¼±Åà - È­»ìǥŰ/¿£ÅÍŰ ´Ý±â - ESC

 
"acute catarrhal tonsillitis"¿¡ ´ëÇÑ ¼¼ºÎ °Ë»ö °á°úÀÔ´Ï´Ù
The Root of Ambulatory Care(¿Ü·¡ Áø·á Áöħ¼­) ¼­Àû ³»ºÎ °Ë»ö
The Root of Ambulatory Care(¿Ü·¡ Áø·á Áöħ¼­), ÀÌÁø¿ì, ±ºÀÚÃâÆÇ»ç Á¦¸ñ °Ë»ö : 4 ÆäÀÌÁö: 1
The Root of Ambulatory Care(¿Ü·¡ Áø·á Áöħ¼­), ÀÌÁø¿ì, ±ºÀÚÃâÆÇ»ç ³»¿ë °Ë»ö °á°ú : 20 ÆäÀÌÁö: 1
  • Sore throat (¸ñ¾ÎÀÌ, ÀÎÈÄÅë) ..More common in childhood, adolescence and young adulthood. Infectious (common) i. Viral : most common-all ages, all seasons but more prevalent during winter ii. Bacterial : most important-group A ¥â-hemolytic strept...
     
  • Ear pain-Otalgia (±Í¾ÎÀÌ, ±ÍÅëÁõ, ±Í¾ÆÇÄ) malocclusion ( >50%) ParaNasal Sinusitis Tonsillitis & pharyngitis (most common cause in the children) Thyroiditis (acute) ..Trigeminal neuralgia, glossopharyngeal neuralgiaµîÀº ½Å°æ ÀÚüÀÇ °ú¹Î¼º¿¡ ÀÇ ÇØ otalgia¸¦ À¯¹ßÇÒ ¼ö ÀÖ´Ù. ..¸¸¾à ÀÌÅëÀÇ ¿øÀÎÀ» ±Í¿¡¼­ ãÁö ¸øÇÑ´Ù¸é ±¸°­...
     
  • Abdominal pain (±Þ°æ·Ãº¹Åë) ia 1 Right iliac fossa tenderness 2 Fever > 37.3¡É 1 Rebound tenderness in right iliac fossa 1 Leukocytosis > 10,000/mm3 2 Neutrophilic shift to the left > 75% 1 Total score 10 ¢º Score < 4 : no appendicitis ¢º Score 5~6 : compatible with a...
     
  • Acute urinary tract infection in adults (Acute cystitis, pyelonephritis) (¼ºÀο¡¼­ ±Þ¼º ¿ä·Î °¨¿°-±Þ¼º ¹æ±¤¿°, ±ò¶§±âÄáÆÏ¿°, ½Å¿ì½Å¿°) i. Azotemia viii. Ileal loop ix. Immunosuppression x. Diabetes mellitus Acute urinary tract infection in adults (Acute cystitis, pyelonephritis) 471 The Root of ambulatory care xi. Pregnancy xii. Nosocomial infection ¢º ÃÊÀ½ÆÄ/¿ä·ÎÁ¶¿µ¼ú/CT ...
     
  • Acute gastroenteritis£­Acute diarrhea (±Þ¼º À§Àå¿° - ±Þ¼º ¼³»ç) ÇÏ·ç 3ȸ) ..Clinically, defined as the passage of more than three abnormally loose stool per 24hrs Acute diarrhea : 7~14ÀÏ ÀÌÇÏ ¢º °¨¿°¼º ȤÀº ¾àÁ¦³ª µ¶¼Ò°¡ ÁÖ¿øÀÎ : ±Þ¼º ¼³»çÀÇ 90% ÀÌ»óÀÌ °¨¿°¼º ¿øÀÎ (¹ÙÀÌ·¯½º 50~70%, ¼¼±Õ 15~20%, ±â»ýÃæ) ¢º ±âŸ ¿øÀÎ : ¾àÁ¦ (laxatives, antacids, digital...
     
  • Contents (³»¿ë) jection 114 Stomatitis 116 Tinnitus 120 4Àå Gastrointestinal diseases 123 Abdominal pain 124 Acute gastroenteritis£­Acute diarrhea 128 Chronic Liver Disease 134 Constipation 140 Dyspepsia 144 Gastritis 148 ¢¿ ½¬¾î°¡±â¢¿ Ignaz Semmelweis 153 G...
     
  • Gout (Åëdz) mptomatic hyperuricemia ii. Acute gouty arthritis : attacks are often sudden, occurring at night in a lower extremity joint. Maximal severity of the attack is usually reached over several hours and complete resolution of the earliest attacks ...
     
  • Acute bronchitis (±Þ¼º ±â°üÁö¿°) Acute infectious bronchitis Caused by Virus : 90% (rhinovirus, coronavirus, influenza virus, adenovirus, respiratory syncytial virus, parainfluenza virus etc) Caused by Bacteria : 10% (mycoplasma pneumoniae, chlamy...
     
  • Chest pain (°¡½¿ÅëÁõ, ÈäÅë) ..ÈäÅëÀº ÀϽÃÀûÀÌ°í °¡º­¿î ÁúȯÀÇ Áõ»óÀÏ ¼öµµ ÀÖÁö¸¸, acute myocardial infarctionÀ̳ª aortic dissectionó·³ Áï°¢ÀûÀÎ Ä¡·á°¡ ÇÊ¿äÇÑ ½É°¢ÇÑ º´ÀÏ ¼öµµ ÀÖ´Ù. ÇÏÁö¸¸ °¡Á¤ÀÇÇÐ ¿Ü·¡¸¦ ã´Â ´ëºÎºÐÀÇ È¯ÀÚ´Â acute myocardial infarction °°Àº ½É°¢ÇÑ ÁúȯÀº µå¹°´Ù. Common causes of chest pain £­ Musculoskeletal origin : Èä°û¿°ÁÂ, ...
     
