• 제목/요약/키워드: abdominal diagnosis

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복부 망진에 관한 생리적 연구 (Study on the Diagnosis of the Abdominal Region from Physiological Viewpoint)

  • 이용철;강정수
    • 동의생리병리학회지
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    • 제18권2호
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    • pp.349-354
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    • 2004
  • It is impossible to overestimate the importance of the medical examination. The medical examination and treatment method is composed of Mang(inspection)-Moon(listening)-Moon(anammesis & question)-Jeol(pulse feeling, precussion etc.). Among these 4 methods, the Diagnosis of the Abdominal Region, which is one of the JeolJin, is regarded as the most important method along with pulse feeling. The Diagnosis of the Abdominal Region, which includes the examination of the symptoms and their changes in stomach area to understand the pathological progress of the JangFu, Meridian and Qi-Blood, has been highly emphasized in Western and Eastern Medical Science. External trouble, for instance a cold, can be detected by examining pulse, Internal trouble, for instance indigestion, by Diagnosis of the Abdominal Region. Though the Diagnosis of the Abdominal Region was the important part of the JeolJin, it was often devaluated. The Diagnosis of the Abdominal Region will also be composed of 4 kinds of method on Mang-Moon-Moon-Jeol. We thought that the first of the Abdominal Region Diagnosis is a Mangjin(inspection). So we present the new viewpoint of the abdomen of a diagnosis through emphasizing the importance of Mangjin(inspection).

소아 복부 종괴의 감별진단 (Differential diagnosis of abdominal masses in children)

  • 성기웅
    • Clinical and Experimental Pediatrics
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    • 제51권8호
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    • pp.787-791
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    • 2008
  • Enlargement of organs or other solid tissues usually presents as an abdominal mass. Often, abdominal masses in children are found by an unsuspected parent or by a physician during a routine examination. Most masses have no specific signs or symptoms. Abdominal masses in children require immediate attention. History and physical examination may provide clues to the diagnosis. Ultrasound examination is the most useful screening test in most cases and may identify the organ involved and clarify whether the mass is solid or cystic. CT may be necessary to make a more precise diagnosis, especially solid masses. MRI is occasionally is helpful for specific abnormalities.

만성 복통을 보이는 환자 어떤 순서로 접근을 해야 하나요? (Diagnostic Approaches to Chronic Abdominal Pain in Children)

  • 박재홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제14권1호
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    • pp.26-32
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    • 2011
  • Chronic abdominal pain (CAP) is a common complaint encountered in pediatric clinics and a great concern for patients and their caretakers as well as health care professionals. A constant challenge is detecting individuals with organic diseases or psychosomatic disorders from the majority of patients who have a functional disorder including functional dyspepsia, irritable bowel syndrome, functional abdominal pain, and abdominal migraine. Beginning with a detailed history and physical examination, physicians must determine a differential diagnosis of CAP by applying the symptom-based Rome III criteria to positively identify a functional disorder. These findings should then be further analyzed based on diagnostic clues and red flags that indicate the presence of specific organic diseases and/or the need for further testing. Once a functional diagnosis has been made or an organic disease is suspected, physicians can initiate an empiric therapeutic trial. Since psychological distress accompanies both organic and non-organic abdominal pain in children, a cooperative diagnostic approach involving pediatricians and psychiatrists is recommended.

퍼지관계곱 기반 급성복통과 관련된 지능형 질환 진단시스템의 설계 및 구현 (A Design and Implementation of the Intelligent Diagnosis System for Diseases associated with Acute Abdominal Pain Based on Fuzzy Relational Products)

  • 현우석
    • 정보처리학회논문지B
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    • 제10B권2호
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    • pp.197-204
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    • 2003
  • 현재까지 개발된 의료진단 시스템들은 인체 특정 질환을 염두에 두고 구체적 조건의 조합에 의존하여 진단 범주를 설정하는데 통상적으로 특정 장기에 제한되어 있어서 여러 가지 유형의 질환에 공통적으로 나타나는 중상을 진단하는 경우 조기에 정확한 진단을 내리기가 힘든 문제점을 지니고 있다. 급성복통(acute abdominal pain)은 전구 증상 없이 갑자기 복통이 발생하는 것으로 소화기 질환을 비롯한 여러 질환에서 환자들이 공통적으로 가장 흔하게 호소하는 증상으로 연관된 질환이 다양하여 의사들이 적절한 감별진단을 내리기가 쉽지 않다. 본 연구에서는 급성 복통과 연관된 질환의 감별진단 시스템으로서 기존의 DS-DAAP의 성능을 개선한 퍼지관계곱에 기반한 지능형 질환 진단시스템(IDS-DAAP)을 제안한다. 제안하는 시스템은 기존의 DS-DAAP와 비교해 볼 때 진단의 정확성을 높이면서 수행시간을 감소시켰다.

