• 제목/요약/키워드: Abdominal examination

검색결과 615건 처리시간 0.031초

외상성 경부 척수 손상 환자에서 동반된 소장 천공 : 증례보고 (Traumatic Cervical Spinal Cord Injury Patient with Jejunal Perforation)

  • 고승제;윤정석;윤정호
    • Journal of Trauma and Injury
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    • 제26권4호
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    • pp.319-322
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    • 2013
  • A 66 year-old woman had cervical spinal cord injury by an automobile. We performed emergency operation for partial quadriplegia. She recovered from motor weakness gradually, but complained of abdominal distension and mild dyspnea. A physical examination of her abdomen did not have tenderness and rebound tenderness. She underwent a decubitus view of chest X-ray due to aggravated dyspnea at postoperative 4 days. We detected free air gas of abdomen and immediately identified a cause of pneumoperitoneum by abdominal computed tomography. We performed an emergent laparotomy and confirmed a jejunal perforation. After an operation, she recovered well and is under rehabilitation.

직복근 증후군 환자에서의 치료 경험 -증례 보고- (The Rectus Abdominis Syndrome -A case report-)

  • 박진우;김정훈;신용출;정순호;최영균;김영재;신치만;박주열
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.123-125
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    • 2000
  • Rectus abdominis syndrome is the abdominal pain which occurs in the distribution of the medial or lateral cutaneous branch of the 7~12th intercostal nerves. It is frequently cause that results in unnecessary pain and expense to patient. The physical examination is difficult because of severe abdominal pain. We must have attention to the possibility that patients with abdominal pain, in whom no intra- abdominal cause is founded, may suffer from this presumed nerve entrapment syndrome. If we can find the cause of pain in the abdominal rectus muscle, no evaluation and surgery are required and therapy can be simple.

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복부비만과 위험음주가 성인의 고혈압에 미치는 영향 (Effects of Abdominal Obesity and Risk Drinking on the Hypertension Risk in Korean Adults)

  • 이은숙
    • 지역사회간호학회지
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    • 제29권3호
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    • pp.349-358
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    • 2018
  • Purpose: This study was conducted to investigate the combined effects of abdominal obesity and alcohol drinking on the risk of hypertension in Korean adults (aged ${\geq}30yrs$). Methods: Data of 13,885 subjects from the sixth Korea National Health and Nutrition Examination Survey were analyzed. The multiple logistic regression tests were used for the analysis, including potential covariates of the model. Results: Frequency of drinking, typical drinking quantity, and frequency of binge drinking had a positive relation to hypertension. The odds ratio of hypertension for risk drinkers with abdominal obesity was 4.81 compared to non-risk drinkers with normal waist circumstance, whereas the odds ratios of hypertension for risk drinkers with normal waist circumstance and non-risk drinkers with abdominal obesity were 1.58 and 2.37 respectively. Conclusion: Both abdominal obesity and alcohol drinking patterns were strong risk factors of hypertension in the Korean adults. Risk drinkers with abdominal obesity showed a marked high risk in hypertension compared to those with a single condition alone.

남녀근로자의 복부비만에 따른 대사증후군 구성요소, 비정상 간기능 및 생활습관 비교 (Comparison of Metabolic Syndrome Components, Abnormal Liver Function, and Living Habits according to Abdominal Obesity in Male and Female Workers)

  • 박하니;이여진
    • 한국직업건강간호학회지
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    • 제22권4호
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    • pp.334-342
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    • 2013
  • Purpose: This study attempted to compare the metabolic syndrome components, liver function and heathy living habits according to abdominal obesity in male and female workers. Methods: The subjects of this study are 1,078 adult workers who visited N hospital in Incheon for health examination. The data were analyzed using t-test or $x^2$-test with the SPSS/WIN 20.0 program. Results: Prevalence of metabolic syndrome are 22.2% in male workers, and 5.2% in female workers. There were significant differences in 4 metabolic syndrome components (high blood pressure, elevated blood sugar, hypertriglyceridemia, low HDL cholesterolemia), abnormal liver function, and living habits (alcohol drinking) according to abdominal obesity in male workers. There were significant differences in 1 metabolic syndrome component (low HDL cholesterolemia), and abnormal liver function in female workers. Conclusion: It is important to manage all metabolic syndrome components and alcohol drinking in the case of male workers with abdominal obesity, and low HDL cholesterolemia in the case of female workers. Also, occupational nurses should include the relevance between abdominal obesity and liver function index when training health for workers in workplace.

