• Title/Summary/Keyword: internal medicine

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A case study of Acute Myocardiac Infarction to follow cerebral infarction (뇌경색 후 발병한 급성심근경색증 환자에 대한 임상보고 1례)

  • Park, Jin-Yong;Lee, Un-Suk;Kim, Yong-Chan;Oh, Yong-Sung;Lim, Myung-Hyun;Sin, Min-Gyu;Kim, Eun-Yung;Kim, Su-Jung;Jung, Myung-Gul
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.755-759
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    • 2001
  • Acute Myocardica Infarction has high mortality and bad prognosis. We treated a 68 year-old female patient of acute myocardiac infacrtion to follow cerebral infarction. The chief complainment is right hemiplegia, dyspnea, chest discomfort, palpitation, anxiety, insomnia. The prognosis cannot be good, Because she has anterior wall infarction, cardiomegaly, conduction block, hypertention and she is 68 years old. We treated her with chiefly Nogyongdaebo-tang and Gongjin-dan, and gradually increased momentum. also we used self west medicine. The chief complainment was improved. She became to do cane walking by herself.

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Clinical practice guidelines for percutaneous endoscopic gastrostomy

  • Chung Hyun Tae;Ju Yup Lee;Moon Kyung Joo;Chan Hyuk Park;Eun Jeong Gong;Cheol Min Shin;Hyun Lim;Hyuk Soon Choi;Miyoung Choi;Sang Hoon Kim;Chul-Hyun Lim;Jeong-Sik Byeon;Ki-Nam Shim;Geun Am Song;Moon Sung Lee;Jong-Jae Park;Oh Young Lee
    • Clinical Endoscopy
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    • v.56 no.4
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    • pp.391-408
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    • 2023
  • With an aging population, the number of patients with difficulty in swallowing due to medical conditions is gradually increasing. In such cases, enteral nutrition is administered through a temporary nasogastric tube. However, the long-term use of a nasogastric tube leads to various complications and a decreased quality of life. Percutaneous endoscopic gastrostomy (PEG) is the percutaneous placement of a tube into the stomach that is aided endoscopically and may be an alternative to a nasogastric tube when enteral nutritional is required for four weeks or more. This paper is the first Korean clinical guideline for PEG developed jointly by the Korean College of Helicobacter and Upper Gastrointestinal Research and led by the Korean Society of Gastrointestinal Endoscopy. These guidelines aimed to provide physicians, including endoscopists, with the indications, use of prophylactic antibiotics, timing of enteric nutrition, tube placement methods, complications, replacement, and tube removal for PEG based on the currently available clinical evidence.

A Case Of Chronic Alcoholic Derogation (주상(酒傷) 치험 1례 보고)

  • Kim, Dong-Woo;Park, Chong-Hyeong;Han, Yang-Hee;Jun, Chan-Yong;Park, Se-Ki;Go, Seung-Hi;Lee, Chung-Jung-Hye;Go, Jae-Chul;Choi, You-Kyung;Park, Ji-Yun;Baek, Eun-Ki;Hong, Ui-Sil
    • The Journal of Internal Korean Medicine
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    • v.22 no.2
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    • pp.239-243
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    • 2001
  • Alcoholism is a chronic behavior disorder that disturbs the health, social, and economical functions by intaking alcohol repeatedly. Alcoholism includes some habituation, dependency, and addiction. It may be clinically silent or severe enough to lead to the rapid development of hepatic, renal and gastrointestinal failure. Alcoholism can also cause death. In this case, we administrated saenggangunbitang and sungjoocheonggantang to a patient suffering from alcohoism and its withdrawal symptoms. After administration of saenggangunbitang-sungjoocheonggantang medication, clinical symptoms, including liver function with diabetes mellitus and splenomegaly improved. saenggangunbitang-sungjoocheonggantang showed desirable effect on alcoholism symptoms.

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A Clinical Report on Retention Enema Therapy for Patients with Ileus (도관적입법(導管滴入法)으로 호전된 장폐쇄증(腸閉鎖症) 환자 치험 2례 보고)

  • Lee, Nam-Heon;Yoon, Dam-Hee;Lee, Ji-Young;Chae, Eun-Young;Yoo, Hwa-Seung;Cho, Jung-Hyo;Lee, Yeon-Weol;Son, Chang-Gue;Cho, Chong-Kwan
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.364-372
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    • 2004
  • This study was designed to evaluate the effects of retention enema therapy on patients with ileus. We retrospectively analyzed the medical records of two patients with ileus whose main symptoms were nausea, vomiting, constipation and abdominal pain. They were treated with retention enema therapy. After treatment, improvement was seen in nausea, vomiting, constipation and abdominal pain. The results of this study suggests that retention enema therapy is effective for the treatment of ileus.

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A Case Report of Urinary Incontinence with Discontinuance of Diuretics for Hyperkalemia (고칼륨혈증으로 이뇨제 중단된 소변빈삭 환자의 한방치험 1례)

  • Choi, En-Young;Hyun, Jin-Oh;Shin, Won-Yong;Kang, A-My;Kim, Yong-Hyung;Han, I-Su;Kim, Hak-Jae;Choi, Heung-Min;Lee, Seong-Woo
    • The Journal of Internal Korean Medicine
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    • v.27 no.3
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    • pp.745-750
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    • 2006
  • Spironolactone reduces potassium excretion in renal collecting ducts and causes hyperkalemia. A 66-year-old female with urinary incontinence had to discontinue diuretics for hyperkalemia. After treatment with Jesaengsinkihwan-gagambang. she reduced urinary incontinence and her total urine volume was increased. BUN decreased from 32.2 to 16 and creatinine decreased from 1.5 th 0.9. So. we report one case of urinary incontinence with discontinuance of diuretics for hyperkalemia treated with Jesaengsinkihwan-gagambang.

