• 제목/요약/키워드: Department of Internal Medicine

검색결과 11,757건 처리시간 0.041초

전종격동 고형성 종괴 (A Solid Anterior Mediastinal Mass)

  • 유용규;안영수;라동집;김도진;이상무;김현태;어수택;김용훈;박춘식
    • Tuberculosis and Respiratory Diseases
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    • 제40권6호
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    • pp.747-750
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    • 1993
  • A 51-year-old male was admitted due to mediastinal mass. Chest PA showed a $4{\times}5$ cm sized round mass on right lower paratracheal area. The chest computerized tomogram showed cystic mass located between superior vena cava and trachea. This cystic mass was composed of variable internal architecture with Hounsfield unit(HU) from -44.4 to +25.5. The resected cystic mass revealed ectodermal, mesodermal, and endodermal structures. We report a case of anterior mediastinal cystic teratoma confirmed by open thoracotomy.

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습열리(濕熱痢)로 변증한 궤양성 대장염 환자의 작약탕가미방(芍藥湯加味方) 치험 2례 (Two Cases of Ulcerative Colitis Diagnosed as Damp-Heat Dysentery Treated with Jakyaktang-gamibang)

  • 이형호;최기숙;임동석;유형천;이영수;최창원;김희철;서철훈
    • 대한한방내과학회지
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    • 제27권4호
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    • pp.984-990
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    • 2006
  • Ulcerative colitis, a diffuse inflammatory disease of the mucosal lining of the colon and rectum, is characterized by bloody diarrhea that waxes and wanes without apparent cause. In oriental medicine, Jakyaktang has been used to treat the disease, diagnosed as Damp-Heat dysentery. We prescribed Jakyaktang-gamibang to two patients who had suffered from ulcerative colitis diagnosed as Damp-Heat dysentery. The two patients were treated with Jakyaktang-gamibang and improved in consciousness of symptoms. We suggest that oriental medicine therapy is effective for treatment of ulcerative colitis.

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소적정원산(消積正元算)으로 호전된 적증(積證)환자 1례 보고 (A Case Report of a Jeock-Jeung patient Treated with Sojeockjeongwonsan)

  • 허진일;조동희;김동우;임희용;오중한;김대준;변준석;최빈혜
    • 대한한방내과학회지
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    • 제26권2호
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    • pp.482-488
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    • 2005
  • This study was designed to evaluate the effects of the oriental medicine(Sojeockjeongwonsan) on a Jeock-Jeung patient. The clinical data was analyzed on a patient with Jeock-Jeung, deemed due to Gangiulgyul(肝氣鬱結) and Junggiheoyak(正氣虛弱). The patient’s main symptoms were abdominal pain and abdominal mass. The patient was admitted to Dae-Gu Hanny University Dae-Gu Oriental Medicine Hospital. Clinical symptoms, including abdominal pain, abdominal mass and general condition, improved after treatment. This study suggests that Sojeockjeongwonsan is significantly effective in treatment of a Jeock-Jeung.

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정상압 수두증 환자 1예에 대한 임상적 고찰 (A case of Normal pressure hydrocephalus with dementia, gait disturbance and urinary incontinence)

  • 김행진;김성진;정수미;유형천;전상윤;홍석;김방울
    • 대한한방내과학회지
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    • 제25권2호
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    • pp.314-319
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    • 2004
  • Objective : This study was designed to evaluate the effects of oriental medicine therapy on a normal pressure hydrocephalus patient. Methods : The clinical data was analyzed on a patient with normal pressure hydrocephalus whose main symptoms were dementia, gait disturbance and urinary incontinence. The patient was admitted to the internal medicine department of Dong-shin University Oriental Hospital from December 7, 2002, and remaind until January 20, 2003. He was treated with herbal medicine(Yukmijiwhangtang), acupuncture and moxa therapy. Results : After treatment, improvement was seen in dementia, gait disturbance, and urinary incontinence. Conclusions : The study suggests that oriental medicine therapy is significantly effective on the treatment or normal pressure hydrocephalus.

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파라콰트 중독 8일 후 내원한 환자 1례 (A Case of the patient who was admitted to hospital the 8th day of Paraquat Poisoning)

  • 허금정;김동조;박병욱;구창모;남창규
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.1087-1092
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    • 2003
  • Paraquat is a non-selective contact herbicide. When it is consumed, it may cause fatal disorders such as acute renal failure, hepatic dysfunction, and progressive respiratory failure. In spite of many efforts to cure patients poisoned with paraquat, the mortality rate still remain high. In this case, after using Gamdutanghaphwangryunhaedoktang-gamibang and Cheongsangboha-tang we got positive result in hepato-renal function, but progressive respiratory failure was unstoppable.

