• Title/Summary/Keyword: Palpation

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4 Cases of Head and Neck Philomatricoma (두경부에 발생한 모기질종(Pilomatricoma) 4예)

  • Chung Phil-Sang;Woo Seung-Houn;Lee Sang-Hun;Myong Na-Hye;Lee Sang-Joon
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.1
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    • pp.62-66
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    • 2004
  • Pilomatricoma is a benign neoplasm of the hair follicle origin which most common occur in the head and neck, particularly in the cheek and preauricular region. This neoplasm is superficially located and stony, hard consistency on palpation and sometimes shows reddish or bluish discoloration on the overlying skin. The diagnosis is confirmed by histopathologic examination. Radiologic evaluation is little diagnostic and fine needle aspiration biopsy often misdiagnose because both tissues from basaloid cell component and shadow cell component should be obtained for correct diagnosis. And Otolaryngologist should consider the possibility of philomatricoma when childhood or early adulthood persion visits with hard, supferficial mass on the parotid or cheek area. The treatment of choice is surgical excision with clear resection margin. In many instances, overlying skin excision is needed. We report 4 cases of philomatricoma arising from preauricular, cheek and posterior neck.

THE EXPERIMENTAL STUDY ON THE HEALING PROCESS AFTER THE INLAY IMPLANTATION OF TOOTHASH-PLASTER MIXTURE BLOCK (치아회분과 석고를 혼합하여 제작한 block의 inlay 매식후 치유과정에 관한 실험적 연구)

  • Kim, Yung-Kyun;Yeo, Hwan-Ho;Park, In-Soon;Jo, Jae-O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.2
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    • pp.253-260
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    • 1996
  • The purpose of this investigation was to determine the possibility of clinical use of toothash-plaster block implant material with ratio of 2 : 1 by weight. We made 1cm diameter round partial thickness defect at both sides of calvaria. Right side was implanted with block and left side was not implanted as a control site. The following results were obtained : 1. In gross examinations, the implanted site had a hardness on palpation and the margin with host bone was not identified clearly at 12 weeks after operation. But control site contained the fibrous tissue. 2. In the light microscopic examinations, most of the implanted sites were repaired by newly-formed bone at 12 weeks postoperatively. 3. At 8 weeks postoperatively, the implanted particles were divided into small granules and the amount was decreased gradually. Some remained particles were united directly with newly-formed bone. But the implanted particles still remained partly at 24 weeks postoperatively.

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A Study on the Therapeutic Effects of Occlusal Appliance on Temporomandibular Disorders (측두하악장애환자의 교합안정장치 치료효과에 관한 연구)

  • Seok-Man Kang;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.13 no.1
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    • pp.5-12
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    • 1988
  • The purpose of this study was to evaluate the therapeutic effect of occlusal stabilization splint on the clinical symptoms and the condylar movement in patients with Temporomandibular Disorders(TMD). For the study, 15 TMD patients treated with stabilization splint and followed up were selected. The age of them was from 18 to 65 years and the mean period of treatment was 2.9 months. The author examined signs and symptoms of TMD according to Dr. Friction's evaluation from and recorded the condylar paths with Denar pantronic before and after splint therapy. The obtained results were as follows : 1. On the first visit, 11 patients(73.3%) showed muscle tenderness on palpation and the frequency was lateral pterygoid, masseter, medial pterygoid, temporalis, sternocleidomastoideus in the order named. 2. Occlusal stabilization splint was more effective in pain relief(100%) than in other dysfunction improvement(85.7%) 3. The amount of maximum opening increased from 37.1㎜ to 42.2㎜, but those of protrusion and laterotrusion changed little. 4. Pan. PRI scores decreased from 32.9 to 21.8, which meant improved reproducibility of mandibular border movements, and the group with sever dysfunction category showed more decrease in score than the group with moderate or slight dysfunction category.

