20대 후반 남자
3일전 설사 1회
1일전 설사 4회
초기에 찌르는 양상의 전반적 복통으로 타원 투약
내원일 부터 오른쪽 아랫배가 아프고 허리피고 걸으면 악화, 쿡쿡 쑤신다.
우하복부 압통 (+), 반발압통 (-)
충수돌기염, 맹장염 감별 위해 충수 포함 복부 초음파 시행함
확장되지 않은 직경을 가지는 정상 충수돌기를 확인함
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위에 사진에서 혈관과 구별하고 각도를 달리하면 길이방향으로 주행하는 모습을 확인할 수 있다.
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회장 말단부체 특별히 림프절 비대가 관찰되지 않으나 감염성 장염 혹은 림프절염에 준해 경구 항생제 처방
2일뒤 임상적 추적 예정
장간막염 소아, 정상 충수돌기 확인
https://blog.naver.com/ejercicio/221244899167
이상 충수돌기 혹은 정상 충수돌기 관찰되지 않았으나 림프절 비대에 대한 림프절염 치료 후 호전
https://blog.naver.com/ejercicio/221343093927
근처의 상행결장에 게실의 경우 늘어난 관상 구조로 충수돌기와 구별이 어려울때가 있다. 충수 근처에 위치한 게실염 사례
https://blog.naver.com/ejercicio/220767992716
동대문구 답십리 우리안애, 우리안愛 내과, 건강검진 클리닉 내과 전문의 전병연
#동대문구 #성동구 #답십리역 #장안평역 #용답역 #청량리역 #신답역 #한양대역 #왕십리역 #답십리사거리 #촬영소사거리 #전농동사거리 #내과 #국가검진 #위내시경 #대장내시경 #갑상선초음파 #복부초음파 #경동맥초음파 #심장초음파 #암검진 #래미안위브아파트 #엘림스퀘어 #두산아파트 #동아아파트 #한양아파트 #동답한신아파트 #두산위브아파트 #힐스테이트청계아파트 #래미안미드카운티 #청솔우성