1.Early Diagnosis of Acute Appendicitis by Use of Ultrasonography in Emergency Department.
Byoung Youn OH ; Kyoung Soo LIM ; Young Ju LEE ; Won KIM ; Ok Kyoung CHOI
Journal of the Korean Society of Emergency Medicine 1998;9(4):586-594
BACKGROUND: In the most of emergency department, the diagnosis of appendicitis has been carried by clinical history, physical examination and plain X-ray. But the diagnostic accuracy by these methods was so low that unnecessary operation was common performed, and sometimes the operation was delayed till the physicians could confirm the acute appendicitis clinically. Although many kinds of diagnostic tools such as CT scan, laparoscope, and etc, we believe that ultrasonography(US) would be a quick and sensitive diagnostic method for the evaluation of acute appendicitis in the Emergency Department. METHODS: Forty-seven patients who were clinically suspected as acute appendicitis were evaluated with the grayscaled US by emergency physician. The probe of US was placed on maximal tender point of abdomen, and the appendix image was evaluated while probe was pressed deeply and gentry. When the blind loop was fecund at maximal tender point of abdomen, we evaluated the diameter of appendix, the presence of compressibility, peri-aspen-diceal fluid collection and other mass effect. As soon as the ultrasonographic evidences of the appendicitis were noticed, the operations were done and pathologic report were reviewed later. RESULTS: Among the forty-seven patients, forty patients were diagnosed as a appendicitis by US, and most common ultrasonic findings were as follows; 1) non-compressible blind loop larger than 5 mm in diameter, 2) wall thickening more than 3 mm, 3) peri-appendiceal fluid collection, 4) periappendiceal mass. Among remaining 7 patients in whom we could not get any positive findings of appendicitis, abdominal CT scan was carried in 2 cases who had direct and rebound tenderness on right lower abdomen, and CT scan showed the evidences of the appendicitis. The other 5 cases without rebound tenderness were observed far 2 hours, and abdominal pain was disappeared lately. Finally forty-two patients were operated and confirmed as acute appendicitis by pathologic reports; 24 were reported as suppurative appendicitis, and 12 cases of gangrenous appendicitis, 3 cases of perforated appendicitis, and 3 cases were peri-appendiceal abscess. The specificity of US in the diagnosis of acute appendicitis was 71.4%, and the sensitivity was 95.2%. CONCLUSIONS : In some patients suspected appendicitis, emergency physicians could diagnosis acute appendicitis accurately and rapidly by use of ultrasonography. Although the US was an actuate imaging modality to diagnosis acute appendicitis and evaluate its complications, we recommend a laparotomy or abdominal Cf scan in the patients with negative US findings in spite of presence of peritoneal irritation signs such as rebound tenderness and/or muscle guarding on right lower abdomen.
Abdomen
;
Abdominal Pain
;
Abscess
;
Appendicitis*
;
Appendix
;
Diagnosis
;
Early Diagnosis*
;
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Laparoscopes
;
Laparotomy
;
Physical Examination
;
Sensitivity and Specificity
;
Tomography, X-Ray Computed
;
Ultrasonics
;
Ultrasonography*
2.Basolaterial Secretion of CXC Chemokines by Human Intestinal Epithelial Cells in Response to Bacteroides fragilis Enterotoxin Via NF-kB Pathway.
Jung Mogg KIM ; Yu Kyoung OH ; Young Jeon KIM ; Hee Bok OH ; Yang Ja CHO
Journal of the Korean Society for Microbiology 2000;35(5):350-350
No Abstract Available.
Bacteroides fragilis*
;
Bacteroides*
;
Chemokines, CXC*
;
Enterotoxins*
;
Epithelial Cells*
;
Humans*
;
NF-kappa B*
3.Basolaterial Secretion of CXC Chemokines by Human Intestinal Epithelial Cells in Response to Bacteroides fragilis Enterotoxin Via NF-kB Pathway.
Jung Mogg KIM ; Yu Kyoung OH ; Young Jeon KIM ; Hee Bok OH ; Yang Ja CHO
Journal of the Korean Society for Microbiology 2000;35(5):350-350
No Abstract Available.
Bacteroides fragilis*
;
Bacteroides*
;
Chemokines, CXC*
;
Enterotoxins*
;
Epithelial Cells*
;
Humans*
;
NF-kappa B*
4.Inflammatory Reaction in Intestinal Mucosa by Bacteroides fragilis Enterotoxin Stimulation: Regulation of Chemokine Gene Expression in Human Intestinal Epithelial Cells.
Jung Mogg KIM ; Soo Jin CHO ; Yu Kyoung OH ; Hee Bok OH ; Yang Ja CHO
Journal of Bacteriology and Virology 2001;31(2):113-121
No abstract available.
