• Title/Summary/Keyword: Flank pain

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The Case Study of a Patient with Simbiyangheo type Ul-zeong who has treared by Bibliotherapy and Neurofeedback (독서요법과 뉴로피드백을 시행한 심비양허형(心脾兩虛型) 울증(鬱證)환자 치험(治驗) 1례(例))

  • Lim, Jung-Hwa;Choi, Kang-Wook;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.187-198
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    • 2006
  • Bibliotherapy is the field of clinical counceling to treat the emotional, psychiatric and social maladjustment. Neurofeedback is a means by which participants can team voluntary control of the EEG and has been applied to a range of clinical conditions such as epilepsy, attention deficit hyperactivity disorder, depressive disorder. 'Ul-zeong' comes from obstruction of qi by stress. The mind affect the body. The patient has depressed mood, irritable sign, chest discomfort, flank pain, angry state and some strange feeling on the throat. In this case, a female patient, 30 years old, who complained of amnesia, deficiency of the power of the attention and concentration depersonalization, depressed mood, insomnia ect. We treated the patient with bibliotherapy, neurofeedback and oriental medical treatment such as heral medicine, acupuncture treatment and aroma therapy. In result, the symptoms which she complained were improved.

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Pleuropneumonectomy in a Patient With Acquired Immune Deficiency Syndrome and Lung Abscess (폐농양으로 진단된 후천성 면역결핍증후군 환자에서의 흉막전폐절제술)

  • 최성실;백효채;맹대현;정경영;장경희;김준명
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.574-577
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    • 2001
  • A 54-year-old homosexual man was diagnosed as human immunodeficiency virus-1-positive in 1992. He was admitted to a tertiary hospital in March, 2000 because of right flank pain, fever and intermittent cough. A chest roentgenogram showed right-sided pleural effusion, and closed thoracostomy was performed for drainage Salmonella species and Escherichia coli were isolated from the pleural fluid. In spite of 6 weeks of antibiotic treatment, fever did not subside and the general condition gradually deteriorated, and under the diagnosis of lung abscess with empyema thoracis, right pleuropneumonectomy was performed. The general condition improved postoperatively until day 10 when he showed sudden change in mental status to stuporous and developed focal seizure. Brain CT showed multiple abscesses in right frontal and left frontotemporal lobes and he expired on postoperative day 14.

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Page kidney after botulinum toxin injection during chiropractic care

  • Park, Han Min;Choi, Chung Jo;Kim, Jin Hee;Kim, Ja Kyung;Kim, Bum Jun;Seo, Jae Yong;Jeong, Yong Seol;Kim, Jwa-Kyung;Kim, Sung Gyun
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.143-145
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    • 2015
  • Page kidney refers to the phenomenon of hypertension secondary to long-standing compression of renal parenchyma caused by renal subcapsular collection. The most common cause of renal subcapsular collection is a hematoma which usually occurs after a history of blunt trauma. A 42-year-old female patient who received botulinum toxin injection in her back during chiropractic care was admitted to the emergency room with sudden bilateral flank pain and hypertension. The computed tomography (CT) images demonstrated the presence of bilateral subcapsular renal hematoma. The patient was treated conservatively and recovered well. The follow up CT images showed markedly resolved bilateral hematoma.

A Study on the Acupoint and Utilization of HT1 (극천(HT1)의 취혈과 활용에 대한 연구)

