• Title/Summary/Keyword: Radiologic examination

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Four Cases of Foreign Body in Lower Urinary Tract (하부 요로계 이물 : 4례 증례보고)

  • Yoo, Jin-Wook;Moon, Ki-Hak;Jung, Hee-Chang;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.391-396
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    • 1998
  • Foreign bodies in genitourinary tract are common and almost of them are within the bladder. These foreign bodies were inserted or applied for autoerotic, psychiatric, therapeutic, or no definite reasons by the patient. Foreign bodies(a thermometer and a piece of cloth) in the bladder were inserted as a mean of masturbation in two cases, and a cooper wire in the posterior urethra was introduced by iatrogenic causes in one case. In one case, four magnets were inserted into the bladder for the purpose of forceful penile erection. Clinical history, symptom, radiologic study, and endoscopic examination were required to diagnose foreign body. They were easily removed by endoscopic manipulation or open surgical procedure.

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Medical Approach of Work-related Musculoskeletal Diseases (근골격계 질환의 의학적 접근)

  • Hong, Jung-Yeon;Koo, Jung-Wan
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.4
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    • pp.473-478
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    • 2010
  • For the medical approaches of work-related musculoskeletal diseases, it is important to consider occupational relatedness and occupational fitness. Clinical approach includes physical examination, radiologic tests and other related tests and we should choose proper management which is suitable to workers' status for the prevention of early disease's progression and later disabilities. Also, it suggests that occupational prevention program consultation for work-related musculoskeletal diseases considering workers' variable circumstances should be done via occupational relatedness and occupational fitness.

Case Report of a Simple Rib Fracture Caused by Coughing (기침으로 초래된 단순 늑골골절 1례)

  • Choi, Woo-Ik
    • Journal of Trauma and Injury
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    • v.27 no.1
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    • pp.9-12
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    • 2014
  • Violent or severe persistent coughing is rarely associated with rib fracture. We report a rare case of a cough-induced rib fracture in a patient without any traumatic history or any other underlying disease. A 32-year-old female presented to the emergency department complaining of having had right-sided pleuritic chest pain for 5 days. She had a background of an 8-week coughing illness. A posteroanterior view of the chest radiograph showed no definite fractured line. Chest computed tomography revealed a subtle break cortical line of the 7th rib in the right-sided chest wall. Early identification of a cough-induced fracture of the rib by using computed tomography may avoid unnecessary further work-ups including laboratory examination and may lead to appropriate discharge instructions including rest and reassurance. The clinical presentations and radiologic findings of rib fractures caused by coughing are presented along with a review of the literature.

Neonatal Coagulation Disorder: Diagnostic Approaches for Bleeding Neonates (신생아 혈액 응고질환: 출혈 경향을 보이는 신생아에 대한 진단적 접근)

  • Kim, Chun-Soo
    • Neonatal Medicine
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    • v.18 no.1
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    • pp.6-13
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    • 2011
  • All newborn infants with clinically significant bleeding should be evaluated for a hemostatic deficit. Medical history should include the following data: familial bleeding disorders, maternal illness and medication, age of bleeding onset, and prophylactic administration of vitamin K. The first essential step for evaluating bleeding neonates is determining whether the baby is sick or well. The physician should also evaluate the extent of the bleeding, features of bleeding lesions, and other abnormal findings from the physical examination. Skeletal anomalies may provide diagnostic clues. Depending on the clinical features and results of screening tests, other tests including coagulation factors may be useful for determining the diagnosis. All laboratory results must be considered in the context of age-related reference values. The platelet function analyzer provides a promising alternative to bleeding time. Fibrin degradation products and D-dimers are used for screening and specially testing fibrinolytic activity, respectively. The Apt test may help to rule out factors derived from maternal blood. Radiologic imaging studies are important because asymptomatic intracranial hemorrhages are common in neonates.

A Case of Bilateral Ankylosis of Temporomandibular Joint Secondary to Ankylosing Spondylitis (강직성 척추염에서 발생한 양측 측두하악관절 강직)

  • Suh, Bong-Jik;Lee, Jeong-Yeon
    • Journal of Oral Medicine and Pain
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    • v.24 no.2
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    • pp.117-122
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    • 1999
  • The author experienced a diagnosis of bilateral ankylosis of temporomandibular joint secondary to ankylosing spondylitis based on comprehensive data obtained from (1) clinical examination and (2) radiologic findings of irregular bone formation between articular fossa of temporal bone and mandibular condyle, narrowing and partial obscuring of the temporomandibular joint space in Korean male of 30-year-old.

