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CHAPTER 1. ÈçÈ÷ ½ÃÇàÇÏ´Â °Ë»ç¿¡ ´ëÇÑ ÀÌÇØ 01. °Ë»ç½Ç °Ë»çÀÇ Çؼ®: °¢ °èÅë¿¡¼ ÀÚ¼¼È÷ ¼³¸í ... 3 CBC °Ë»ç .................................................................. 3 °£±â´É°Ë»ç ............................................................... 3 ½ÅÀå±â´É °Ë»ç(BUN, Creatinine, GFR) ........... 3 ÀüÇØÁú °Ë»ç(electrolyte) ..................................... 3 ÁöÁú°Ë»ç(lipid panel) ........................................... 3 ¼Òº¯°Ë»ç ................................................................... 3 Á¾¾çÇ¥ÁöÀÚ °Ë»ç ..................................................... 3 02. ¿µ»ó °Ë»ç Æǵ¶ÀÇ ±âÃÊ: °¢ °èÅë¿¡¼ ÀÚ¼¼È÷ ¼³¸í ... 3 ´Ü¼ø X¼± ................................................................... 3 ÃÊÀ½ÆÄ ....................................................................... 3 CT ............................................................................... 3 CHAPTER 2. ÈçÈ÷ »ç¿ëÇÏ´Â ¾à¹°¿¡ ´ëÇØ ÀÌÇØ 03. È£Èí±â ¾à¹° ............................................................... 5 04. ½ÉÇ÷°ü ¾à¹° ............................................................... 5 05. ¼Òȱ⠾๰ ............................................................... 5 06. ½Å°æÁ¤½Å ¾à¹° ......................................................... 5 CHAPTER 3. ÀÏÂ÷Áø·áÇöÀå¿¡¼ÀÇ ÀÀ±ÞÁ¶Ä¡ 07. Cardiac arrest & Shock ........................................ 7 ÀÀ±Þ óġ & ½ÉÆó¼Ò»ý¼ú ...................................... 7 ¼îÅ©¿¡ ´ëÇÑ Á¶Ä¡ ................................................ 46 ¾Æ³ªÇʶô½Ã½º(Anaphylaxis) ............................ 73 08. È£ÈíÀÌ ºÒ¾ÈÁ¤ÇÑ °æ¿ì: ±âµµ ¹× ȯ±â°ü¸® ...... 79 È£Èí°ï¶õ/Àú»ê¼ÒÇ÷Áõ(Hypoxemia)ÀÇ Á¢±Ù . 79 ȯ±â¸ð´ÏÅ͸µ: pulse oxymetry ...................... 91 »ê¼Ò¿ä¹ý ................................................................ 93 09. ¸Æ¹ÚÀÌ ºÒ¾ÈÁ¤ÇÑ °æ¿ì: ½É¹Ú¼ö/½ÉÀ帮µëÀå¾Ö.103 ¼¸Æ¿¡ ´ëÇÑ Á¢±Ù .............................................. 103 ºó¸Æ¿¡ ´ëÇÑ Á¢±Ù .............................................. 104 10. ¹ß¿, ÅëÁõ¿¡ ´ëÇÑ Á¢±Ù ..................................... 107 ¹ß¿¿¡ ´ëÇÑ Á¢±Ù ¹× Á¶Ä¡ ............................... 107 ÅëÁõ¿¡ ´ëÇÑ Á¢±Ù ¹× Á¶Ä¡(ÅëÁõÀº Á¦5ÀÇ V/S).107 PART 2. Áúº´¿¹¹æ¤ý°Ç°ÁõÁø¤ý°Ç°°ËÁø CHAPTER 1. °Ç°°ËÁø 01. ±¹°¡°Ç°°ËÁø¿¡ ´ëÇÑ ÀÌÇØ ............................... 