  • Kang, Tae-Ri;Lee, Sang-Ryong
    • Korean Journal of Acupuncture
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    • v.34 no.4
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    • pp.185-190
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    • 2017
  • Objectives : The research was conducted for the use of HT1 in the shoulder disease through correct acupuncture. Methods : (1) The contents were compared through reviewing literature. (2) The literature was studied in conjunction with the shoulder pathology and anatomical structures. Results : (1) The location of HT1 is described as 'in the axilla, over the axillary artery' in many literature, and the depth of HT1 is as shallow as 1 cm. The WHO standard also follows this. (2) There were many references to 'in the axilla, between the big muscles' in later generations, but there were mixed opinions about the exact muscle names. Based on the acupunctural review and the musculoskeletal study, the big muscles are considered to be 'Pectoralis major' and 'Latissimus dorsi'. (3) Among the muscles constituting the rotator cuff, applying acupuncture on HT1 is essential for 'Subscapularis m.'. Therefore, it is effective to stimulate 'Subscapularis m.' to a depth of 1.5 to 4 cm. Conclusions : The accurate acupoint of HT1 enables various uses of flank, armpit, shoulder and arm diseases as well as cardiopathy. Especially, it helps to treat the muscles through safe and effective acupuncture in shoulder rotator cuff disorder.

Clinical Study of a Lung Abscess Patient Combined with Stroke (폐농양 환자 1례)

  • Han Young-Joo;Lee Jung-Eun;Lim Do-Hee;Hwang Ji-Ho;Bae Han-Ho;Park Yang-Chun;Jo Chul-Jun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.4
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    • pp.1078-1081
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    • 2005
  • Lung abscess is often ocuured by aspiration of infectious secretion in stroke patients that has symptom of dysphagia. So we studied the effects of combined eastern and western treatment in lung abscess patient combined with stroke. We performed both antibiotic therapy and herbal medication in a lung abscess patient. We compared a chest x-ray film of early stage of disease with a film of after stage of disease, also compared change of symptom-cough, sputum, flank pain, blood phlem. After dispending antibiotic therapy and herbal medication, a lung abscess patient improved symptoms and in result of chest x-ray. The above results suggest that combined eastern and western trearment can have good effects on improving symptoms of a lung abscess patient.

Primary Renal Hydatid Cyst: Mis-Interpretation as a Renal Malignancy

  • Choi, Hoon;Park, Jae Young;Kim, Jae-Heon;Moon, Du Geon;Lee, Jeong-Gu;Bae, Jae Hyun
    • Parasites, Hosts and Diseases
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    • v.52 no.3
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    • pp.295-298
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    • 2014
  • Primary renal echinococcosis, a rare disease involving the kidney, accounts for 2-3% of human echinococcosis. A 64-year-old female patient from Uzbekistan presented with complaints of left flank pain. A CT scan revealed a cystic mass in the upper to midpole of the left kidney. We regarded this lesion as a renal malignancy and hand-assisted laparoscopic radical nephrectomy was performed to remove the renal mass. The mass consisted of a large unilocular cyst and multiple smaller cysts without any grossly visible renal tissue. The final pathologic diagnosis was a renal hydatid cyst. For patients from endemic areas, hydatid cyst should be included in the differential diagnosis. Here, we present a case of renal hydatid cyst in a female patient who relocated from Uzbekistan to Korea.

Rupture of a large colon associated with sand impaction in a Thoroughbred horse (Thoroughbred 말에서 sand impaction과 연관된 대결장 파열 1례)

  • Yang, Jae-Hyuk;Yang, Young-Jin;Moon, Ja-Ho;Kim, Han-Nah;Hwang, Kyu-Kye;Lim, Yoon-Kyu
    • Korean Journal of Veterinary Research
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    • v.45 no.4
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    • pp.601-606
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    • 2005
  • The disease causing colic is the greatest cause of death in the domestic horse population today and accidental deaths as a result of colic leads to decreased productivity and economic losses in the horse breeding industry. Large colon impaction is the most common cause of colic in horses. Horses may ingest sand either by eating from the ground in sandy locations, or because of its inclusion in hay. In certain areas sand impaction is relatively common. The horse (4 year, female) presented with abdominal pain, which was charactered by willing to lie down, pawing, and looking at flank. A month later, the horse died suddenly at sand paddock. Post-mortem examination revealed the sand impaction as a lot of feces, sand and gravels in the right dorsal colon. In addition, there was necrosis and debilitation in mucosal lining of the large colon and rupture site on the right dorsal colon. The purpose of this article is to review sand impaction and emergencies in Thoroughbred horses.

