• 제목/요약/키워드: left thigh

검색결과 113건 처리시간 0.02초

심부정맥혈전증으로 인한 소양인(少陽人) 하지부종(下肢浮腫) 치험 1례 (A Clinic Study on Soyangin Lower Limb Edema Caused by Deep Vein Thrombosis)

  • 김현호;홍솔이;임은철;김태환
    • 사상체질의학회지
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    • 제18권3호
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    • pp.202-209
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    • 2006
  • 1. Objectives The purpose of this study is to evaluate the effects of Sasang Constitutional medical diagnosis and treatment on Soyangin Edema caused by Deep Vein Thrombosis. 2. Methods The Subject is a 75 years old woman who has a left lower limb edema caused by Deep Vein Thrombosis, we had diagnosed her as Soyangin and prescribed Sasang Constitutional Medicine. We evaluated with length of patient's calf, thigh, ankle circumference and pitting edema, skin flare after medication. 3. Results Lower limb edma of a Soyangin patient responded well to the treatment with Dojeokganggi-tang(導赤降氣湯). 4. Conclusions This case study shows an efficient result by using Dojeokganggi-tang in treatment of Soyangin edema patient.

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Venous Occlusion Detected by Caregiver with Implantable Doppler in a Buried Free Flap

  • Hur, Su Won;Kim, Tae Gon;Lee, Jun Ho;Chung, Kyu Jin;Kim, Yong-Ha
    • 대한두개안면성형외과학회지
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    • 제15권3호
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    • pp.121-124
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    • 2014
  • The use of the implantable Doppler device eases the burden of free flap monitoring, and allows caregivers to notify healthcare personnel of a potential vascular event. A 24-year-old female patient underwent anterolateral thigh adipofascial flap surgery to provide a buried flap on the left temporal area for a depressed and infected skull wound. The author was able to salvage the flap from two venous occlusions, which was made possible by early notifications from the caregiver who reported changes in the Doppler signal.

동면종의 압착도말 세포소견 -1예 보고- (Imprint Cytology of Hibernoma -A Case Report -)

  • 최준혁;신덕섭
    • 대한세포병리학회지
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    • 제19권2호
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    • pp.200-205
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    • 2008
  • Hibernoma is a rare, benign adipose tumor composed of brown fat cells with eosinophilic granular or multivacuolated cytoplasm. The cytologic features of hibernoma have been rarely reported and may mimic other polygonal cell neoplasms. We report the imprint cytologic features of a case of hibernoma in the left thigh of a 68-year-old woman. Microscopic examination showed large, round, or polygonal brown fat cells. The cells were arranged in fragments or clusters. The nuclei were uniformly round with finely granular chrornatin. The cytoplasm was multivacuolated or univacuolated. The abundant eosinophilic granular cytoplasm was also present. No nuclear atypia were present. Immunohistochemical staining showed that cells were positive for S-100 protein.

Femoral Metastasis in Bone Mineral Densitometry

  • Han-Kyung Seo;Do-Cheol Choi;Cheol-Min Shim;Jin-Hyeong Jo
    • 핵의학기술
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    • 제27권1호
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    • pp.7-8
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    • 2023
  • A 50-year-old female patient referred by the department of breast and thyroid surgery was recommended for orthopedic surgery because lesion like herniation pit was found in the left proximal femur in bone mineral densitometry (BMD). She was later diagnosed with bone metastasis on biopsy in orthopedic surgery. Pelvic X-ray and Lt thigh MRI were performed . Intra-medually nail was operated later. The BMD is a diagnostic method that determines the results by numerical values, so it is inevitable to neglect to observe the bone shape, but as shown in the above case, the examiner's observation of changes in bone shape can return to beneficial treatment for patients.

