is emphasis on body form, temper, body color, pulse(形氣色脈) and the functional difference of organs by body form and body color. there are many problems in order to unify the theory of Korea traditional medicine by china BeunJungLonChi. I suggest that a new assortment that can combine Sasang constitutional medicine(四象醫學), Constitution-Acupuncture(體質針), and Hyungsang medicine(四象醫學) will be necessary. BeunJungLonChi : diagnosis and treatment based on overall analysis of symptoms and signs, the cause, nature and location of the illness and the patient's physical condition according to the basic theories of traditional Chinese medicine

The Case Study of the Effective Management of the Site Using Measurement Result During the Excavation Construction (굴착공사 중 계측결과 활용을 통한 효과적인 현장관리 사례 분석)

  • NamGung, Han;Jung, Kyoung-Sik;Koh, Hyung-Seon
    • Proceedings of the Korean Geotechical Society Conference
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    • 2010.09a
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    • pp.428-444
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    • 2010
  • After underground excavation being introduced in dometic, many technologies have been storing up. One of them, measurement, has been recognized as an important item under excavation construction. But, unlike a large-scale construction, it was not been treated importantly at the general small-scale structures with poor ordering and original design was unchanged under construction was normal if the problem didn't occur on monitoring. In this paper, the site which safe and economical management as well as shortening construction period was made effectively using measurement result was introduced. Also, the site which was completed safely with analyzing measurement and reinforcement when unusual symptom happened was introduced. Using measurement result effectively will be able to obtain the safety and prevent unnecessary economical loss.

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Vancomycin Induced Lupus Flare in a Patient with Systemic Lupus Erythematosus: A Clinical Case Report (전신성 홍반성 루푸스 환자에서 Intravenous Vancomycin 투여로 인한 루푸스 활성기 증례 보고)

  • Kim, Hyeon-Jin;Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.3
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    • pp.276-279
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    • 2011
  • We report an unusual case of lupus flare induced by intravenous vancomycin in a patient with systemic lupus erythematosus. Due to methicillin resistant staphylococcus aureus in wound culture, intravenous vancomycin was administered to the patient. The patient had been on vancomycin for several days then she experienced fever, malar rash, and vomiting. Based on laboratory results, it was confirmed as lupus flare. Oral prednisolone was given to the patient for symptom control. However, when vancomycin was readministered, the patient had similar symptom to the previous one more intensively. Vancomycin was stopped then the patient became stable. This case report demonstrates that intravenous vancomycin may manifest as lupus flare in patients with systemic lupus erythematosus.

A Case of Amyotrophic Lateral Sclerosis with Unilateral Vocal Fold Palsy and Velopharyngeal Insufficiency (일측성 성대마비와 구개인두부전을 초기 증상으로 내원한 Amyotrophic Lateral Sclerosis 1 예)

  • 박경호;김동현;조승호;김형태
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.14 no.1
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    • pp.51-53
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    • 2003
  • Amyotrophic lateral sclerosis Is an unusual pattern of distal muscular atrophy with permanent bulbar sign. Vocal fold paralysis and velopharyngeal insufficiency(VPI) due to soft palate paralysis Is occasionally associated with distal muscular atrophy. Recently we experienced a case of amyotrophic lateral sclerosis whose symptom was initially expressed with hoarseness and VPI. So we report a case with review of literature.

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A Sbjective Symptom on Outdoor Air Quality in Dental Hygienist (대기오염에 의한 치과위생사의 자각증상 특성)