117 02. ÀϹݰǰ°ËÁø ....................................................... 118 03. ¾Ï °ËÁø(6´ë¾Ï) .................................................... 120 04. 20-30´ë °Ç°°ËÁø ............................................ 123 CHAPTER 2. ½ÄÀ̤ý¿µ¾ç 05. ½ÄÀ̤ý¿µ¾ç¿¡ ´ëÇÑ ÀÌÇØ ...................................... 126 06. ½ÄÀ̤ý¿µ¾ç ±Ç°í¾È ¸®ºä ....................................... 132 07. ¿µ¾ç»ó´ã ¹× ¿µ¾çÆò°¡ ....................................... 136 08. Áúȯº° ½ÄÀ̤ý¿µ¾ç Áöħ ...................................... 139 CHAPTER 3. ½ÅüȰµ¿¤ý¿îµ¿ 09. ½ÅüȰµ¿¤ý¿îµ¿¿¡ ´ëÇÑ ÀÌÇØ ............................. 150 10. ½ÅüȰµ¿¤ý¿îµ¿ ±Ç°í¾È ¸®ºä .............................. 153 11. ¿îµ¿»ó´ã ¹× ¿îµ¿Ã³¹æÀÇ ½ÇÁ¦ .......................... 156 12. Áúȯº° ¿îµ¿Áöħ .................................................. 161 CHAPTER 4. ºñ¸¸ Ŭ¸®´Ð 13. ºñ¸¸¿¡ ´ëÇÑ ÀÌÇØ ................................................ 169 14. ºñ¸¸ÀÇ Æò°¡ ¹× Ä¡·á ........................................... 172 15. ºñ¸¸ÀÇ ºñ¾à¹°Ä¡·á: ½Ä»çÄ¡·á, ¿îµ¿Ä¡·á, Çൿġ·á .................................................................... 180 [º¸Ãæ] Àúź¼öȹ° °íÁö¹æ ½Ä»ç(Lowcarbohydrate, high fat diets) ...................... 183 [º¸Ãæ] °£ÇæÀû ´Ü½Ä/½Ã°£ Á¦ÇÑ ´ÙÀ̾îÆ® ... 183 16. ºñ¸¸ÀÇ ¾à¹°Ä¡·á .................................................. 187 [º¸Ãæ] ºñ¸¸ ¾à¹°ÀÇ ¿ª»ç ................................ 193 [Special review] ºñ¸¸ ¾à¹°ÀÇ ¿ª»ç ......... 200 17. ºñ¸¸ ¼ö¼ú º¸Çè Àû¿ë µÅ¿ä! .............................. 202 CHAPTER 5. ±Ý¿¬ Ŭ¸®´Ð 18. Èí¿¬¿¡ ´ëÇÑ ÀÌÇØ ................................................ 207 [º¸Ãæ] ½ÅÁ¾´ã¹è ................................................ 214 19. Èí¿¬È¯ÀÚÀÇ »ó´ã ¹× Áø·á ................................. 220 20. ±Ý¿¬ÀÇ ¾à¹°¿ä¹ý ................................................. 229 [º¸Ãæ] Varenicline¿¡ ´ëÇØ ¾Ë¾Æº¸ÀÚ! ......... 235 21. ±Ý¿¬ Ŭ¸®´Ð ¼¼ÆÃÇϱâ ....................................... 237 CHAPTER 6. ¾ËÄڿäý±ÝÁÖ Å¬¸®´Ð 22. ¾ËÄÚ¿Ã »ç¿ëÀå¾Ö¿¡ ´ëÇÑ ÀÌÇØ ......................... 242 [º¸Ãæ] À§ÇèÀ½ÁÖ ¹× ÀûÁ¤ À½ÁÖ·® °¡À̵å¶óÀÎ.246 23. ¾ËÄÚ¿Ã »ç¿ëÀå¾ÖÀÇ Æò°¡ ¹× Ä¡·á .................. 