적외선 체열검사(DITI)로 복부냉증의 진단과 치료 경과를 평가한 단일 임상례 (A Clinical case study for the diagnosis and assessment of abdominal cold hypersensitivity treatment by DITI)

  • 김은경;황덕상;이창훈;이경섭
    • 대한한방체열의학회지
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    • 제7권1호
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    • pp.55-65
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    • 2009
  • Purpose: This study was performed to evaluate DITI (Digital Infrared Thermographic Imaging)'s potential for diagnosis and indicator of abdominal cold hypersensitivity treatment from the clinical case study. Methods: The patient was a 35-year-old woman who was suffered by general coldness, sweating and general pain. The patient was treated by Herb medicine, Acupuncture treatment, Moxa treatment and Physical Treatment. The progress of symptoms was evaluated by checking the change of VAS, and inspecting the DITI. We studied the statistical significance from the difference of DITI results before and after treatment by paired T-test using SPSS windows (version 12.0). Results: The general coldness, sweating and general pain of this patient have declined, especially the abdominal coldness improvement showing. As a results, the temperature of four abdominal sites(GV4,6,12,17) after treatment were statistically higher than those before treatment. With comparison of Indang, DITI difference of abdominal sites before and after treatment were statistically significant from paired T-tests. Conclusion: The results suggest that DITI can be used for the diagnosis and assessment of abdominal cold hypersensitivity treatment.

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심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구 (Study on Application of the Herbal Medicines Mentioned in ${\ulcorner}$Sanghanron${\lrcorner}$, ${\ulcorner}$GeumGweyoryak${\lrcorner}$ with Regards to the abdominal Diagnoses Impressions of Epigastric Fullness and Rigidity)

  • 최명기;김준기
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1375-1387
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    • 2006
  • Through abdominal diagnoses, deficiency and excess, and cold and heat of the eight principles for differentiating syndromes can be determined, pathogens such as fluid retention, dry stool, retention of undigested food, abdominal mass, blood stagnation, stagnation of Gi, deficiency of Kidney Yang, and, spermatorrhea can be identified, nature and stages of the symptoms can be understood and then pathogenesis analyzed. Abdominal diagnosis can be one of primary factors in deciding treatment, expecting prognosis and treatment effect, and choosing herbal prescriptions. Representative herbs for epigastric stuffiness/fullness are Radix Ginseng, Pericarpium Citri, etc; for fullness of epigastrium, Rhizoma Pinelliae, Pericarpium Citri, Rhizoma Rhei, etc.; for severely rigid epigastrium, Radix Glycyrrhizae, Radix Ginseng, etc.; for epigastric pain, Rhizoma Pinelliae, Pericarpium Citri, etc.; for epigastric fullness and rigidity, Rhizoma Coptidis, Radix Ginseng, etc.; for feeling of obstruction in the epigastirum, Radix Bupleuri, Radix Ginseng, etc.; for palpitation in the epigastrium, Radix Glycyrrhizae, Ramulus Cinnamomi, etc. It is essential to rightly diagnose through comprehensive analysis of the data gained by the four methods of diagnosis, and in doing this, further studies on how to utilize abdomen diagnosis for clinical practice.

동의수세보원(東醫壽世保元) 경험방에 근거한 사상체질별 복진의 문헌연구 (Overview on the Sasang Constitutional Abdominal Examination based on Experienced Prescriptions in the Donguisusebowon)