  • Ji, Dong-Ha;Choi, Mi-Suk;Son, Bu-Soon
    • Journal of environmental and Sanitary engineering
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    • v.22 no.2
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    • pp.1-8
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    • 2007
  • This research is based on self-filling survey which 656 dental hygienists who work in, seoul, the metropolitan area, jeon-buk area participated on July 2006 through August 2006. This survey was analyzed the relationship between the subjective symptoms(6 types) and outdoor air quality($O_3,\;NO_2,\;CO,\;SO_2,\;PM_{10}$) As follows analyzed results. The health condition of dental hygienists were "Feel Good" more than 50% in last month. The experience the symptoms level is higher then non-experience level in "Dry eye, itch, smarting", "Headaches", "Fatigue and sleepiness", "Red eye", "Hypersensitivity", "Dorsalgia, omarthralgia, cervicodynia". We anticipated that the more experience the subjective symptom the more likely it is that outdoor air quality will be high rate level. But we could not find the uniformity in metropolitan-area and seoul-area. In the case of jeonbuk area, the group's pollution density levels which experienced the subjective symptom were appeared high rate than inexperienced group except $SO_2$. It probably comes from sensibility for an air pollution in this area. Dental hygienists who work in jeonbuk area have an unusual sensibility for an air pollution because outdoor air quality of jeonbuk area was rule good rather than others area. especially $SO_2$ was revealed out even though low rate level in inexperienced group it is that the number of cars in jeonbuk area is increasing rapidly.

congenital cystic adenomatoid malformation (C.C.A.M.)-Two cases report- (선천성 낭포성 선종양기형 (CCAM) -2예 보고-)

  • 이인성
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.352-357
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    • 1986
  • Congenital cystic adenomatoid malformation [CCAM] of the lung is a rare but often fatal congenital lung bud anomaly that causes acute respiratory distress in the newborn infants. In those who survive infancy and early childhood, its clinical manifestations are not unusual to detect. Recently we experienced two children with CCAM; one with coughing and high fever, another without any symptom On case I, the patient was a 9 year-old female, and was suffered from coughing and high fever since 15 days before. Medical treatment was failed and then, exploratory thoracotomy was performed under the impression of loculated empyema. Finally, a right lower lobectomy was done with a satisfactory postoperative course. On case II, the patient was a 12 year-old female, and admitted for evaluation of known large pulmonary cyst which was checked at the outpatient clinic. Preoperative evaluations gave no more informations, so obliteration of cysts was performed with open biopsy. Two patients with CCAM are described in Korean Univ. Medical Center.

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Traumatic Bronchial Rupture (a case report) (외상성(外傷性) 기관지(氣管支) 파열(破裂) - 1례(例) 보고(報告) -)

  • Lee, Chong Kook;Lee, Sung Koo;Lee, Sung Haing
    • Journal of Chest Surgery
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    • v.9 no.1
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    • pp.38-40
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    • 1976
  • Rupture of a bronchus is an unusual result of nonpenetrating trauma to the chest. This case was a 19 year old male who was a worker in the mine. The patient had sustained a compression chest injury without external wound or rib fracture. At five days after trauma, he was suffered from dyspnea and the symptom was progressively increased. Two weeks after the chest trauma, a diagnosis of left main bronchial obstruction due to traumatic bronchial rupture was made by means of bronchoscopy and bronchography. He was operated upon. The left lung was completely atelectatic and the left main bronchus was found to be transected at the level of 3cm from carina. End-to-end anastomosis of the bronchus was performed and the left lung was aerated very well. postoperative course was uneventful.

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Congenital Cystic Adenomatoid Malformation [type II] of Lung; A Case Report (폐의 낭포성 유선종 기형;1례 보고)

  • 홍은표
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.650-653
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    • 1993
  • Congenital cystic adenomatoid malformation [ C.C.A.M.] is rare, but often fatal congenital lung bud anomaly that causes acute respiratory distress in the newborn infants. In those who survive infancy and early childhood, its clinical manifestations are not unusual to detect. Recently we experienced an infant with C.C.A.M. Type II. The patient was a 7-month-old male, and had been suffering from coughing and fever since 3 months ago. The symptom were not improved with medical treatment and then, exploratory thoracotomy was performed under the impression of infected C.C.A.M. or other congenital cystic disease.The left lower lobectomy was performed, and the postoperative course was uneventful.

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