Extraskeletal Osteosarcoma Arising from the Pleura

  • Lee, Chee-Hoon;Park, Chang Ryul;Kim, Jung Won;Suh, Jae-Hee;Lee, Yong Jik;Jung, Jong Phil
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.320-324
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    • 2014
  • A 37-year-old woman was referred to our institution for further management of a mass lesion located in the thoracic cavity. The mass had grown by more than 10 cm over the course of a year and was initially considered to be a scar from previous pulmonary tuberculosis at another hospital. The patient had complained of left-sided flank pain for a year and experienced dyspnea for one month. Chest radiography and chest computed tomography revealed an irregular-shaped mass in the left mid to lower pleural cavity. The mass was widely excised through left thoracotomy. Pathologic examination of the biopsy specimen revealed a malignant spindle cell tumor, which consisted of components of osteosarcoma, pleomorphic sarcoma, and leiomyosarcoma. The patient underwent adjuvant chemotherapy and has been doing well without any evidence of recurrence for 14 months.

A Case of Perinephric Abscess Treated by Percutaneous Drainage (경피적 배농술로 치료한 신 주위 농양 1례)

  • Park Kyong-Yun;Kang Ji-Ung;Lee O-Kyong
    • Childhood Kidney Diseases
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    • v.10 no.1
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    • pp.72-76
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    • 2006
  • Perinephric abscess is an accumulation of pus in the perinephric space, the area anatomically defined between the kidney and Gerota's fascia. Gram negative organisms are the most prevalent bacterial species found in perinephric abscess. Fever, flank pain, vomiting and abdominal mass are the usual presenting complaints. But with its insidious onset, variable symptoms and rue frequency in children, perinephric abscess has been a major diagnostic problem, leading to delayed diagnosis and inappropriate treatment, which increase the rate of complication and mortality. Clinical diagnosis of perinephric abscess is difficult but must always be considered in children with a febrile septicemic illness. For appropriate treatment, early detection is very important, and either ultrasonography or computed tomography(CT) facilitates the diagnosis and establishment of treatment method. We experienced a case of left perinephric abscess treated by percutaneous drainage in a 1-year 7-month old boy. Review of literature was made briefly.

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Interleukin-6-producing paraganglioma as a rare cause of systemic inflammatory response syndrome: a case report

  • Yin Young Lee;Seung Min Chung
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.435-441
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    • 2023
  • Pheochromocytomas and paragangliomas (PPGLs) may secrete hormones or bioactive neuropeptides such as interleukin-6 (IL-6), which can mask the clinical manifestations of catecholamine hypersecretion. We report the case of a patient with delayed diagnosis of paraganglioma due to the development of IL-6-mediated systemic inflammatory response syndrome (SIRS). A 58-year-old woman presented with dyspnea and flank pain accompanied by SIRS and acute cardiac, kidney, and liver injuries. A left paravertebral mass was incidentally observed on abdominal computed tomography (CT). Biochemical tests revealed increased 24-hour urinary metanephrine (2.12 mg/day), plasma norepinephrine (1,588 pg/mL), plasma normetanephrine (2.27 nmol/L), and IL-6 (16.5 pg/mL) levels. 18F-fluorodeoxyglucose (FDG) positron emission tomography/CT showed increased uptake of FDG in the left paravertebral mass without metastases. The patient was finally diagnosed with functional paraganglioma crisis. The precipitating factor was unclear, but phendimetrazine tartrate, a norepinephrine-dopamine release drug that the patient regularly took, might have stimulated the paraganglioma. The patient's body temperature and blood pressure were well controlled after alpha-blocker administration, and the retroperitoneal mass was surgically resected successfully. After surgery, the patient's inflammatory, cardiac, renal, and hepatic biomarkers and catecholamine levels improved. In conclusion, our report emphasizes the importance of IL-6-producing PPGLs in the differential diagnosis of SIRS.