250 PART 3. Àü½Å¤ý°¨¿° CHAPTER 1. ÁÖ¿ä Áõ»ó¤ý¡ÈÄ 01. ¹ß¿(Fever) .......................................................... 261 ±Þ¼º ¹ß¿ÀÇ Á¢±Ù(Approach to the patient with acute fever) ............................................. 261 ºÒ¸í¿(Fever of unknown origin) . 268 02. ¸²ÇÁÀý ºñ´ë(Lymphadenopathy) ................ 269 03. üÁß°¨¼Ò(Weight loss) ..................................... 276 04. ½Ä¿åºÎÁø(Anorexia, poor oral intake) ........ 287 05. ÇÇ·Î(Fatigue) ...................................................... 293 06. ºÎÁ¾(Edema) ....................................................... 307 07. ÀÇÇÐÀûÀ¸·Î ¼³¸íµÇÁö ¾Ê´Â ½ÅüÁõ»ó(Medically unexplained physical symptoms, MUPS) . 314 CHAPTER 2. ÁÖ¿ä °¨¿°Áúȯ Áø·á 08. Ç×»ýÁ¦ ó¹æ Àü·« ................................... 331 Ç×»ýÁ¦ »ç¿ëÀÇ ÀϹÝÀûÀÎ ¿øÄ¢ ....................... 331 Ç×±ÕÁ¦(Antibacterial agents) ....................... 331 Ç×¹ÙÀÌ·¯½ºÁ¦(Antiviral agents) ................... 331 Ç×Áø±ÕÁ¦(Antifungal agents) ........................ 331 Ç×±â»ýÃæÁ¦(Antiparasitic agents) ............... 331 09. ÁÖ¿ä ¼¼±Õ°¨¿° ..................................................... 331 ±×¶÷¾ç¼º±Õ¿¡ ÀÇÇÑ Áúȯ ..................... 331 ±×¶÷À½¼º±Õ¿¡ ÀÇÇÑ Áúȯ ..................... 331 ±âŸ ¼¼±Õ°¨¿° ........................................ 331 ¹ÌÄÚ¹ÚÅ׸®¾Æ(°áÇÙ±Õ) °¨¿° ........................... 332 10. ÁÖ¿ä ¹ÙÀÌ·¯½º °¨¿° ........................................... 354 »ç¶÷Ç츣Æ佺 ¹ÙÀÌ·¯½º(Herpesviridae) °¨¿° .354 ¼Ò¾Æ¿¡¼ ÁÖ·Î ¹ß»ýÇÏ´Â ¹ÙÀÌ·¯½º°¨¿°(SMART ¼Ò¾ÆÁø·á¸Å´º¾ó ÂüÁ¶) ................... 369 »ç¶÷À¯µÎÁ¾ ¹ÙÀÌ·¯½º(Human papillomaviruses, HPVs) °¨¿° ........................................................ 370 È£Èí±â ¹ÙÀÌ·¯½º °¨¿° .................................... 372 ÀÎÇ÷翣ÀÚ(Influenza) .................................... 374 HIV °¨¿°/ÈÄõ¸é¿ª°áÇÌÁõÈıº(AIDS) . 382 11. ÁÖ¿ä Áø±Õ °¨¿° ................................................... 383 12. ÁÖ¿ä ±â»ýÃæ °¨¿° ................................................ 387 ¿¬Ãæ(Helminths) °¨¿° .................................... 389 ¸»¶ó¸®¾Æ(Malaria) ........................................... 400 [º¸Ãæ] °¡À»Ã¶ ¿¼ºÁúȯ ...................... 411 CHAPTER 3. ½ÅÁ¾°¨¿°º´/ÇØ¿Ü¿©ÇàÀÚ Å¬¸®´Ð 13. ±Ù·¡ ÁÖ¸ñ¹Þ´Â °¨¿°º´ ....................................... 