hx2018 내과
1. Aortic dissection
: Tx. Type B - BB(propranolol, metoprolol) 사용 후
Nitropurisside,
2. biliary cancer.
: obstructive jaundice
3. niddle injury
: 환자 HBsAg(+)
- HBV vaccine, HBV Ig
4. upper GI bleeding
- 69/M, melena, v/s stable
- L-tube drainage : clear
- CBC : normal
f/u step? : UGD > colonoscopy
5. STEMI
- 65/M, chest pain for 1 hour
- HTN po medication.
- cerebral hemorrhage 1 year ago
- EKG : V1-5 ST elevation
Tx. Aspirin, nitroglycerin(RV infarction, SBP<90이면 CIx.)
Morphine(RV infarction CIx.)
BB
PCI
6. 45/M
- Known UC, 3년 전 치료 중단
- hematochezia 3days ago
7. CHA2DS2-VASc score
8. paraneoplastic sydrome
- 60/M, non-small cell lung ca.
- CTx 중 nausea, vomiting
9. infectious arthritis
10. exercise-induced asthma
11. endoscopic mucosal resection(EMR)
- mucosa 국한
- no lymphovascular infiltrate
- under 2cm
- no ulcer
- well differenciated.
12. Wilson’s disease
13. variant angina
14. acute urinary retention
15. DM medication
16. SIADH
17.
2017 내과
1. AV block
1) 1도 AV block : AV conduction delay
2) 2도 AV block
- type 1 : PR 간격 길어지다가 소실
- type 2 : PR 간격 일정
3) 3도 AV block
- P파와 QRS파가 따로 나타남
Type 2, complete AV block – 상관없이 pacemaker
2. A-fib with WPW
3. Aortic stenosis
4. pericardial effusion d/t doxorubicin
5. pericarditis
6. RV infarction
Tx. NS loading, re-perfusion, dobutamine
7. Upper GI bleeding
- obscure bleeding
8. GERD
9. peptic ulcer
10. liver abscess
m/c : E.coli, K.pnuemoniae
Tx. Percutaneous drainage + anti
(anti : ampicillin, aminoglycoside, metronidazole
Or 3rd cepha, metronidazole)
11. SAAG
12. hepatic encephalopathy
13. pancreatic pseudocyst
14. cough variant asthma
15. COPD
16. massive hemoptysis
17. SIADH
18. pneumothorax
19.
20. asymptomatic bacteriuria
21. acute urinary retention
22. subacute thyroiditis
23. insulin
24.
29. anaphylaxis
30. RA- DMARDs
2016. 내과
4. acute pulmonary edema
Tx.
12. GIST
2015 내과
1. CPR
2. Upper GI bleeding
1) peptic ulcer
2) H.pylori
3) op.
3. variant angina – CCB
CIx. BB, Aspirin
4. Inf. Post MI
5. Ant. MI
6. unstable angina
7. Aortic dissection
8. EKG – HR Nx/300
9. esophageal Ca.
10. Barrett’s esophagus
11. peptic ulcer perforation
12. early gastric ca.
EMR indication
: mucosa, well-differentiated, no ulcer, <2cm
If IIc<1cm, no ulcer
13. hernia
14. colon ca, HNPCC
Tx. IRA(IIeroectal anastomosis)
15. C. difficile infection
Dx. Colon pseudomembrane, stool toxin A,B 검출
16. transanal local excision
Ix. AV 6cm 이내, diameter<4cm, 장벽 40% 이내, T1, T2 국한, 혈관, 림프 침범 없음, 분화도 좋을 때.
17. Seton op.
18. condyloma acuminatum
- Tx. Podophyllin, dichloroacetic acid
19. liver w/u
20. choledochal cyst
21. preop – PTGBD
Bil,>10mg/dl 일 때 decomp.
22. GB stone
23. biliary leakage
24. courvoiser’s sign
25. IPF
26. CPA blunting
27. Light’s criteria
28. pulmonary embolism
29. thyroid mass
30. fasting hypoglycemia
31.
32. hyponatremia
33. hyperkalemia
- Tx. Calcium gluconate
Insulin+glucose, bicarbonate, beta-agonist
34. thyrotoxic periodic paralysis
35. trousseau sign – hypocalcemia
36. ACEi
37. 골수 천자, 후장골능
38. chemo side
39. neutropenic fever
40.
41. malaria
42. SLE
43. complete AV block
44. polymyositis
45. vasovagal syncope
46. asthma exacerbation
2014 내과
1. synchronized/non-synchronized shock
2. H-CMP sudden death risk factor
3 저체온요법
4. CHADS2 score
5. PSVT
6. AS
7. RV failure
8. malignant hypertension
9. acute urinary retention
10. mechanical obstruction
11. achalasia
12. intestine TB
13.
14.
15. GIST
16. appe
17. colon ca. with metastasis
18. colon ca. obstruction
24. pancreatic pseudocyst
25. COPD PFT
26. endotracheal TB
27. Pnumoniae
28. pnumothorax
29. pulmonary embolism
30. asymptomatic bacteruria
31. proteinuria