성인 여성의 비만, 체형인식 및 체중조절의 관계 (Relationships between Obesity, Body Image Perception, and Weight Control in Adult Women)

  • 채현주
    • 여성건강간호학회지
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    • 제25권2호
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    • pp.129-142
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    • 2019
  • Purpose: The purpose of this study was to investigate the relationship between obesity, body image perception, and weight control for obesity management in adult women. Methods: The subjects of this study were 3,617 women aged over 19 years, who participated in the Seventh Korea National Health and Nutrition Examination Survey 2016. Data were analyzed through complex sampling design data analysis. Results: Right body image perception according to obesity was apparent between 70.6-81.7% of women and 76.5% of women with abdominal obesity perceived that they were normal. Obese women performed more weight control than non-obese women. Women with only abdominal obesity performed less weight control than non-obese women, and 47.3% of them performed weight control. Women who perceived themselves as obese performed more weight control than women who perceived themselves as non-obese (odds ratio, 2.08; confidence interval, 1.69-2.57), but body mass index was not observed to be associated with weight control. Conclusions: Education on abdominal obesity should be provided to increase awareness about abdominal obesity and its effective management, especially in women with only abdominal obesity. In addition, interventions for right body type perception should be provided for proper weight control along with prevention and management of obesity.

복강 잠복고환에서 발생한 정상피종의 수술적 제거 (Surgical Removal of Seminoma Occurred in a Dog with Abdominal Cryptorchidism)

  • 박현정;정종태
    • 한국임상수의학회지
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    • 제33권4호
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    • pp.243-245
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    • 2016
  • A 7-year-old male poodle dog with abdominal distension and dysuria was referred to the Veterinary Teaching Hospital at Jeju National University. Intraabdominal mass was detected by radiography and ultrasonography. Surgical excision was performed by laparotomy. After the operation, this intraabdominal mass was diagnosed as seminoma based on histopathologic examination.

기능성 소화불량 환자에서 초음파로 측정한 복부 혈위의 복벽 두께와 신체 계측량과의 상관성 연구 (Measuring the Thickness of the Abdominal Wall at Abdominal Acupoints Using Ultrasonography and Analyzing Correlations with Physical Examination Values in Functional Dyspepsia Patients)

  • 한성준;박재우;김진성
    • 대한한방내과학회지
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    • 제37권6호
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    • pp.998-1011
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    • 2016
  • Objectives: This study measured the thickness of the abdominal wall at abdominal acupoints using ultrasonography and then investigated the correlations between the thickness of the abdominal wall and other characteristics of patients with functional dyspepsia (FD). Methods: Thirty patients with FD were enrolled in the study from September 2015 to March 2016. The thickness of the abdominal wall was measured at Shangwan (CV12), Zhongwan (CV13), and the left Liangmen (ST21). In addition, height, weight, body mass index (BMI), duration of FD, and the sternocostal angle were investigated. The severities of spleen qi deficiency and the dyspepsia symptoms were assessed by the Spleen Qi Deficiency Questionnaire (SQDQ) and the Nepean Dyspepsia Index-Korean version (NDI-K). Results: The average thickness of the abdominal wall was $24.66{\pm}6.69mm$ at Shangwan, $21.17{\pm}5.83mm$ at Zhongwan, and $21.72{\pm}5.72mm$ at Linagmen, and there were significant differences between the thickness at Shangwan and Zhongwan (p=0.046). Furthermore, there were significant differences between the thickness of the abdominal wall at Zhongwan and the sternocostal angle (r=0.396, p=0.037). Conclusions: These findings indicate the possibility of estimating the thickness of the abdominal wall by looking at the characteristics of patients with FD, including the sternocostal angle.