413 [online] [Special issue] Äڷγª ¹ÙÀÌ·¯½º °¨¿°: COVID-19 °¨¿°À» Áß½ÉÀ¸·Î .............. 419 14. ¿©Çà Àü¤ýÈÄ °ü¸® .................................................. 420 [º¸Ãæ] ÇØ¿Ü¿©Çà Á¤º¸ Áúº´¼¾Å¸ .................. 423 CHAPTER 4. ¿¹¹æÁ¢Á¾ Ŭ¸®´Ð 15. ¿¹¹æÁ¢Á¾ÀÇ ¿øÄ¢ ................................................. 432 [º¸Ãæ] ¿¹¹æÁ¢Á¾, ¼öµ¿¸é¿ª¿¡ ´ëÇÑ ÀÌÇØ ... 441 [º¸Ãæ] ¹é½Å Á¢Á¾ ÈÄ ÀÌ»ó¹ÝÀÀ ..................... 445 16. ¿¹¹æÁ¢Á¾ ÀÏÁ¤ »ìÆ캸±â! ................................. 450 [online] 17. ¿¹¹æ °¡´ÉÇÑ ÁÖ¿ä °¨¿°º´ÀÇ ¿¹¹æÀü·«: ¿¹¹æÁ¢ Á¾, ȯÀÚ°ü¸®, Á¢ÃËÀÚ°ü¸®(³ëÃâ ÈÄ ¿¹¹æ)(Ç×»ýÁ¦ ó¹æÀÇ Á¤¼® ÂüÁ¶) .................. 457 PART 4. È£Èí±â¤ý¾Ë·¹¸£±â CHAPTER 1. È£Èí±â Áø·á¸¦ À§ÇÑ ±âÃÊ 01. ÁÖ¿ä Áø´Ü °Ë»ç .................................................... 461 °¡½¿ X¼± .............................................................. 461 °í¸³Æó°áÀý(Solitary pulmonary nodules)ÀÇ Æò°¡ ...................................................................... 469 Æó±â´É°Ë»ç ............................................. 474 02. È£Èí±â¤ý¾Ë·¹¸£±â¿¡ ÈçÈ÷ »ç¿ëµÇ´Â ¾à¹° ...... 475 ÁøÇØÁ¦(Anti-tussive agents) ........................ 475 Á¡¾×ÀÛ¿ëÁ¦(°Å´ãÁ¦)(Mucoactive agents). 480 ±â°üÁö È®ÀåÁ¦(Bronchodilators): º£Å¸Ç×ÁøÁ¦, Ç×Äݸ°Á¦ ............................................................. 490 ÈíÀÔ ½ºÅ×·ÎÀ̵å(Inhaled corticosteroid). 499 Ç×È÷½ºÅ¸¹ÎÁ¦(Anti-histamine) ................... 502 ·ùÄÚÆ®¸®¿£ Á¶ÀýÁ¦(Leukotriene modifier).506 [Âü°í] ¿Ã¹Ù¸¥ ÈíÀԱ⠻ç¿ë¹ý .......... 509 CHAPTER 2. ÁÖ¿ä È£Èí±â Áõ»ó¤ý¡ÈĤýÁúȯ 03. ±âħ/¸¸¼º±âħ(Cough/Chronic cough) ....... 511 04. È£Èí°ï¶õ(Dyspnea) ........................................... 525 05. °´Ç÷(Hemoptysis) ............................................. 535 06. ±Þ¼º »ó±âµµ °¨¿° (Acute upper respiratory infection) ............................................................. 542 °¨±â(Common cold) ....................................... 542 ±Þ¼º Àεο°(Acute pharyngitis) .................. 549 ±Þ¼º ºñºÎºñµ¿¿°(Acute rhinosinusitis) ..... 557 07. ±Þ¼º Çϱ⵵ °¨¿°(Acute lower respiratory infection) ............................................................. 572 ±Þ¼º ±â°üÁö¿°(Acute bronchitis) ................ 572 Æó·Å(Pneumonia) ............................................. 