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A Study of Comparison of Pelvic Alignment, Hip Joint Range of Motion About 20's Female University Students' With Dysmenorrhea (여대생의 월경곤란증 정도에 따른 골반정렬과 고관절 가동범위의 비교연구)

  • Choi, Im-soon;Jang, Hyun-jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.47-52
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    • 2015
  • Background: The objective of this study was to compare dysmenorrhea with pelvic alignment, hip joint range of motion about 20's female university students. Sixty two female students participated in this study. To investigate the measure of dysmenorrhea, we used modified menstrual distress questionnaire (MMDQ) and numerric rating scale (NRS). The pelvic alignment was assessed by using the palpation meter. The active range of motion (ROM) were assessed by measuring the flexion, extension, abduction, adduction, internal rotation and external rotation. Each measurement was assessed by goniometer. The data were analyzed by calculating independent T-test. Consequently, As the increase of dysmenorrhea, we observed significantly the increase of pelvic anterior tilt in right and left pelvic (p<.05). Otherwise, as the increase of dysmenorrhea, range of motion of hip joint was significantly limited in right and left external rotation (p<.05). Thus, this study provides young female with valuable information about dysmenorrhea.

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A Solitary Neurofibroma of the Small Finger Associated with Trauma

  • Choi, Hwan Jun;Jung, Kyu Hwa;Nam, Doo Hyun
    • Archives of Reconstructive Microsurgery
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    • v.22 no.2
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    • pp.78-81
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    • 2013
  • Neurofibroma may present as a solitary lesion or as multiple lesions. Although there is no site of predilection for solitary lesions, occurrence on the hand is rare. Plexiform neurofibroma can develop in isolation or more commonly as a part of neurofibromatosis type 1. In those that apper in isolation, trauma has been suggested as a precipitating factor. A 68-year-old male farmer had experienced repetitive prior episodes of trauma in the involved finger. He presented with a painless mass on the dorsal aspect of the fifth finger. Physical examination showed a protruding mass measuring approximately $15{\times}20mm$ which was not tenderness to palpation and any skin changes or pigmentation. Ultrasonography showed a cystic mass on the dorsal aspect of the middle phalanx. Microsurgical dissection was applied in order to seperated the lesion from the ulnar side of the dorsal branch of the digital nerve. Pathologic examination of the specimens revealed neurofibroma. At three-month follow-up, motor and sensory function were intact, and range of motion was fully recovered. Traumatic solitary neurofibroma is a rare tumor of the hand, especially in the finger. Hand surgeons should be aware of the diagnostic possibilities of this tumor based on examination, history taking and imaging studies.

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Imaging Characteristics of Perosomus elumbis in a Puppy

  • Choi, Sooyoung;Lee, Byungho;Lee, Byungdon;Seo, Jiwon;Park, Hyunyoung;Kwon, Kyunghun;Lee, Youngwon;Choi, Hojung
    • Journal of Embryo Transfer
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    • v.30 no.4
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    • pp.341-344
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    • 2015
  • A 4-day-old, male Poodle dog was presented with dull, depressed and exhausted activity after the birth. On physical examination, the puppy showed arthrogryposis, muscular atrophy and no movement of hindlimbs. Palpation on dorsum revealed an absence of lumbar and sacral vertebrae. On prenatal and postnatal radiography, lumbar vertebrae, sacrum and coccygeal vertebrae were not visualized. On ultrasonography, bilateral kidney and urinary bladder were observed. On computed tomography, there were no apparent abnormalities in the forelimbs, cervical vertebrae or head, while lumbar vertebrae, sacrum and coccygeal vertebrae were not observed. At necropsy examination, the liver, stomach, intestine, kidney and urinary bladder were normal. This congenital anomaly was consistent with Perosomus elumbis. Perosomus elumbis in dogs is a rare condition of unknown etiology. In this report, Perosomus elumbis was evaluated with radiography, ultrasound and computed tomography.

Surgical Treatment of Cervical Salivary Mucocele in a Pit Bull Terrier (피쁠견에서 경추타액점액류의 외과적치료)

  • 정순욱;정월순;박수현
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.210-213
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    • 1999
  • A 15 months old male pit bull terrier was shown submandibular swelling, which was extended from left submandibular area through mandibular symphysis to right submandibular area and toward around left neck. In history taking, recurrence of swelling was recorded after conservative surgical incision, drainage and dressing. Palpation revealed no pain and heating, partial flutuation and hardness. By paracentesis, it was showed blood-tinged tenacious exudate without bad-smelling. Left submandibular salivary gland was able to be movable freely and the size decreased to half of that of right submandibular salivary gland. It was diagnosed as cervical salivary mucocele. In operation, rostral portion of left sublingual salivary gland was observed to be damaged transversely, showed black color and leaked saliva. Submandibular gland and rostral portion of sublingual salivary gland were resected, after ligation of ducts of submandibular and sublingual salivary glands. At 15 days postoperation, serosanguineous exudate from operation wound was dramatically decreased and stable granulation tissue mass at this area was first palpated. At 39 days after operation, outline of left and right mandibular was appeared normal and skin tenderness of mandibular area was equal to that of the other body wall.

