| 영문 | tuberculosis | 한글 | 결핵 |
|---|---|---|---|
| 설명 | 결핵균에 의한 사람이나 동물의 감염으로서, 결절형성과 조직의 치즈괴사(caseation necrosis)가 특징이다. 주된 원인균은 Mycobacterium tuberculosis, M. bovis, M. avium, M. kansasii와 기타 분류되지 않은 비전형의 미코박테륨도 원인균이 된다. 전형적인 질병과는 임상적으로도 형태학적으로도 구별할 수 없는 비정형감염은, 사람에서 사람으로 직접 감염을 일으키는 것으로 생각되지 않는다. 결핵증은 그 증상의 발현에 있어 대단히 다양하며 만성화되기 쉽다. 모든 장기에 감염이 일어나지만, 사람에 있어서는 주로 폐가 침범되며, 그곳으로부터 혈관과 림프관을 통해 다른 장기에 감염된다. 증상은 오후의 미열과 수면중의 가벼운 식은 땀 등과 함께 침범된 장기의 기능 저하에 따른 증상이 동반된다. 치료는 항결핵제의 장기간, 집중적인 투여이며 필요에 따라서는 수술을 하기도 한다. |
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| 영문 | Mycobacterium tuberculosis | 한글 | 결핵균 |
|---|---|---|---|
| 설명 | 미코박테륨속의 사람 결핵을 일으키는 균이다. 1882년 코흐(Koch)에 의해 발견되었다. 그램양성 산소성 막대균이며 0.3~0.6×2~4μm, 무아포, 항산성이다. 항산, 항알칼리, 항알코올, 소독제에 저항한다. 저항력과 번식력이 강하여 전염성이 높으나 건조, 열, 햇빛에는 약하다. 세포벽에는 다량의 지방질이 포함되어 있다. 니아신검사는 사람형 결핵균만 양성이며 이것은 감별에 도움이 된다. 감염은 비말감염이고 폐결핵이 많지만 혈행 속에 들어가면 모든 장기에 결핵을 일으킨다. 특유한 결핵결절을 형성한다. 결핵의 진단에는 트베르쿨린 반응이 사용되며 예방에는 비씨지(BCG) 접종이 실시된다. 면역은 세포성 면역이며 큰포식세포의 활성화로 인해 균의 증식이 억제된다. |
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| AFP | Alpha(α) Feto-Protein [HP 1826, 1858, 1859, 2265] ; Oncofetal Antigens &nbs... |
|---|---|
| IDA | 1) Imino-Diacetic Acid 2) Iron Deficiency Anemia &nb... |
| ASGE | American Society for Gastrointestinal Endoscopy |
| AUGH | acute upper gastrointestinal hemorrhage |
| GE | gastric empyting; gastroemotional; gastroenteritis; gastroenterology; gastroenterostomy; gastroesoph... |
| M. tuberculosis | Mycobacterium tuberculosis |
|---|---|
| GITS | GASTROINTESTINAL THERAPEUTIC SYSTEM |
| Gl | Gastrointestinal |
| GANT | Gastrointestinal autonomic nerve tumor |
| GIB | Gastrointestinal Bleeding |
| tuberculosis: gastrointestinal manifestations | <radiology> Ileocaecal area, most common site (80-90%), Stierlin sign, Fleischner sign, thickened ileocaecal valve, fissures, ulcers, sinus tracts, fistulas, perforation, colon, segmental involvement; especially on right side, ulcerating colitis with pseudopolyps, hourglass stricture, wall thickening, gastroduodenal area, simultaneous involvement of pylorus and duodenum, stenotic pylorus with gastric outlet obstruction, narrowed antrum (linitis plastica appearance), ulcers, thickened folds, antral fistula, oesophagus, least common site, ulcers, stricture, mass, sinus tracts (12 Dec 1998) |
|---|
| amyloidosis: gastrointestinal manifestations | <radiology> Oesophagus, loss of peristalsis, megaesophagus, stomach, small and rigid (simulate linitis plastica), effaced rugal pattern, diminished/absent peristalsis, may be localised to antrum, amyloidoma: well defined submucosal mass, small bowel, diffuse form (more common), diffuse, uniform thickening of valvulae conniventes, broadened flat undulated mucosal folds (mucosal atrophy), jejunalization of ileum, impaired motility, small bowel dilatation, localised form: multiple small deposits; associated with pseudoobstruction, colon, psudopolyps (12 Dec 1998) |
|---|---|
| tuberculosis, gastrointestinal | Gastric and/or enteric tuberculosis. This condition is marked by spreading ulcers and diarrhoea. (12 Dec 1998) |
| amyloidosis: bone manifestations | <radiology> Joint pain without radiographic findings, osteoporosis, especially in axial skeleton, lytic lesions that destroy cortex and invade soft tissue, wrist, scaphoid and lunate lesions that may extend into the carpal tunnel, inducing the classic complaints of carpal tunnel syndrome amyloid arthropathy Differential diagnosis: pigmented villonodular synovitis, synovial chondromatosis, rheumatoid arthritis, TB (12 Dec 1998) |