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한약 투여후 발생한 급성담즙정체성(약제유인성)간염 치험 1례 (One Case Report of Acute Cholestatic-Hepatitis(Drug Induced Hepatitis) After Taking Herbal-Medicine)

  • 이지연;김관식;정용준;김형균;이언정;최우정;한상칠;오명진;오로사;양재훈
    • 대한한방내과학회지
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    • 제22권2호
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    • pp.251-256
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    • 2001
  • In western medicine, there are some reports about herbal medicine induced hepatitis, but in oriental medicine, there are few reports about that. We experienced one case of drug acute cholestatic-hepatitis in the treatment of oriental medicine for HNP. We treated the patient with acupuncture, physical therapy and herb medicine. The patient's symptoms improved after two weeks of treatment. In the course of treatment, the patient intermittently complained of general weakness, nausea, yellowish urin, dyspepsia, and abdominal discomfort. We recognized that total bilirubin(7.2mg/dl), direct bilirubin(5.5mg/dl), serum transaminase(AST 360U/L, ALT 354U/L), alkaline phosphatase(16.6 K/A), urobilinogen(++) and bilirubin(++) were elevated. We diagnosed drug induced hepatitis. We stopped giving herb medicine and began giving Saeng gan gunbi-tang and Injin-oryung-san. Saeng gan gunbi-tang and Injin-oryung-san have been used to treat hepatic disease and have been known to have beneficial effects. After 3weeks on medication, the clinical symptoms and liver function improved. So, we report this case to bring more attention to the safety and toxicity of herbal medicine.

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췌장 가성낭종 환자 치험 1례 (A Case of Pancreatic Pseudocysts with Oriental Medical Treatment)

  • 허원영;류봉하;김유승;홍인아;김소연;엄국현;이선령;윤상협
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.963-971
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    • 2007
  • A pancreatic pseudocyst is the most common cystic lesion in the pancreas. There are several treatment methods with variable results. Recently, conservative treatment has been preferred because it has fewer complications. In this case, a 37-year-old male patient had pancreatic pseudocysts with upper abdominal pain, left upper back pain, diarrhea, weight loss, and general weakness. We prescribed him Banchongsangamibang (蟠蔥散加味方). For about 1 year, he was treated with oriental medicine. All of his pancreatic pseudocysts disappeared on abdominal CT follow-up and the symptoms mostly subsided. There had been no recurrence of pancreatic pseudocysts on abdominal CT follow-up after 1 year.

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탄화수소 흡인에 의한 화학성 폐렴 2예 (Two Cases of Chemical Pneumonitis Induced by Hydrocarbon Aspiration)

  • 노동효;김학렬;조경화;김동;신성남;신정현;송정섭;황기은;김소영;김휘정;양세훈;정은택
    • Tuberculosis and Respiratory Diseases
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    • 제67권2호
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    • pp.148-153
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    • 2009
  • Chemical pneumonitis induced by hydrocarbon aspiration is rare in Korea. Kerosene is a petroleum distillate with low viscosity and high volatility. We report two adult cases of chemical pneumonitis caused by the accidental aspiration of kerosene. They were treated successfully with antibiotics and systemic corticosteroids, and recovered without complications.

Prevalence and Risk Factors of Functional Dyspepsia in Health Check-up Population: A Nationwide Multicenter Prospective Study

  • Kim, Sung Eun;Kim, Nayoung;Lee, Ju Yup;Park, Kyung Sik;Shin, Jeong Eun;Nam, Kwangwoo;Kim, Hyeon Ju;Song, Hyun Joo;Joo, Young-Eun;Myung, Dae-Seong;Seo, Ji-Hyun;Jo, Hyun Jin;Kim, Seon Mie;Lim, Seon Hee;Kim, Hyun Jin;Baik, Gwang Ho;Choi, Sang Hyeon;Choi, Suck Chei
    • Journal of Neurogastroenterology and Motility
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    • 제24권4호
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    • pp.603-613
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    • 2018
  • Background/Aims Functional dyspepsia (FD) is one of the most common gastrointestinal disorders, and FD imposes social and economic burden worldwide. The aim of this study is to identify the prevalence and risk factors of FD in health check-up population in tertiary centers in Korea. Methods A nationwide multicenter prospective study was performed at 9 tertiary healthcare centers in Korea between September 2016 and June 2017. A total of 2525 subjects were investigated based on endoscopic findings and questionnaires with the Rome III criteria, and Helicobacter pylori serology (IgG). Results A total of 1714 subjects without organic disease were enrolled. The mean (${\pm}SD$) age was 51.5 (${\pm}12.7$) years, and 917 patients (53.5%) were female. The proportion of H. pylori seropositivity was 51.0% (874/1714). The prevalence of FD was 10.3% (176/1714), and the subtypes of postprandial distress syndrome alone, epigastric pain syndrome alone, and postprandial distress syndromeepigastric pain syndrome overlap were 4.8%, 3.0%, and 2.5%, respectively. Multivariate analysis showed that female gender (OR, 1.58; 95% CI, 1.14-2.21) and education below college level (OR, 1.45; 95% CI, 1.01-2.07) were related to FD. Multivariate analysis based on age 60 showed female gender as a significant (OR, 2.90; 95% CI, 1.06-7.94) factor in the group ${\geq}60$ years. Conclusions The prevalence of FD was 10.3% in the health check-up population in Korea. Female sex and education below college level were risk factors for FD. Female sex is a risk factor for FD in old age, underscoring the need for close attention in this age group.