  • Paranasal Sinusitis (ÄÚ°ç±¼¿°, ºÎºñµ¿¿°) isms - Acute sinusitis Streptococcus pneumoniae, Hemophilus influenza ¡æ µÎ ±ÕÁÖ°¡ ÀüüÀÇ 70% Â÷Áö - Chronic sinusitis Anaerobic organism ¡æ ÀüüÀÇ 50% ÀÌ»óÀ» Â÷Áö Paranasal Sinusitis Frontal sinus Iacrimal sac Naso-Lacrimal duct Maxillany sinus Nasal pa...
     
  • Gastritis (À§¿°) ..Acute gastritis i. Acute H.pylori infection ii. Other acute infectious gastritides (bacterial, viral, parasitic, fungal) ..Chronic atrophic gastritis i. Type A: less common than type B body-predominant, autoimmune (Ab to parietal cell an...
     
  • Knee pain (¹«¸­ ÅëÁõ) ÁõÀº ÀÏÂ÷ÀÇ·á Àǻ簡 ÈçÈ÷ Á¢ÇÏ´Â ¹®Á¦À̸ç, ÁÖÀÇ ±íÀº º´·Â ûÃë, ÀÚ¼¼ÇÑ ÁøÂû·Î ¿øÀÎÀ» Áø´ÜÇÒ ¼ö ÀÖ´Â °æ¿ì°¡ ¸¹´Ù. ..Acute Knee pain -Traumatic - Medial collateral ligament sprain (most common) - Anterior cruciate ligament sprain - Medial meniscus tear - Subluxed or dislocated patella ...
     
  • Neck pain (°æºÎÅë) is) : Individuals > 50years, history of OA (osteophytes), limited motion or morning stiffness - Acute neck sprain : paravertebral discomfort relieved with rest and aggravated with activity - Cervical radiculopathy : due to herniated nucleus...
     
  • Dizziness (¾îÁö·³Áõ, Çö±âÁõ) ation spinning or faint feeling loss of balance floating sensation. whirling on walking May be episodic Typically Usually present, Usually present all Temporal or continuous episodes last although it may or most of the time characteristics s...
     
  • Prostatitis (Àü¸³»ù¿°) stics Collaborative Network) 1 : Acute prostatitis (uncommon) Àü¸³¼±ÀÇ ±Þ¼º¿°Áõ 2 : Chronic bacterial prostatitis Àç¹ß¼º ¿äµµ¿°°ú ¸¸¼º Àü¸³¼±¿° 3A : Chronic nonbacterial prostatitis °ñ¹Ý ºÎÀ§ÀÇ µ¿ÅëÀ̳ª ºÒÆí°¨Àº ÀÖÀ¸³ª /Chronic pelvic pain ÀϹÝÀûÀÎ ¹è¾ç°Ë»ç¿¡¼­´Â °¨¿°ÀÌ ÀǽɵÇÁö ¾ÊÀ¸³ª, syndrome-...
     
  • Otitis Media (ÁßÀÌ¿°, °¡¿îµ¥±Í¿°) ..Acute Otitis Media (AOM) Otitis Media with Effusion(OME) Chronic Otitis Media(COM) - »óÈ£ ¿¬°ü¼ºÀ» °¡Áö°í ÀÖÀ¸¸ç AOMÀÌ OMEÀ¸·Î ÁøÇàÇÒ ¼ö ÀÖÀ¸¸ç ÀûÀýÇÏ°Ô Ä¡·áÇÏÁö ¾ÊÀ¸¸é COMÀÌ µÇ±âµµ ÇÑ´Ù. ..OMEÀÇ 2/3´Â bilateralÀ̸ç pneumatic otoscopyÀ¸·Î º¸¸é dull and poorly mobile tympanic membran...
     
  • Gastrointestinal bleeding (À§Àå°üÃâÇ÷) : Acute Upper Gastrointestinal Bleeding, in Saunders Manual of Medical Practice, 2nd ed, Robert E. Rakel(ed). Philadelphia, Saunders, 2000, P 400-403 Arthur H. Herold : Rectal Bleeding,in Saunders Manual of Medical Practice, 2nd ed,Robert E. ...
     
  • Hepatitis type B (BÇü °£¿°) sence of anti-HBc ¡¾ anti-HBs - HBsAg (-) - Undetectable serum HBV DNA - Normal ALT levels ..Natural history of hepatitis B ¢º Perinatal/childhood acute infection - 10~70% : recovery - 30~90% : chronic infection (may be cirrhosis, HCC) ¢º ...
     
  • Hepatitis type C (CÇü °£¿°) -ÁÖ»ç, ¼º±³, ¹®½Å)°¡ ÈçÇÏ¸ç ¾à Àý¹Ý¿¡ ¼­´Â °¨¿° °æ·Î°¡ ºÒÈ®½ÇÇÏ´Ù. ..Natural history of hepatitis C - Acute infection 20% : recovery - Acute infection 80% : persistent ñé ¡æ 30% : stable chronic hepatitis ¡æ 40% : variable progression ¡æ 30% : severe progression to li...
     
  • Peripheral neuropathy (¸»ÃʽŰ溴Áõ) quadriparesis in the Western World. An antecedent infection triggers the patient¡¯s immune response, which is subsequently misdirected at peripheral nerve.(most common pathogen : Campylobacter jejuni). The clinical course of GBS is characteri...
     
ÅëÇÕ°Ë»ö ¿Ï·á