| rheumatoid arthritis: joint manifestations | <radiology> Early signs: fusiform periarticular soft tissue swelling (result of effusion), regional osteoporosis (disuse and local hyperaemia), widened joint space, marginal and central bone erosion (base of 4th proximal phalanx most common), change in ulnar styloid and distal radioulnar joint, atlantoaxial dislocation, giant synovial cysts late signs: flexion/extension contractures with ulnar subluxation/dislocation, destruction/fusion of joints, elevation of humeral heads (tear/atrophy of rotator cuff), resorption of distal clavicle, erosion of superior margins of posterior portions of 3-5th ribs, destruction/narrowing of disc spaces, destruction of zygapophyseal joints without osteophyte formation, resorption of spinous process, protrusio acetabuli (from osteoporosis) (12 Dec 1998) |
| crohn disease: extraintestinal manifestations | <radiology> Fatty liver, gallstones (28-34%), risk 3-5X higher than expected, secondary to malabsorption of bile salts in terminal ileum, correlation with length of diseased ileum and duration of disease, sclerosing cholangitis, bile duct carcinoma, amyloidosis, urolithiasis: oxalate/uric acid stones, migratory arthritis (5-20%), sacroilitis, ankylosing spondylitis, erythema nodosum, uveitis see: Crohn disease (12 Dec 1998) |
| sickle cell anaemia: bone manifestations | <radiology> 8-13% of blacks carry sickling factor, symptoms: chronic ulcers, pain crises, many infections, priapism X-ray findings: deossification due to marrow hyperplasia, decreased bone density in skull with widened diploe, H-shaped vertebrae or fish vertebrae, rib notching, thrombosis and infarction, avascular necrosis, especially femoral head, periosteal treatmentn (bone within bone), secondary osteomyelitis, Staph. Aureus greater than Salmonella, dactylitis = hand foot syndrome, growth effects, bone shortening secondary to diminished blood supply, death less than 40y (12 Dec 1998) |
| skin manifestations | Dermatologic disorders attendant upon non-dermatologic disease or injury. (12 Dec 1998) |
| skin manifestations of GI disease | <radiology> Pancreatic carcinoma . . . . . . . . Thrombophlebitis migrans, glucagonoma . . . . . . . . . Migratory necrolytic erythema, IBD . . . . . . . . . . . . . . . Pyoderma gangrenosum, sprue / coeliac disease. . . . Dermatitis herpetiformis, Whipple disease . . . . . . . Pigmentation, primary biliary cirrhosis . . . . Exanthemasma, hepatic cirrhosis . . . . . . . . Spider angiomata (12 Dec 1998) |
| neurologic manifestations | Neurologic disorders attendant upon non-neurologic disease or injury. (12 Dec 1998) |
| oral manifestations | Disorders of the mouth attendant upon non-oral disease or injury. (12 Dec 1998) |
| eye manifestations | Ocular disorders attendant upon non-ocular disease or injury. (12 Dec 1998) |
| ulcerative colitis: extracolonic manifestations | <radiology> Iritis, erythema nodosum, pyoderma gangrenosum, pericholangitis, chronic active hepatitis, primary sclerosing cholangitis, fatty liver, spondylitis, peripheral arthritis, coincidental rheumatoid arthritis, thrombotic complications see: ulcerative colitis (12 Dec 1998) |
| gastrointestinal | <anatomy> Pertaining to or communicating with the stomach and intestine, as a gastrointestinal fistula. (18 Nov 1997) |
| gastrointestinal agents | Drugs used for their effects on the gastrointestinal system, as to control gastric acidity, regulate gastrointestinal motility and water flow, and improve digestion. (12 Dec 1998) |
| gastrointestinal bleeding | <gastroenterology> This describes any bleeding that may occur along the course of the gastrointestinal tract. This includes bleeding from the oesophagus, stomach, duodenum, small intestine, large intestine, rectum or anus. (12 Jan 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|