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Malignant aortic body tumor in a Korean Jindo dog

  • Hwang, Du-Na;Kang, Byeong-Teck;Hur, Tai-Young;Chang, Byung-Joon;Park, Hee-Myung;Yhee, Ji-Young;Yu, Chi-Ho;Sur, Jung-Hyang
    • Korean Journal of Veterinary Research
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    • v.47 no.3
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    • pp.309-314
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    • 2007
  • A 7-year-old, intact female Korean Jindo dog was referred due to ataxia and pain on palpation of the thorax. Radiograph, echocardiography and computed tomogram revealed a mass on the heart base region and osteolytic change of fifth thoracic (T5) vertebra. At necropsy, a firm, encapsulated and round mass was seen arising from the heart base region surrounding the ascending aorta and pulmonary artery. Histopathologically, nests of cuboidal and polyhedral cells having abundantly granular and eosinophilic cytoplasm with round to oval nucleus were separated by fibrous septa. Immunohistochemistry using chromogranin A revealed that tumor cells were originated from neuroendocrine organ and metastasized into some organs including lung, spleen, liver, kidney and T5 vertebra. By electron microscopy, we found the electron-dense and membrane-bound granules in cytoplasm of the tumor cells. This study provides the uncommon evidence that aortic body tumor metastasized to both multiple organs and bone.

Management of Lateral Pterygoid Myalgia with Diagnostic Local Anesthetic Injection: A Report of 2 Cases (진단적 국소마취 주사를 이용한 가쪽날개근 근육통의 치료 2 증례)

  • Im, Yeong-Gwan;Kim, Byung-Gook
    • Journal of Oral Medicine and Pain
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    • v.35 no.4
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    • pp.275-281
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    • 2010
  • The lateral pterygoid muscle is one of the masticatory muscles basic to jaw function. Because of its deep location in the masticatory system, digital palpation of the muscle is usually difficult to perform and unreliable. Therefore, diagnosis of the myalgic disorders involving the lateral pterygoid muscle is a perplexing problem for clinicians. Local anesthetic injection can be a more effective method to examine the lateral pterygoid muscle for the purpose of discriminating the source of pain. Furthermore, immediate elimination of muscle pain facilitates stretching of the muscle in the full range. We report two cases of lateral pterygoid myalgia that were diagnosed and managed successfully through the use of intramuscular local anesthetic injection.

A Review on 'cunkou(寸口)' in Maijing(脈經) ("맥경(脈經)"중(中) '촌구(寸口)'에 대한 고찰(考察))

  • Song, Ji-Chung;Jeong, Hyun-Jong;Keum, Kyungsoo;Eom, Dong-Myung
    • Journal of Korean Medical classics
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    • v.25 no.4
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    • pp.95-103
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    • 2012
  • Objective : There are several terms on palpation such as cunkou(寸口), qikou(氣口), maikou(脈口). In traditional medicine dictionary or even WHO international standard terminologies on traditional medicine in the western pacific region, there are no discriminations about them. However, there are some differences in usages of cunkou, qikou, maikou at Maijing. Method : First, we searched usages of term, cunkou, qikou, maikou in Huangdineijing(黃帝內經) and Maijing and compared the meanings. Result : Meanings of cunkou, qikou, maikou in Huangdineijing are pair with renying(人迎) and inch-bar-cubit on wrist. Meanings of cunkou in Maijing are pair with renying, inch-bar-cubit on wrist and only inch on wrist. Meanings of qikou, maikou in Maijing are inch-bar-cubit on wrist. Conclusion : Cunkou, qikou, maikou are known as same terms. However, scholars have to be cautious when they use cunkou, qikou, maikou term and comprehend those in book.