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A Case Report of Korean Medicine Treatment for a Patient Admitted to a Korean Medicine Hospital with Post-Concussion Syndrome (뇌진탕 증후군으로 한방병원에 입원한 환자에 대한 한방치료 1례)

  • Yen-min Wang;Sang-yoon Kim;Gil-geun Baek;Sang-hun Yun;Yu-jin Lee;Hyung-chul Lee;Man-ho Kang;Sung-hwan Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.837-845
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    • 2023
  • The purpose of this study is to investigate the efficacy of using Korean medicine treatment with post-concussion syndrome. We primarily treated the patient's post-concussion syndrome during hospitalization (22.04-22.11.11) with Korean medicine treatments (herbal medicine, acupuncture, and Chuna therapy). The KHIT-6 and Numeric Rating Scale were used to assess symptom (headache, dizziness, and nausea) changes. Following treatment, the patient's KHIT-6 and Numeric Rating Scale scores decreased. This study suggests that Korean medicine may be effective in the treatment of post-concussion syndrome.

A Case Report of Anti-NMDA Receptor Encephalitis with Ovarian Teratoma Improved by Korean Medicine (난소기형종을 동반한 항 NMDA 수용체 뇌염 환자 1례에 대한 한방치료 증례 보고)

  • Irang Nam;Min-hwa Kim;Mariah Kim;Ki-beom Ku;Se-yeon Lee;So-yeon Kim;So-jung Park;Jun-yong Choi;Chang-woo Han;Jin-woo Hong;Ji-won Kang;In Lee
    • The Journal of Internal Korean Medicine
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    • v.44 no.6
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    • pp.1337-1345
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    • 2023
  • Objectives: This study reports on the improvement of anti-N-methyl-D-aspartate (NMDA) receptor encephalitis with ovarian teratoma after Korean medicine treatment. Methods: A patient was treated with Korean medicine treatments, such as acupuncture and herbal medications (Gami-ondam-tang and Samulanshin-tang-gamibang). The patient's improvement was evaluated using manual muscle testing (MMT), the Mini-Mental State Exam-Korea (MMSE-K), the modified Barthel index (MBI), and the Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Results: After using Korean medicine treatments, the patient's MMT, MMSE-K, and MBI scores increased, and the CASE score decreased. Conclusion: This case suggests that Korean medicine can be effective in treating the symptoms of anti-NMDA receptor encephalitis.

KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea

  • Song, Dae Jin;Song, Woo-Jung;Kwon, Jae-Woo;Kim, Gun-Woo;Kim, Mi-Ae;Kim, Mi-Yeong;Kim, Min-Hye;Kim, Sang-Ha;Kim, Sang-Heon;Kim, Sang Hyuck;Kim, Sun-Tae;Kim, Sae-Hoon;Kim, Ja Kyoung;Kim, Joo-Hee;Kim, Hyun Jung;Kim, Hyo-Bin;Park, Kyung-Hee;Yoon, Jae Kyun;Lee, Byung-Jae;Lee, Seung-Eun;Lee, Young Mok;Lee, Yong Ju;Lim, Kyung-Hwan;Jeon, You Hoon;Jo, Eun-Jung;Jee, Young-Koo;Jin, Hyun Jung;Choi, Sun Hee;Hur, Gyu Young;Cho, Sang-Heon;Kim, Sang-Hoon;Lim, Dae Hyun
    • Allergy, Asthma & Immunology Research
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    • v.10 no.6
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    • pp.591-613
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    • 2018
  • Chronic cough is common in the community and causes significant morbidity. Several factors may underlie this problem, but comorbid conditions located at sensory nerve endings that regulate the cough reflex, including rhinitis, rhinosinusitis, asthma, eosinophilic bronchitis, and gastroesophageal reflux disease, are considered important. However, chronic cough is frequently non-specific and accompanied by not easily identifiable causes during the initial evaluation. Therefore, there are unmet needs for developing empirical treatment and practical diagnostic approaches that can be applied in primary clinics. Meanwhile, in referral clinics, a considerable proportion of adult patients with chronic cough are unexplained or refractory to conventional treatment. The present clinical practice guidelines aim to address major clinical questions regarding empirical treatment, practical diagnostic tools for non-specific chronic cough, and available therapeutic options for chronic wet cough in children and unexplained chronic cough in adults in Korea.

Intrathoracic Desmoid Tumor Presenting as Multiple Lung Nodules 13 Years after Previous Resection of Abdominal Wall Desmoid Tumor

  • Koo, Gun woo;Chung, Sung Jun;Kwak, Joo Hee;Oh, Chang Kyo;Park, Dong Won;Kwak, Hyeon Jung;Moon, Ji-Yong;Kim, Sang-Heon;Sohn, Jang Won;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo;Oh, Young-Ha;Pyo, Ju Yeon;Kim, Tae-Hyung
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.267-271
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    • 2015
  • Desmoid tumors are rare soft tissue tumors considered to have locally infiltrative features without distant metastasis until now. Although they are most commonly intraabdominal, very few cases have extra-abdominal locations. The origin of intrathoracic desmoid tumors is predominantly the chest wall with occasional involvement of pleura. True intrathoracic primary desmoid tumors with no involvement of the chest wall or pleura are extremely rare. We recently experienced a case of true intrathoracic desmoid tumor presenting as multiple lung nodules at 13 years after resection of a previous intraabdominal desmoid tumor.