575 [º¸Ãæ] Æó·ÅÀÇ ¿µ»óÇÐÀû ¼Ò°ß ...................... 588 08. õ½Ä(Asthma) ..................................................... 596 09. ¸¸¼º Æó¼â ÆóÁúȯ(Chronic obstructive pulmonary disease) .......................................... 617 10. ±âÈä(Pneumothorax) ......................... 640 CHAPTER 3. ¾Ë·¹¸£±â¤ý¾ÆÅäÇÇ Å¬¸®´Ð 11. ¾Ë·¹¸£±â¿¡ ´ëÇÑ ÀÌÇØ .......................... 642 12. ÁÖ¿ä ¾Ë¸£·¹±â °Ë»ç ¹× Ä¡·á ........................... 643 ¾Ë·¹¸£±â °Ë»ç(Allergic test): Skin prick test, Ç÷û specific IgE °Ë»ç µî .............................. 643 ¾Ë·¹¸£±â ¸é¿ªÄ¡·á(Allergen immunotherapy).648 13. ¾Ë·¹¸£±â ºñ¿°(Allergic rhinitis)(ÆÄÆ® 14ÂüÁ¶).650 14. õ½Ä(Asthma)(¾Õ¼ »ìÆ캽) .......................... 650 15. ¾ÆÅäÇÇ ÇǺο°(Atopic dermatitis)(ÆÄÆ® 16ÂüÁ¶).650 16. ½ÄÇ° ¾Ë·¹¸£±â(Food allergy) .............. 651 17. ¾à¹° ¾Ë·¹¸£±â(Drug allergy) ............... 651 PART 5. ½É³úÇ÷°ü ÁúȯÀÇ ÅëÇÕ°ü¸® CHAPTER 1. ½É³úÇ÷°ü ÁúȯÀÇ Æò°¡ 01. ½ÉÃÊÀ½ÆÄ(Echocardiography) ........... 655 02. °æµ¿¸Æ ÃÊÀ½ÆÄ(Carotid ultrasonography) . 656 03. µ¿¸Æ°æÈ°Ë»ç(Arterial Stiffness Tests): PWV, °æµ¿¸Æ ³»Á߸· µÎ²², Á߽ɵ¿¸Æ¾Ð ................... 666 04. ¸»Ãʵ¿¸ÆÁúȯ °Ë»ç: ¹ß¸ñ-À§ÆÈÁö¼ö(Ankle-Brachial Index, ABI) ......................................... 673 CHAPTER 2. ½É³úÇ÷°ü ÁúȯÀÇ Ä¡·á: ½ÉÇ÷°ü¿¡ ÁÖ·Î »ç¿ëµÇ´Â ¾à¹° 05. ÀÌ´¢Á¦ ................................................................... 678 06. º£Å¸Â÷´ÜÁ¦ .......................................................... 689 07. Ä®½·Â÷´ÜÁ¦(Calcium channel blockers, calcium antagonists) ...................................... 694 08. ACEI/ARB ............................................................. 702 09. Ç×Ç÷ÀüÁ¦ .............................................................. 709 Ç×Ç÷¼ÒÆÇÁ¦(Antiplatelet agents) ............... 709 Ç×ÀÀ°íÁ¦(Anticoagulants) ............................. 712 [º¸Ãæ] ¼ö¼úÀüÈÄÀÇ Ç×Ç÷ÀüÁ¦ °ü¸®(Part 6 ÂüÁ¶).717 10. Ç׺ÎÁ¤¸ÆÁ¦ .............................................. 718 CHAPTER 3. ½É³úÇ÷°ü Áúȯ À§ÇèÀÎÀڷμÀÇ ÁÖ¿ä ¸¸¼ºÁúȯ 11. Á×»ó°æÈÁõ(Atherosclerosis) ............ 720 12. °æµ¿¸Æ µ¿¸Æ°æÈ(¹«Áõ»ó °æµ¿¸Æ ÇùÂø) .720 13. ´ë»çÁõÈıº(Metabolic syndrome) . 720 14. °íÇ÷¾Ð(Hypertension) ...................................... 721 °íÇ÷¾Ð: Áø´Ü ¹× Æò°¡ ........................................ 