Bacteroides fragilis*
;
Bacteroides*
;
Enterotoxins*
;
Epithelial Cells*
;
Gene Expression*
;
Humans*
;
Intestinal Mucosa*
5.CT diagnosis of primary lung cancer coexisting with pulmonary tuberculosis.
Sun Joo KIM ; Young Sook KIM ; Jae Hee OH ; Eun Kyoung KIM ; Young Chul KIM
Journal of the Korean Radiological Society 1992;28(1):95-100
When bronchogenic carcinoma is coexisting with pulmonary tuberculosis, it is difficult to differentiate bronchogenic carcinoma from pulmonary tuberculosis radiologically. Thus, the object of this study is to define differential diagnosis of bronchogenic carcinoma by computed tomography. We analized CT scans of 27 patients with radiologic findings of pulmonary tuberculosis and mass of which twelve cases were pulmonary tuberculosis and fifteen cases were primary lung cancer. The location of parenchymal infiltration and the mass was the same in 60%(9/15) of the primary lung cancer in cases and 83%(10/12) of the pulmonary tuberculosis cases. The common location of the mass was the both upper lobes in 92%(11/12) of the pulmonary tuberculosis cases and 53%(8/15) of the primary lung cancer cases. The common locations of the mediastinal lymphadenopathy were 4R, 2R of the pulmonary tuberculosis cases and 4R, 10R of the primary lung cancer cases. In the feature of post enhanced lymph nodes, homogenous increased density was more frequent in primary lung cancer. Measurements of the maximum thickness part of the cavity wall was not a reliable indication of malignancy.
Carcinoma, Bronchogenic
;
Diagnosis*
;
Diagnosis, Differential
;
Humans
;
Lung Neoplasms*
;
Lung*
;
Lymph Nodes
;
Lymphatic Diseases
;
Tomography, X-Ray Computed
;
Tuberculosis, Pulmonary*
6.The superiority of Mulliken's Method in the Unilateral cleft Lip surgery.
Seok Kwun KIM ; Si Hyun PARK ; Kyoung OH ; Huyn Su KIM ; Jeong Tae KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(6):1112-1118
The goal of cleft lip surgery is to reconstruct normal shape of the lip. To acomplish this goal, various operative method were contrived and concept of the method decided the shape of reconstructed lips. According to the operative result, some operative methods were disappeared or have been developed with a little modifiation. Traditional Millard's rotation-advancement method for unilateral cleft lip patients is largely accepted and developed as proper method for acquiring these functional and anatomic purposes. As a trial for this development, Mulliken add some modifications. He uses exaggerated high rotation incision and it lengthens into midcolumella without backcut. Also he dosen't steal from alar base or lateral lip for vertical height. C-flap is used to lengthen the affected columella and upper lip. The isolated orbicularis oris muscle is coaptated each other for more functional result. With supraperichondral dissection of alar cartilage and transpositioning of caudal septum, he performs synchronous repair of cleft lips, nose and sometimes alveolus. It is still debated when is most suitable age for surgical correction of nasal deformity of cleft lip patients. Done at the time of primary lip repair, there are both some apprehension and inducement. The former are based on technical difficulties due to shortage and fragility of neonatal tissue and possibility of progressive deformities with growing because of iatrogenic injuries to the alar cartilages. But te latter is rationalized because early reposition of deformed nasal cartilage in proper position would induce more natural growth of nasal structures. Some long-term follow up reports reveal the early operation innocent of any growth deterioration. Mulliken treats his cleft lip patient for separated lip and nasal deformities with single operation, and does gingiovoperiosteal alveoloplasty at the same time if necessary. He uses Latham appliance from 4 to 6 week after birth in case of severly collapsed lateral alveolar segment or wide alvolar gap, and perform the definitive opertation at the age of 4 to 6 months. I use lip adhension method to correct more than 10 mm alveolar gap without severe collapse of lateral alveolar segment, but if lateral segment was severely collapsed and away from alvolar arch, I apply the Latham appliance somewhat modificate from original type, which has a metal ring fastened at the front limb of appliance for rubber banding to coaptate easily. I have experienced repair of cleft lip by Mulliken's concept with some modification of my own to 44 cases of unilateral cleft lip patients and conclude that it was very flexible method. Doing with synchonous repair of cleft lip nose, we could get harmonious lip and nose with symmetric nostril sill, cupid's bow and red line. Columella was lengthened primarily. Normal growth of nose was anticipated by anatomic repositioning of alar septal cartilage.
