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0°ÇÀÇ Èı⺸±â¹é³»Àå ȯÀÚ »çÁ¤ °£È£¿¡ ´ëÇØ ±â¼úÇÑ ¸®Æ÷Æ® Âü°íÀÚ·áÀÔ´Ï´Ù.
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1)date of care:
xxxx-xx-xx
2)patient initials:
th.l
3)age
69
3)growth and development
ÅëÁ¤¼ºvsÀý¸Á°¨
4)gender:
female
5)admission date:
xxxx-xx-xx
6)reason for hospitalization
³»¿ø 4ÁÖÀüºÎÅÍ respiration½Ã lt. pleuritic chest pain develop µÇ¾î ÇÑÀÇ¿ø¿¡¼ ÇѾàÀ» º¹¿ëÇÏ¿´°í febrile&chilling sensation aggravation µÇ¾î º¸°Ç¼Ò ¹æ¹®, ½ÃÇàÇÑ cxr »ó Å«º´¿ø ±ÇÀ¯¹ÞÀ½
ÀÌÈÄ 3ÁÖ µ¿¾È Áõ»óÀÌ Áö¼ÓµÇ¾î º»¿ø er¹æ¹®, ½ÃÇàÇÑ pleural effusion study»ó lymphodominant-exudate, ada mild ÇÏ°Ô »ó½Â¼Ò°ßÀ¸·Î º»¿ø plÀÔ¿øÇÏ¿© malignant effusion µî °¨º° À§ÇÏ¿© cytology ¹× cell block µî È®ÀÎÇÏ¿© ¸ðµÎ inflammationÀ¸·Î manageÇÏ¿´°í ³»¿ø ´çÀÏ malignant effusionÀÇ °¡´É¼º°ú ´Ù¸¥ ¿øÀÎ Áï, connective tissue dsµîÀ» °í·ÁÇÏ¿© thoracoscopic bx. ½ÃÇàÇϱâ À§ÇØ ÀÔ¿øÇÔ
medical dx: pleural effusion pathophysiology:
¿©Ãâ¹°(transudate): °¡½¿¸·º´º¯°ú´Â °ü°è¾øÀÌ Àü½ÅÀûÀÎ ¿äÀÎÀ¸·Î °¡½¿¸·¾× »ý¼º°ú Èí¼öÀÇ ºÒ±ÕÇüÀ¸·Î ¹ß»ýÇÏ°Ô µÇ¸ç Áï Ç÷°ü³» ±³Áú»ïÅõ¾ÐÀÌ °¨¼ÒÇϰųª Á¤¼ö¾ÐÀÌ Áõ°¡ÇÏ°Ô µÇ¸é »ïÃâÀÌ ¹ß»ýÇÑ´Ù.
»ïÃâ¹°(exudate): °¡½¿¸· ¿°Áõ¿¡ ÀÇÇÑ ´Ü¹éÁú¿¡ ´ëÇÑ ¸ð¼¼Ç÷°üÀÇ Åõ°ú¼ºÀÌ Áõ°¡Çϰųª ¶Ç´Â ¸²ÇÁ°ü º´º¯À¸·Î ¸²ÇÁ¾× È帧ÀÌ Á¦´ë·Î µÇÁö ¾ÊÀ» ¶§ »ïÃâ¾×ÀÌ °íÀδÙ.
all signs and symptoms: general ache, myalgia, febrile&chiling sensation develop. Á־߰£ »ó°ü¾øÀÌ fever ¹ß»ý
¾ß°£¿¡ cold weating. poor oral intake
7) chronic illnesses
5³âÀü ¹é³»Àå Áø´Ü.
non-smoker non-alcoholics ºóÇ÷ (ÀÌÇÏ »ý·«)
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Æ÷ÀÎÆ® : ÀÚ·á 1°Ç´ç ÃÖ´ë 5,000P Áö±Þ
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