  • 이재철;김상혁
    • 동의생리병리학회지
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    • 제26권2호
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    • pp.141-146
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    • 2012
  • Researches of Sasang Consitutional Medicine(SCM) have been conducted in many ways, especially for objective diagnosis methods of SCM. Despite of these efforts, relationship between SCM and abdominal examination is rarely known. Therefore 7 books related to abdominal examination and arranged specific abdominal examination descriptions in each books based on Experienced prescriptions(經驗方) of Donguisusebowon(東醫壽世保元) or Longevity and Life Preservation in Eastern Medicine were collected. In result, So-eumin and So-yangin show opposite descriptions to each others in abdominal examination. So-eumin has stuffiness and rigidity below heart, lower abdominal fullness and cramp. In contrast, So-yangin has fullness in the chest and hypochondrium, chest bind, lower abdominal numbness and lower tension. Strong abdominal surface tension could be palpated in Taeum-in's abdominal examination. Advantages of Abdominal Examination are notified recently, thanks to easiness of performing, objectiveness and well-adaptation to Theory of Traditional Eastern Medicine. These advantages could contribute to researching diagnosis of SCM with theory consensus of SCM specialists and practical trials.

소아에서 급성 복증으로 오진될 수 있는 복성 간질 (Abdominal Epilepsy Misdiagnosed as Acute Surgical Condition in Childhood)

  • 심우신;정풍만
    • Advances in pediatric surgery
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    • 제1권2호
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    • pp.170-176
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    • 1995
  • 저자들은 발작적인 복통 혹은 주기적인 구토를 주소로 내원한 8~11세의 소아 4명에서 임상 및 뇌파 소견을 종합하여 '복성간질'로 진단하고 항경련제로 치료하여 증상이 호전되어 문헌고찰과 함께 보고한다. 소아에서 원인을 알 수 없는 발작적인 복통 혹은 구토가 계속될 때 복성 간질을 고려하여 뇌파 검사를 시행하고 항경련제의 투여를 고려해야 할 것으로 사료된다.

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Initial Diagnosis of Functional Gastrointestinal Disorders in Children Increases a Chance for Resolution of Symptoms

  • Trivic, Ivana;Hojsak, Iva
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권4호
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    • pp.264-270
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    • 2018
  • Purpose: The aim of this study was to describe functional gastrointestinal disorders (FGID) presented in a tertiary medical center, characteristics of patients and results of the diagnostic work-up together with an outcome during the follow up. Methods: This was a retrospective, single center, observational study including all patients who were diagnosed with FGID based on Rome III criteria from January to December 2015 in tertiary medical center. Results: Overall 294 children were included (mean age, 8.9 years [range, 1-18 years]; 165 females). Majority had functional constipation (35.4%), followed by functional abdominal pain (30.6%), irritable bowel syndrome (17.0%), functional dyspepsia (12.6%), functional nausea (3.4%) and abdominal migraine (1.0%). Regression model found that only significant factor associated with improvement of symptoms is the establishment of the functional diagnosis at the first visit (hazard ratio, 2.163; 95% confidence inverval, 1.029-4.544). There was no association between improvement of symptoms and presence of alarm signs/symptoms (weight loss, nocturnal symptoms and severe vomiting) at diagnosis. Furthermore, in pain symptoms (functional abdominal pain, irritable bowel syndrome, dyspepsia) no treatment positively correlated with pain improvement. Conclusion: Regardless of the initial diagnosis of FGID, positive diagnosis at the first visit increases a chance for resolution of symptoms.

복진(腹診)에 대한 국내 연구동향 분석 및 연구방향 제안 (Review of Research Topics on Abdominal Examination)

  • 김지혜;박정환;김근호
    • 대한한의학회지
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    • 제37권3호
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    • pp.1-12
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    • 2016
  • Objectives: The abdominal examination is a diagnosis method for determining a morbid condition of the chest and abdomen by touching and pressing. This study reviewed research trends concerning the abdominal examination and suggested of future research directions for quantification of abdominal examination. Methods: A systematic literature search was carried out for relevant articles published between 2000 and 2016 in five databases such as Korean studies Information Service System(KISS), Oriental Medicine Advanced Searching Integrated System(OASIS), DataBase Periodical Information Academic (DBpia), National Digital Science Library and PubMed based on the Keywords 'abdominal examination'. Results: 128 articles were collected for analysis. Overview on the abdominal examination based on selected 17 articles. Then selected articles have been reclassified by diseases of clinical research and parameters for diagnosis of abdominal examination. Conclusions: Taken together, instrument for quantitative evaluation of abdomen characteristic fit to the traditional Korean Medicine have not yet developed. It is suggested that in order to dominate the market about abdominal examination in advance, more concern should be paid to establishing appropriate development of quantitative criteria and instrument. This review will help researcher to systematically understand and to develop Korean medical device as globally competitive device.