KOSIN UNIVERSITY COLLEGE OF MEDICINE
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- A Case of Ischemic Colitis Related with Usual Dosage of Ibuprofen in a Young Man
- Eun Jeong Kim, Moo In Park, Seun Ja Park, Won Moon, Go Eun Yeo, Weon Hyoung Lee
- Kosin Med J. 2014;29(2):147-150. Published online December 18, 2014
- DOI: https://doi.org/10.7180/kmj.2014.29.2.147
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Abstract Ischemic colitis is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. Although unoommon in the general p㢌pulation, ischemic colitis occurs with greater frequency in the elderly, and is the most common form of bowel ischemia. Other possible causes include medications s䴸ch as NSAIDs(non-steroidal antiinflammatory drugs), oral contraceptives, diuretics and others. In recent years, many of NSAID use in young age can cause ischemic lesions, but it is not common. Here we report a case of ischemic colitis in a 31-year-old man who had no specific medical history except taking 200mg of ibuprofen three times a day for seven days. It suggests the importance of precise history taking, including medications usage such as NSAIDs and other risk factors.
- Efficacy of Foreign Body Removal using a Cryoprobe in Flexible Bronchoscopy
- Go Eun Yeo, Sung-Jin Nam, Yu Jin Han, Eun Jeong Kim, Nam Kyu Kim, So Young Ock, Weon Hyoung Lee, Chul Ho Oak, Mann Hong Jung, Tae Won Jang
- Kosin Med J. 2014;29(1):31-36. Published online December 17, 2014
- DOI: https://doi.org/10.7180/kmj.2014.29.1.31
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Abstract Objectives Endobronchial foreign body impaction is a medical emergency because of the air way obstruction. Therefore, immediate foreign body removal is crucial in such situations. Recently, there have been several reports about cryoprobe use as a tool for removal of foreign bodies. In this study, we determined the efficacy and complications of foreign body removal using a cryoprobe during flexible bronchoscopy.
Methods This is a retrospective review of 27 patients who visited Kosin University Gospel Hospital from August 2007 to August 2010 with respiratory symptoms due to a foreign body in the airway. There were 17 males and 10 females, aged from 7 to 78 years. The foreign bodies were more frequently located (55%) in the right bronchus. The cryoprobe was inserted through the forceps channel of the flexible bronchoscope under local anesthesia. The lesion was quickly frozen for 5 seconds at -80℃, and the bronchoscope was removed with the probe after crystal formation on the contacted area.
Results The success rate of removal of foreign bodies was 85% (23/27) using the cryoprobe. One case of broncholith did not undergo attempted removal because of the possibility of excessive hemorrhage by the tight bronchus impaction, and three cases (plastic, silicon, and implant) failed due to limited crystal formation. There were no severe hemorrhages, arrhythmias, or casualties during the procedure.
Conclusions The removal of foreign body using a cryoprobe during flexible bronchoscopy was shown to be safe and effective. The nature of the material should be attempted before removing a foreign body.
- Bladder Pheochromocytoma Presented as Thunderclap Headache Triggered by Urination and Angina Pectoris
- You Jin Han, Ho Sik Shin, Yeon Soon, Jung Hark Rim, So Young Ock, Eun Jeong Kim
- Kosin Med J. 2013;28(2):161-165. Published online January 19, 2013
- DOI: https://doi.org/10.7180/kmj.2013.28.2.161
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Pheochromocytoma is a catecholamine-producing tumor characterized by hypertension, headache, tachycardia, excessive diaphoresis, and angina pectoris. The thunderclap headache is so named because the pain strikes suddenly and severely. Although the symptoms of bladder pheochromocytoma are rather evident, the diagnosis of this rare neuroendocrine tumor can be missed. This study reports the case of a woman diagnosed with bladder pheochromocytoma who experienced thunderclap headache triggered by urination and angina pectoris as an initial manifestation. This case study suggests that thunderclap headache and angina pectoris occurring concurrently with sudden blood pressure elevation during or immediately after urination are important diagnostic clues of bladder pheochromocytoma.
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- Micturition induced primary thunderclap headache in an 11-year-old with response to nimodipine
Katherine M. Wojcicki, Rachel L. Evans, Benjamin Zwain, Stephen Deputy
Journal of the Neurological Sciences.2021; 426: 117474. CrossRef
- Micturition induced primary thunderclap headache in an 11-year-old with response to nimodipine
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