• Title/Summary/Keyword: Hospital medicine

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A Case of Pulmonary Artery Intimal Sarcoma Masquerading as Pulmonary Embolism (폐색전증으로 오인된 폐동맥내막육종 1예)

  • Kim, Jin-Suk;Park, Hye-Kyeong;Lee, Hye-Ran;Kang, Seung-Dae;Bae, Sang-Chul;Kim, Su-Young;Chang, Sun-Hee;Chang, Woo-Ik;Kang, Seung-Hee;Lee, Sung-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.218-222
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    • 2012
  • Pulmonary artery intimal sarcoma is a rare tumor with no characteristic symptoms. It is frequently misdiagnosed as pulmonary embolism. We report a case of pulmonary artery intimal sarcoma in a 48-year-old man with dyspnea, cough and blood-tinged sputum. He was initially suspected and treated as a pulmonary embolism. Computed tomography of the chest showed filling defects occupying the entire luminal diameter of the right and left pulmonary artery as well as extraluminal extension of the intraluminal mass. Surgical resection of the tumor confirmed pulmonary artery intimal sarcoma. After surgery, he received 8 cycles of combined chemotherapy consisting of doxorubicin and ifosfamide. After 8 cycles, Computed tomography of the chest showed interval regression of the residual tumor. Radiotherapy was done as total 6,000 cGy for 5 weeks, following the 8th chemotherapy. The patient's condition was successfully stabilized with chemotherapy and radiotherapy.

Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

  • Jeon, Hong Gil;Park, Ju Hwan;Park, Hye Min;Kwon, Woon Jung;Cha, Hee Jeong;Lee, Young Jik;Park, Chang Ryul;Jegal, Yangjin;Ahn, Jong-Joon;Ra, Seung Won
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.2
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    • pp.88-92
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    • 2014
  • We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.

A Case Report of Peripheral Facial Nerve Palsy in a Patient with Spinal Stenosis Hospitalized at a Korean Medicine Hospital and Treated with Korean Medicine (한방병원에 입원한 요추관협착증을 동반한 말초성 안면신경마비 환자에 대한 한방 치료 1례)

  • Wang, Yen-min;Park, Jin-hun;Kim, So-won;Kim, Sang-yoon;Baek, Gil-geun;Yun, Sang-hun;Kang, Man-ho;Park, Sung-hwan;Lee, Hyung-chul;Lee, Jee-young
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.827-837
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    • 2022
  • Objectives: The purpose of this study is to investigate the effectiveness of using Korean medical treatment for peripheral facial nerve palsy. Methods: We primarily treated the patient's peripheral facial nerve palsy during hospitalization (06/28/21~07/13/21) without any other steroids or antiviral drug treatments and additionally treated their spinal stenosis, using Korean medical treatments in both cases (herbal medicine, acupuncture, and herbal acupuncture therapy). The House-Brackmann grading system and Yanagihara's unweighted grading system were used to assess facial symptom changes, and the Numerical Rating Scale was used to evaluate the back pain caused by the spinal stenosis. Results: Following treatment, the patient's House-Brackmann and Numerical Rating Scale scores decreased, while their Yanagihara unweighted score improved. Conclusions: This study suggests that Korean medicine may be effective in the treatment of facial nerve palsy.

Perforated Early Gastric Cancer -A case report- (진행성 위암으로 오인된 조기위암 천공 1예)

  • Lee Moon Soo;Kim Sung Yong;Oh Sang Hyun;hCae Man Kyu;Chung Il Kwon;Baek Moo Jun;Park Kyung Kyu;Kim Chang Ho;Cho Moo Sik
    • Journal of Gastric Cancer
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    • v.1 no.1
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    • pp.64-67
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    • 2001
  • An exceedingly rare case of perforated early gastric cancer is reported. A 68-year-old man developed peritonitis due to perforation of early gastric cancer. An emergency radical operation was performed and was followed by an uneventful recovery. Histologic examination of the surgical specimen showed type III early gastric cancer composed of a signet ring cell carcinoma. Five years after surgery, the patients was alive with no evidence of tumor recurrence. The rarity of this complication in early gastric cancer is discussed, and a review of the literature is presented.

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A Case Report of Schizophrenia with Acute Cerebral Infarction Treated with Guibi-tang (급성 뇌경색을 동반한 정신분열병 환자의 귀비탕(歸脾湯) 치험1례)

  • Kim, Eui-Chul;Hong, Eun-Gi;Lee, Ju-Il;Park, Young-Chul;Sun, Teh-Cheng;Kwon, Do-Ik;Park, Jun-Ha;Kim, Ju-Young;Song, Il-Heon
    • The Journal of Internal Korean Medicine
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    • v.27 no.2
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    • pp.546-553
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    • 2006
  • Schizophrenia is a disturbance condition that lasts for at least 6 months and includes at least 1 month of active-phase symptoms(i.e., two [or more] of the following : delusions, hallucinations. disorganized speech, grossly disorganized or catatonic behavior, negative symptoms) In this study, we report one case of schizophrenia with acute cerebral infarction. The patient has been diagnosed with schizophrenia more than 20 years ago, and after this recent cerebral infarction, all of her schizophrenic symptoms such as auditory hallucination, delirium, depression, insomnia were aggravated. Her schizophrenic symptoms, PANSS and NIHSS total scores were considerably reduced after oriental treatment(Guibi-tang(歸脾湯)), so we report this as a potential treatment.