Alveoloplasty
;
Cartilage
;
Cleft Lip*
;
Congenital Abnormalities
;
Extremities
;
Follow-Up Studies
;
Humans
;
Lip
;
Nasal Cartilages
;
Nose
;
Parturition
;
Rubber
7.Lumbar Spinal Instability and Its Radiologic Findings.
Kyoung Hoon YANG ; Nam Kyu KIM ; Young Soo KIM ; Yong KO ; Seong Hoon OH ; Suck Jun OH ; Kwang Myung KIM
Journal of Korean Neurosurgical Society 2000;29(1):78-86
No abstract available.
8.A case of chronic mucocutaneous candidiasis associated with hypoparathyroidism.
Dong Won KIM ; Jun Kyu OH ; Kyu Han KIM ; Kyoung Chan PARK ; Hoan Jong LEE
Korean Journal of Dermatology 1993;31(5):755-759
Chronic mucocutaneous randidiasis is a clinical syndrome characte ized by chronic and reccurent superficial candidal infection of the skin, mucous membranes, and nails. This syndrome is frequently associated with immune deficiency or endocrinopathy, especially hypopar; thyroidism. We report a case of chrcinic mucocutaneous candidiasis associated with hypoparathyroidism in a 8- year-old girl.
Candidiasis
;
Candidiasis, Chronic Mucocutaneous*
;
Female
;
Humans
;
Hypoparathyroidism*
;
Mucous Membrane
;
Skin
;
Thyroid Gland
9.Significace of Screening Mammography in the Detection of Breast Diseases.
Kyoung Ah KIM ; Soo Youn HAM ; Kyoo Byung CHUNG ; Yu Whan OH ; Hong In KIM
Journal of the Korean Radiological Society 1995;32(2):343-346
PURPOSE: To evaluate the clinical significance of the screening mammography in the detection of the breast diseases, especially breast carcinoma. MATERIALS AND METHODS: We analyzed 1,800 cases of mammography retrospectively. The mammography was done as a part of routine check in Health Counselling Center, Korea University Medical Center, during 9 months from November 1993 to July 1994. The age range was from 23 years to 76 years, mean 49.8 years, and the largest age group was 6th decade(31.4%). According to the mammographic findings, we divided the subjects into three groups; normal group, abnormal group in need of follow up study, abnormal group requiring biopsy. RESULT: On mammography, the normal group consisted of 1,534 cases(85%), and the abnormal group consisted of 266 cases(15%). The abnormal findings were benign-looking calcification(n=140), fibroadeno ma (n=29), fibrocystic changes (n=27), cyst(n=23), malignant lesion(n=15), lipoma(n=7), and others. In four of 15 cases, which were suspected to be malignant on mammograms, breast carcinoma was confirmed pathologically. In four cases of breast carcinoma, one was under 40 and the other 3 were over 50 years of age. All of the breast cancers were under 3cm in size, and the mammographic findings of breast cancer included spiculated margin(n=3), parenchymal disortion(n=3), malignant calcification(n=2) and enlarged axillary node (n=l). CONCLUSION: Screening mammogram is helpful for early detection of non-palpable breast cancer, especially for women over 50 years of age.
Academic Medical Centers
;
Biopsy
;
Breast Diseases*
;
Breast Neoplasms
;
Breast*
;
Female
;
Follow-Up Studies
;
Humans
;
Korea
;
Mammography*
;
Mass Screening*
;
Retrospective Studies
10.A Case of Chemical Burn Wound Treated by Suction Blistered Epidermal Grafting.
Hyohyun AHN ; Kyoung Moon KIM ; Chil Hwan OH ; Il Hwan KIM
Annals of Dermatology 1998;10(1):48-52
The patient was a 34-year-old male who had the dorsum of his right foot burned with strong alkali. Subsequently, the wound changed to an ulcer 3 days after the accident, and it was resistant to conventional treatment. After seventeen days of a granulation tissue-forming period, we applied a suction blistered epidermal graft using an intrinsic heating system we had devised. Suction blistered epidermal grafting is a less painful method with minimal scarring that is applicable to various skin diseases and researches. However, currently used techniques require patients to be immobile for some time and it makes physicians and patients feel uneasy and uncomfortable. The time needed for the suction blister formation is dependent on many factors. Among them, the temperature and the suction pressure are the important factors that can be modified easily. So, we devised a suction device having the capability to heat itself and used a suction machine with a pressure meter. We applied this to the above patient. We present a case of a chemical burn wound treated with suction blistered epidermal grafting.
Adult
;
Alkalies
;
Blister*
;
Burns
;
Burns, Chemical*
;
Cicatrix
;
Foot
;
Heating
;
Hot Temperature
;
Humans
;
Male
;
Methods
;
Skin Diseases
;
Suction*
;
Transplants*
;
Ulcer
;
Wounds and Injuries*