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Irreducible Fracture of Calcaneus due to Flexor Hallucis Longus Tendon Interposition -A Case Report- (장 족무지 굴곡건의 감입시 발생되는 비정복 종골 골절 -1예 보고-)

  • Kim, Kwang-Hui;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.271-273
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    • 2006
  • In closed calcaneus fractures, the occurrence of FHL interposition in subtalar joint is relatively rare and difficult to diagnosis preoperatively. But careful physical examination and significant radiologic findings could be useful tools to diagnosis preoperatively. This findings is shearing off a superior medial fragment made up of the sustentaculum talus connected to a significant portion of the medial wall and medial aticular surface of the posterior facet.

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Bilateral Optic Neuritis after Measles Infection (홍역 감염 후 발생한 양측성 시신경염 1례)

  • Hwang, Sung Hyun;Kim, Jong-Hyun;Oh, Jin Hee;Koh, Dae Kyun
    • Pediatric Infection and Vaccine
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    • v.11 no.2
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    • pp.192-197
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    • 2004
  • A 9-year-old boy who was confirmed measles by clinical manifestations and serum measles IgM antibody presented with bilateral visual loss 12 days after the onset of maculopapular rash. Complete ophthalmic and neurologic examinations, radiologic studies, and lumbar puncture were performed. Visual acuities were counting fingers in both eyes, with mild bilateral optic disk hyperemia and swelling noted. Neurologic examination was unremarkable, however, a magnetic resonance imaging of the brain showed high signals on basal ganglia, and periventricular white matter. The cerebrospinal fluid was devoid of white cells. Intravenous methylprednisolone and high dose immunoglobulins were administered, and clinical findings resolved completely within 6 months.

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Empyema Occurred after Completion of Antituberculous Chemotherapy (항결핵치료 종료후 발생한 농흉)

  • Yoon, Ki-Heon;Yoo, Jee-Hong;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.6
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    • pp.554-558
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    • 1992
  • A 38 years old man had been treated as a pulmonary tuberculosis by the positive result of acid fast stain of bronchial washing from the focal infiltrative lesion at left lower lobe. On radiologic examination after one year treatment, there was an aggravation of lesion at left lower lobe with moderate amount of pleural effusion at the same side. After 11 weeks, follow up chest film disclosed bilateral pleural effusion. The pleural fluid of both side was pus in gross appearance with low pH, high LDH, low glucose and high protein. Pleurodectomy was performed to remove the loculated empyema with the thickened pleura of right thorax. This pleuro-pulmonary lesion can be easily misdiagnosed as a tuberculous lesion if it is not taken into consideration as a possible diagnosis.

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A Case of Primary Leiomyosarcoma of the Lung (원발성 폐평활근육종 1예)

  • Jung, Jin-Woo;Lee, Kyu-Nam;Yoon, Kwang-Su;Yoo, Ji-Hong;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.4
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    • pp.605-609
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    • 1995
  • Primary leiomyosarcoma of the lung is very uncommon, and fewer than 50 cases now have been reported. Primary leiomyosarcoma of the lung resembles bronchogenic carcinoma in its clinical presentation and radiologic appearance. However, the former has some differences; younger onset than bronchogenic carcinoma, polypoid endobronchial growth, few positive cytologic examination of sputum and unusual lymph node metastasis. We experienced a case of primary leiomyosarcoma of the lung.

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Allergic Bronchopulmonary Aspergillosis Presenting as Recurrent Mass-like Consolidation

  • Choe, Yeong Hun
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.2
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    • pp.133-136
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    • 2015
  • Allergic bronchopulmonary aspergillosis (ABPA) is a hypersensitive disease showing various radiographic and clinical manifestations. Its clinical course has not been fully understood. Here I describe a case of a 23-year-old immunocompetent man with frequently relapsing ABPA. He was asthmatic. He visited our hospital because of a chronic cough. Laboratory examination showed eosinophilia with increased total and Aspergillus-specific IgE as well as positive skin reaction to Aspergillus fumigatus. Radiologic feature was a dense consolidation. Histology showed organizing pneumonia with eosinophilic infiltration. On the diagnosis of ABPA, he was treated with systemic steroid and itraconazole. Although treatment response was excellent, he suffered from recurrent ABPA three times thereafter in the form of fleeting mass-like consolidation.