No abstract available.

There are several EKG changes in cerebrovascular disease(CVD). The wide prominent of inverted T wave is frequently developed in patients with CVD. There were case reports for CVD in patient with ST-segment elevation without myocardial infarction, but the exact mechanism is unknown. EKG abnormalities associated with subarachnoid hemorrhage were first described by Byer et al, in 1947.1 We report the case of 72 years old female patient who developed subarachnoid hemorrhage and intraventricular hemorrhage with ST-segment elevation.
Aged ; Electrocardiography ; Female ; Hemorrhage ; Humans ; Myocardial Infarction ; Subarachnoid Hemorrhage*

No abstract available.
Animals ; Cardioplegic Solutions* ; Oxygen* ; Rats*

No abstract available.
Humans ; Pneumothorax*

Hypersensitivity myocarditis is an inflammatory disease of the myocardium usually related to drug allergy. The clinical manifestation may be nonspecific, and the diagnosis is seldom suspected or established during the life. So in most of the reported patients, the diagnosis was made at autopsy. Although, retrospectively, more than 90% of the patients described have had clinically recognizable cardiac involvement before death, tole clinical suspicion of hypersensitivity myocarditis is rare. The presence of nonspecific cardiac finding in a patient receiving any drug associated with hypersensitivity should alert the clinician to the possibility of drug related myocarditis. We experienced a case of hypersensitivity myocarditis accompanying allergic skin lesion in a 58 years old man with a history of taking cefadroxil. Fortunately, the outcome was favorable, therefore we do not have histologic confirmation of the diagnosis.
Autopsy ; Cefadroxil ; Diagnosis ; Drug Hypersensitivity ; Humans ; Hypersensitivity* ; Middle Aged ; Myocarditis ; Myocardium ; Retrospective Studies ; Skin

A 68-year-old male patient visited our clinic complaining of a single skin lesion on the left shoulder for 5 months. The lesion was a bluish to pigmented, bean-sized nodule. No subjective symptoms and signs accompanied it. Histologically, the tumor mass was composed tumor emboli in the vessels and moderately differentiated neoplastic glands lined by anaplastic cells. These findings were consistent with the metastatic adenocarcinoma. Abdominal sonography and CT scanning showed a mass at the tail of the pancreas. Therefore, we diagnosed this skin lesion as a metastatic adenocarcinoma originating from the pancreatic tail. We report herein a rare case of skin metastasis from pancreatic tail cancer, in which the cutaneous involvement was the first sign of the internal malignancy.
Adenocarcinoma ; Aged ; Humans ; Male ; Neoplasm Metastasis* ; Pancreas ; Pancreatic Neoplasms ; Shoulder ; Skin* ; Tail* ; Tomography, X-Ray Computed

No abstract available.
Coronary Artery Bypass* ; Coronary Vessels*

PURPOSE: To evaluate the incidence of orthopaedic injuries and develop guidelines for routine radiologic examinations in patients with traumatic brain injury in order to reduce the incidence of delayed diagnosis. MATERIALS AND METHODS: For this study, 175 out of 720 traumatic brain injury patients, who were treated at Sun General Hospital from May 1994 through December 1997, were analyzed. The incidences of musculoskeletal injury and delayed diagnosis were checked. RESULTS: Clavicle fracture occurred most frequently, followed by tibia-fibular fracture, femur fracture, pelvic fracture or hip fracture-dislocation, axial spine fracture, radius-ulnar fracture, knee ligament injury, fracture of the hand and humerus. The overall incidence of delayed diagnosis was 14 percent (24 patients) . And multiple (more than 2) injuries occurred in 43 patients (24%) . CONCLUSION: The data of this study suggest that a radiologic survey, including X-rays of chest, long bones of the lower extremites, pelvis (both hips) and entire axial spine, should be obtained in patients with traumatic brain injury. Also careful examination of the knee should be included.
Brain Injuries* ; Clavicle ; Delayed Diagnosis ; Femur ; Hand ; Hip ; Hospitals, General ; Humans ; Humerus ; Incidence ; Knee ; Ligaments ; Pelvis ; Solar System ; Spine ; Thorax

BACKGREOUND: Despite many advantages of spinal anesthesia, hypotension after spinal anesthesia is a common complication. The practice of routine preemptive infusion of crystalloid before spinal anesthesia has been widespread acceptance. But the value of this practice has recently been questioned. This study was designed to determine whether preoperative administration of crystalloid decrease the incidence of hypotension after spinal anesthesia. METHODS: Thirty ASA I and II patients for elective lower extremities operations under spinal anesthesia were randomized to receive either 500 ml Ringer's lactate solution prior to induction of spinal anesthesia (group I) or no prehydration (group II). Hypotension was defined as a 30% decrease from baseline systolic blood pressure or systolic <90 mmHg, and was treated with ephedrine 5 mg IV boluses. RESULTS: The incidence of hypotension was not significantly different between the two groups. Baseline systolic blood pressure significantly decreased after 5 min in the group I, 1 min in the group II, after induction of spinal anesthesia. The ephedrine dose requirement to maintain systolic pressure >70% of baseline, systolic blood pressure and heart rate were not significantly different between both groups. CONCLUSIONS: We conclude that, in normovolemic adult patients undergoing elective lower extremities surgery, an intravenous infusion of 500 ml of Ringer's lactate solution is ineffective in preventing hypotension during spinal anesthesia.
Adult ; Anesthesia, Spinal ; Blood Pressure ; Ephedrine ; Heart Rate ; Humans ; Hypotension* ; Incidence ; Infusions, Intravenous ; Lactic Acid ; Lower Extremity

PURPOSE: The instruction of cardiopulmonary resuscitation (CPR) to students has been advocated in many countries. To formulate an effective policy for high school students in Korea, data on attitudes toward CPR and the levels of knowledge in this technique for this population are needed. METHODS: A thirty-question questionnaire was given to Korean high school juniors to assess their attitudes toward and knowledge level of CPR. Two hundred seventy one of 341 students (79.5%) responded to the questionnaire and their male to female ratio was 1:2.2. RESULTS: Most students (n=262, 96.7%) had heard of CPR, mainly through television (n=193, 71.2%) or a school activity (160, 59.0%). Only 50(18.5%) and 15(5.5%) students responded that they would be willing to provide CPR to a "family or friend" and "stranger", respectively. One hundred twunty four students (45.8%) had received some form of education on CPR, but only 10(3.7%) had received an advanced education (although most were willing to be educated further on CPR). The most common reason for not receiving CPR training was a lack of knowledge for training resources (n=79, 53.7%). Only 88(32.4%) students understood the purpose of an automated external defibrillator. Although half of the students (147, 54.2%) correctly chose the location for CPR chest compression, only 19.2% and 16.6% correctly responded to questions on the appropriate compression speed and depth, respectively. CONCLUSION: Although students receive some exposure on the importance of CPR, their willingness to perform CPR and their knowledge level of AEDs and CPR is not adequate. A systemic approach for educating and training students in CPR is needed.
Cardiopulmonary Resuscitation ; Defibrillators ; Female ; Humans ; Korea ; Male ; Surveys and Questionnaires ; Television ; Thorax