Walled-off Pancreatic necrosis in a Dog

  • Hwang, Tae-sung;Park, Su-jin;Lee, Jae-hoon;Jung, Dong-in;Lee, Hee Chun
    • 한국임상수의학회지
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    • 제35권4호
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    • pp.146-149
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    • 2018
  • A 7-year-old, castrated, male Maltese dog presented with hyporexia and depression for 3 days. Elevated serum amylase, lipase activities, and liver enzyme values were found upon blood examination. An abdominal mass was seen on radiographs caudal to the gastric body in the left middle abdomen. In the left middle abdomen, abdominal ultrasonography also revealed a massive, irregularly marginated, heterogeneous mass of unknown origin, and in the right cranial abdomen, heterogeneously hypoechoic pancreatic tissue and hyperechoic change of adjacent mesenteric fat were observed. Contrast-enhanced computed tomography showed an irregular contour of the left pancreatic limb as well as heterogeneously enhanced parenchyma. A low-attenuating peripancreatic fluid collection with a thin and irregular wall was also seen. Based on these findings, an atypical pancreatic abscess with necrotizing pancreatitis which manifested as walled-off necrosis was suspected. The mass was excised, and the pancreatic abscess was confirmed by histopathologic examination. No complications were found in the patient after two months of follow-up examination.

한국 성인의 복부비만 빈도와 관련 인자: 2001 국민건강영양조사 (Prevalence of Abdominal Obesity and Associated Factors among Korean Adults: The 2001 Korean National Health and Nutrition Examination Survey)

  • 정해랑
    • Journal of Nutrition and Health
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    • 제39권7호
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    • pp.684-691
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    • 2006
  • Abdominal obesity (AO) is a strong risk factor for type 2 diabetes and cardiovascular disease, which has shown a remarkable increase in Korea. This study aimed to identify prevalence of AO and related risk factors in Korean adults. A total of 5,132 men and women aged 20-85 years old from the 2001 Korean National Health and Nutrition Examination Survey were included in the analyses. AO was defined as waist circumference >=90 cm in men and >=85 cm in women as proposed by Korean Society of Obesity. Multiple logistic regression was carried out to identify risk factors for AO. Three models were specified: (i) demographic and socioeconomic factors (model 1: age, education, poverty income ratio, employment), (ii) lifestyle factors and covariates (model 2: physical activity, cigarette smoking, alcohol consumption, dietary quality, type 2 diabetes, co-morbidity) and (iii) demographic, socioeconomic and lifestyle factors (model 3). The prevalence of AO was 24.1 % in men, 23.5% in women. High poverty income ratio in men and low education attainment in women were risk factors for AO in model. 1. There was a significant association of AO with alcohol consumption, physical inactivity and dietary quality in men, alcohol consumption and cigarette smoking in women. These factors except alcohol consumption in men became insignificant in model 3. This findings underscore the importance of developing AO prevention programs in Korea that target the at risk groups identified in this study. A program focusing on low income men or less educated women would be more efficient.

전이성 골종양에서 원발병소의 진단 (Diagnostic Strategy of Primary Site in Metastatic Bone Tumor)

  • 신규호;서기원;장준섭
    • 대한골관절종양학회지
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    • 제3권2호
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    • pp.98-104
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    • 1997
  • 추후 관찰이 가능하였던 26례의 환자들이 평균 9개월의 짧은 생존기간을 보이는 것으로 보아 환자들에게 고통을 적게 주고 효과적인 비용의 검사를, 즉 흉부 방사선 사진, 복부 초음파, 흉부 전산화 단층 촬영, 복부-골반 전산화 단층 촬영, 기관지 내시경, 소화기 내시경 등의 순서로 진단적 접근을 시도하는 것이 원발병소를 찾는데 도움이 될 것으로 사료된다.

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