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¡º¼Ò¾Æ°ú Case presentation ¡»
Seizure¸¦ ÁÖ¼Ò·Î ³»¿øÇÑ ³²¾Æ(M / 31°³¿ù)
Chief Complaint : Seizure (onsst : ³»¿ø 10ºÐÀü)
Present Illness :
1) ³»¿ø 3ÁÖÀüºÎÅÍ ¹ß¿ÀÌ ÀÖ¾î local¿¡¼ antibiotics Mx ÇÏ¿´À¸³ª fever subsideµÇÁö ¾Ê¾Æ º»¿ø Àü¿ø
2) º»¿ø ¼Ò¾Æ°ú¿¡ 10Àϰ£ ÀÔ¿øÇÏ¿© ÇØ¿Á¦, Ç×»ýÁ¦ MedicationÇÏ¿´°í
3) Fever¿¡ ´ëÇÑ w/u ÇÏ¿´À¸³ª ƯÀÌ¼Ò°ß ¹ß°ßµÇÁö ¾Ê¾Æ FUO·Î Áø´Ü
ÀÔ¿ø 7ÀÏ Â° fever subsideµÇ¾î 11ÀÏ Â° ÀÚÀÇ º¸È£ÀÚ ÀÇ»ç·Î Åð¿ø
2) Åð¿ø´çÀÏ seizure ÀÖ¾î ´Ù½Ã º»¿ø ÀÀ±Þ½Ç ³»¿ø
¡ØSeizure
- Type : Generalized tonic-cl...
º»¹®/³»¿ë
Report
¡º¼Ò¾Æ°ú Case presentation ¡»
Seizure¸¦ ÁÖ¼Ò·Î ³»¿øÇÑ ³²¾Æ(M / 31°³¿ù)
Chief Complaint : Seizure (onsst : ³»¿ø 10ºÐÀü)
Present Illness :
1) ³»¿ø 3ÁÖÀüºÎÅÍ ¹ß¿ÀÌ ÀÖ¾î local¿¡¼ antibiotics Mx ÇÏ¿´À¸³ª fever subsideµÇÁö ¾Ê¾Æ º»¿ø Àü¿ø
2) º»¿ø ¼Ò¾Æ°ú¿¡ 10Àϰ£ ÀÔ¿øÇÏ¿© ÇØ¿Á¦, Ç×»ýÁ¦ MedicationÇÏ¿´°í
3) Fever¿¡ ´ëÇÑ w/u ÇÏ¿´À¸³ª ƯÀÌ¼Ò°ß ¹ß°ßµÇÁö ¾Ê¾Æ FUO·Î Áø´Ü
ÀÔ¿ø 7ÀÏ Â° fever subsideµÇ¾î 11ÀÏ Â° ÀÚÀÇ º¸È£ÀÚ ÀÇ»ç·Î Åð¿ø
2) Åð¿ø´çÀÏ seizure ÀÖ¾î ´Ù½Ã º»¿ø ÀÀ±Þ½Ç ³»¿ø
¡ØSeizure
- Type : Generalized tonic-clonic seizure
- Duration : 5 min
- First attack
- Eyeball upward deviation
- Drooling (+)
- Urination (+)
PMHx
Bbirth : NFSD (wt. 3650g)
Vaccination : As schedualed
DM/ Tbc/ HT (-/-/-)
OP. Hx : (-)
Others : FUO·Î º»¿ø ¼Ò¾Æ°ú ÀÔ¿ø
Feeding : Æò¼Ò ¾î¸¥ ¹ä ¹Ý°ø±â
ÃÖ±Ù ½Ä¿åÀÌ ¾ø¾î ¿ìÀ¯, µÎÀ¯ µîÀ» ¸Ô¡¦(»ý·«)