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광배근피판을 이용한 외상성 흉벽 결손의 재건 1례 (Chest Wall Reconstruction Using Latissimus Dorsi Myocutaneous Flap)

  • 이호철;류한영
    • Journal of Chest Surgery
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    • 제29권2호
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    • pp.239-243
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    • 1996
  • 역행성 호흡 운동을 방지 하고 종격동내의 구조물을 보호하는 흥곽의 기능을 고려해야 하기 때문에 흉벽 재건은 임상적으로 간단하지가 않다. 영남대 학교병원 흉부외과에서는 교통사고로 좌측 전흉부의 전층에 걸친 흉벽 결손을 가진 37세 남자 환자에게 흉벽 재건술을 시행하였다. 외상직후 변연 절제와 지혈을 위해 1차 응급 수술이 시행되었고, 수술후25일째 흉벽 재건을 위한 2차수술을 시행하였다. 흉벽재건에는 흉배동맥을 피판경으로한 광배근피판과 좌측 대퇴부로부터 피부이식이 이용되었다. 흉벽 재건 수술후 인공호흡기 보조없이 자가 호흡이 가능하였으며, 수술후 3개월에 시행한 폐기능 검사(FVC, FEV1.0)는 예측치의 80%로 나타났다. 광배근피판을 이용한 흉벽 재건의 수술후 경과는 생리학적, 해부학적 그리고 미학적으로도 만족할만 하였다.

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구개골에 발생한 악성 Peripheral Nerve Sheath Tumor의 증례보고 (MALIGNANT PERIPHERAL NERVE SHEATH TUMOR ON PALATE: A CASE REPORT)

  • 권민수;이현상;김현창;고승오;신효근
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권3호
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    • pp.228-233
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    • 2004
  • Summary: The malignant peripheral nerve sheath tumor(MPNST) is an aggressive neoplasm and can either arise independently or result from malignant change in preexisting neurofibromatosis (von Recklinghausen's disease). Its histologic characteristics remain controversial, but currently it is believed that the schwann cell is the origin of the peripheral nerve sheath tumors. MPNST is an uncommon neoplasm of the head and neck region, and its presentation in the oral cavity is quite rare. In this study, we report a patient with a rare case of a MPNST involving the maxilla. A case report: A 29-year-old female presented with a chief complaint of painless swelling with bleeding tendency on the left maxillary tuberosity area 2 months ago. Clinical examination showed a $5.0{\times}3.0cm^2$ sized, indurative swelling on the site. Conventional radiographs showed a relatively well-defined soft tissue mass involving the left maxillary sinus, and destruction of the anterior, posterolateral walls of the left maxillary sinus. Subtotal maxillectomy and split-thickness skin graft from thigh were undertaken. In histochemical and immunohistochemical studies, the specimen revealed positive reactivities to Vimentin and S-100 protein. Final diagnosis was made as MPNST.

항정신병 약물 과량 복용 후 발생한 횡문근융해증으로 인한 급성 구획증후군 (Acute Compartment Syndrome Induced by Rhabdomyolysis Due to Antipsychotic Drug Overuse)

  • 황석하;홍성하;서승표;김주영
    • 대한정형외과학회지
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    • 제55권3호
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    • pp.276-280
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    • 2020
  • 49세 남자 환자가 숙박업소에서 의식을 잃은 채 발견되어 응급실로 내원하였다. 환자는 조현증 및 주요우울증으로 항정신병 약물 및 항우울증 약물(vortioxetine hydrobromide, mirtazapine, sertraline hydrochloride, quetiapine, alprazolam)을 복용 중이었으며 환자 주변에 상기 약물들을 과량 복용한 흔적이 남아있었다. 신체검사에서 좌측 둔부 및 가측 대퇴부로 동통, 창백 및 부종 관찰되었으며 좌측 족관절 이하의 능동 관절운동이 불가하였다. 그리고 경골 및 비골신경 영역의 감각이 소실되어 있었다. 가장 종창이 심했던 가측 대퇴부에서 측정한 둔부 구획 내 압력은 42 mmHg 이었으며 자기공명영상에서 좌측 둔부 근육 및 주변 연부 조직의 부종 및 고강도 신호를 보이고 있었다. 응급 근막절개술을 시행하였고 24시간 이후 하지 감각 및 근력이 일부 회복되었다.