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Revised Korean Cough Guidelines, 2020: Recommendations and Summary Statements

  • Joo, Hyonsoo;Moon, Ji-Yong;An, Tai Joon;Choi, Hayoung;Park, So Young;Yoo, Hongseok;Kim, Chi Young;Jeong, Ina;Kim, Joo-Hee;Koo, Hyeon-Kyoung;Rhee, Chin Kook;Lee, Sei Won;Kim, Sung Kyoung;Min, Kyung Hoon;Kim, Yee Hyung;Jang, Seung Hun;Kim, Deog Kyeom;Shin, Jong Wook;Yoon, Hyoung Kyu;Kim, Dong-Gyu;Kim, Hui Jung;Kim, Jin Woo
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.4
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    • pp.263-273
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    • 2021
  • Cough is the most common respiratory symptom that can have various causes. It is a major clinical problem that can reduce a patient's quality of life. Thus, clinical guidelines for the treatment of cough were established in 2014 by the cough guideline committee under the Korean Academy of Tuberculosis and Respiratory Diseases. From October 2018 to July 2020, cough guidelines were revised by members of the committee based on the first guidelines. The purpose of these guidelines is to help clinicians efficiently diagnose and treat patients with cough. This article highlights the recommendations and summary of the revised Korean cough guidelines. It includes a revised algorithm for the evaluation of acute, subacute, and chronic cough. For a chronic cough, upper airway cough syndrome (UACS), cough variant asthma (CVA), and gastroesophageal reflux disease (GERD) should be considered in differential diagnoses. If UACS is suspected, first-generation antihistamines and nasal decongestants can be used empirically. In cases with CVA, inhaled corticosteroids are recommended to improve cough. In patients with suspected chronic cough due to symptomatic GERD, proton pump inhibitors are recommended. Chronic bronchitis, bronchiectasis, bronchiolitis, lung cancer, aspiration, intake of angiotensin-converting enzyme inhibitor, intake of dipeptidyl peptidase-4 inhibitor, habitual cough, psychogenic cough, interstitial lung disease, environmental and occupational factors, tuberculosis, obstructive sleep apnea, peritoneal dialysis, and unexplained cough can also be considered as causes of a chronic cough. Chronic cough due to laryngeal dysfunction syndrome has been newly added to the guidelines.

A Case Report of Superior Labrum from Anterior to Posterior Tear Patient Treated with Shinbaro Pharmacopuncture and Motion Style Acupuncture Treatment (MSAT) (신바로 약침과 동작침법을 이용한 상부 관절와순 파열 환자 치험1례)

  • Kwon, Ok-Jun;Kim, Gil-Hwan;Ju, Yeong-Guk;Seo, Ji-Yeon;Song, Kwang-Chan;Ryu, Won-Hyung;Jeon, Yong-Hyun;Kim, Ju-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.185-193
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    • 2018
  • The purpose of this study is to report the improved case of superior labrum from anterior to posterior tear patient treated with Shinbaro pharmacopuncture and motion style acupuncture treatment. We used Shinbaro pharmacopucture, motion style acupuncture treatment and other korean medicine treatment for this patient. This case is measured and assessed by visual analogue scale (VAS), shoulder range of motion (ROM) and shoulder physical examination (Neer test, O'Brien test). After treatment, VAS decreased and the patient showed improvement of range of motion. Also physical examination of shoulder was improved. Shinbaro pharmacopuncture and motion style acupuncture treatment are thought to be helpful to relieve pain and recover function on shoulder joints, although further study is needed.

A Case Report of Gaegyeolseogyeong-tang Treatment of a Female Patient with a Tension Type Headache (개결서경탕(開結舒經湯)을 투여한 긴장형 두통 여성 환자 치험례 1례)

  • Lee, Yu-ra;Oh, Ju-hyun;Kong, Geon-sik;Song, Jin-young;Park, Jin-hun;Kim, So-won;Kang, Man-ho;Lee, Hyung-chul;Eom, Gook-hyun;Song, Woo-sub;Lim, Su-yeon
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.705-716
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    • 2020
  • Objective: Tension Type Headache is the most common primary headache, and the prevalence is highest among people in their thirties. The 2009 domestic headache epidemiological survey indicated a prevalence rate of 30.8% per year. The patients often complain of feeling "as if they are tightening their head or wearing a band." No other symptoms, such as nausea and vomiting, accompany the headache, and the physical and neurological findings are normal. Korean medicine treatment of tension type headache is mainly with acupuncture, not herbal medicine. In the present study, a patient with tension type headache was admitted to the Korean medicine hospital for treatment. We report on the patient's progress and the effects of the herbal treatment. Methods: The patient was treated with Gaegyeolseogyeong-tang, acupuncture, herbal acupuncture therapy, and physical therapy. We used the Korean Headache Impact Test-6 and Numeric Rating Scale to assess changes in tension type headache symptoms. Results: The patient was diagnosed with Qi-stagnation syndrome (氣滯證) and Ganyangsanghang-headache (肝陽上亢頭痛). The patient was hospitalized for 42 days and showed recovery from the tension type headache without any adverse events. Conclusion: Patients with tension type headache could be treated with Korean medicine.