사지에 발생한 거대 지방육종 (A Case of Huge Liposarcoma in Thigh)

  • 강신택;황태혁;박범석;김대중;신향미
    • 대한골관절종양학회지
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    • 제14권2호
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    • pp.192-197
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    • 2008
  • 지방육종은 연부 조직 종양 중 가장 흔한 종양 중 하나로 알려져 있다. 주로 50세 이상의 노년층에서 주로 발생하는 것으로 알려져 있고, 사지에서 발생할 경우 근위부에서 발생한다. 저자들은 67세 남자의 좌측 대퇴부의 거대 지방육종을 변연절제술을 이용한 종양 적출술로 치료하였다. 다른 부위로의 전이는 없었으며, 종양은 변연절제에 의해 성공적으로 적출 하였으며, 종양적출 후 6개월간 재발하지 않았다. 환자의 신장은 153 cm이며, 체중은 43 kg인데 반하여 종양은 $34{\times}20{\times}9\;cm$, 2.82 kg이였다. 환자의 신장과 체중에 비하여 종양은 매우 거대하였으며, 조직학적 검사상 잘 분화된 지방육종(well-differentiated liposarcoma)으로 판명되었다. 저자들은 조직학적 분화도와 크기에 관련된 증례가 많지 않고 이에 따른 치료 방법이 명확하지 않다고 생각되어 변연절제를 이용한 종양 적출술로 치료한 잘 분화된 거대지방육종 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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지속적인 직류자극이 토끼 비골 골절의 신생골 형성에 미치는 영향 (The Effects of Constant Direct Current on the New Bone Formation of Fractured Fibula in Rabbits)

  • 정형국;김진상;박래준
    • The Journal of Korean Physical Therapy
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    • 제6권1호
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    • pp.95-107
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    • 1994
  • This study was performed to identify the effect of constant direct current and to give us methods which can be applied easily in clinic. Six rabbits was used at this experiment. After each animal was fractured at left fibula, divided into experimental group(n=3) and central group(n=3). Experiment duration of electrical stimulation on experimental rabbits was 35 days. Direct current from fifteen microampere to twenty microampere was passed continously through the placed electrode between fracture area and thigh. Negative electrode was placed at fracture area and positive at thigh. Roentgenography was used to observe bone-healing progression wet three times-at 15days, 25days and 35days after electrical stimulation. The results obtained are as followings: 1. Both experimental group and control group do not obtain callus formation on the first roentgenography(15 days after ES). 2. On the second roentgenography(25 days after ES), experimental group achieves above $70\%$ on fracture-healing, but control group achieves about $20-30\%$ on fracture healing. 3. On the third roentgenegraphy(35 nays after ES), experimental group achieves above $85-95\%$ on fracture healing and control group achieves about $60-70\%$ of bone union. Thus, statistically significance(independent t-test) was occured ie the second and third roentgenography between experimental group and control group.

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Micro Total Hip Replacement in Two Dogs with Legg-Calvé-Perthes Disease

  • Roh, Yoon-seok;Heo, Su-Young;Yoon, Jang-won;Park, Jiyoung;Jeong, Seong-Mok;Lee, Hae-beom
    • 한국임상수의학회지
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    • 제34권6호
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    • pp.454-458
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    • 2017
  • A Maltese (case 1) and a Pomeranian (case 2) presented with acute right and left hind limb weight-bearing lameness. On physical examination, they exhibited severe pain and crepitus on the coxofemoral joint of affected hind limb. In addition, decreased thigh girth measurements were noted compared with the opposite leg. Radiological exam revealed necrotic areas in the femoral head of affected hind limb. These dogs were diagnosed with Legg-$Calv{\acute{e}}$-Perthes disease (LCPD). The dogs underwent micro total hip replacement (THR). After surgery, at 3 years (case 1) and 7 months (case 2), both dogs recovered normal activity. The thigh girth and lameness scores were apparently improved in the affected limbs of both dogs. No complications of prosthesis implants, such as loosening, were noted. The clinical outcomes of these cases indicate that dogs with LCPD can be successfully treated with micro THR and have a good prognosis immediately after surgery.