721 [º¸Ãæ] Ç÷¾Ð ÃøÁ¤ ............................................... 731 [º¸Ãæ] 2Â÷¼º °íÇ÷¾Ð ........................... 732 °íÇ÷¾Ð: Ä¡·á ¹× ¾à¹°¿ä¹ý ............................... 733 °íÇ÷¾Ð: Ư¼öÇÑ »óȲ ............................ 744 °íÇ÷¾Ð: µ¿¹ÝÁúȯ¿¡¼ÀÇ °íÇ÷¾Ð °ü¸® . 744 15. ´ç´¢º´(Diabetes) ............................................... 745 ´ç´¢º´: Áø´Ü ¹× Ä¡·á ....................................... 745 ´ç´¢º´: ¾à¹°¿ä¹ý-°æ±¸Ç÷´ç°ÇÏÁ¦(Oral Antidiabetic Drug) ......................................... 768 [º¸Ãæ] Incretin °ü·Ã ¾à¹° .............................. 778 ´ç´¢º´: ¾à¹°¿ä¹ý-ÁÖ»çÁ¦ ............................... 787 [º¸Ãæ] ±¹³»¿¡¼ ó¹æ°¡´ÉÇÑ ¾à¹° . 795 ´ç´¢º´: ÇÕº´Áõ °ü¸® ............................ 796 16. ÀÌ»óÁöÁúÇ÷Áõ(Dyslipidemia) .......................... 797 ÀÌ»óÁöÁúÇ÷Áõ: Áø´Ü ¹× Ä¡·á .......................... 797 ÀÌ»óÁöÁúÇ÷Áõ: ¾à¹°¿ä¹ý ................................ 804 [º¸Ãæ] ¾à¹°¿ä¹ý: PCSK9 (Proprotein convertase subtilisin-kexin type 9) ¾ïÁ¦Á¦ ................... 815 17. ½É¹æ¼¼µ¿(Atrial fibrillation) .............. 816 ½É¹æ¼¼µ¿: ¼±º° ¹× Áø´Ü ..................................... 816 [º¸Ãæ] ½É¹æ¼¼µ¿Àº ¿Ö ¹ß»ýÇϴ°¡? ........... 820 ½É¹æ¼¼µ¿: Ä¡·á .................................................. 823 CHAPTER 4. ÁÖ¿ä ½É³úÇ÷°ü Áúȯ 18. ³úÁ¹Áß(Stroke) ...................................... 836 19. ÇãÇ÷½ÉÁúȯ(°ü»óµ¿¸ÆÁúȯ)(Ischemic heart disease) ................................................................ 837 ¾ÈÁ¤ ÇãÇ÷ ½ÉÁúȯ(stable ischemic heart disease, SIHD)=¾ÈÁ¤°üµ¿¸ÆÁõÈıº(chronic coronary syndrome) .......................................................... 843 Non ST segment elevation acute coronary syndrome(ºÒ¾ÈÁ¤Çù½ÉÁõ/NSTEMI) ........... 864 [º¸Ãæ] Cardiac enzyme ................................ 870 ST segment elevation acute coronary syndrome(STEMI) ........................................... 876 [º¸Ãæ] AMIÀÇ EKG change .......................... 880 º¯ÀÌ(ÀÌÇü) Çù½ÉÁõ(variant angina) . 887 20. ½ÉºÎÀü(Heart failure) ...................................... 888 21. ÆÄÇà/¸»ÃÊÇ÷°üÁúȯ(¸»Ãʵ¿¸ÆÁúȯ)(Peripheral artery disease) ................................................... 910 PART 6. ½ÉÇ÷°ü CHAPTER 1. ½ÉÇ÷°ü Áø·á¸¦ À§ÇÑ ±âÃÊ 01. ½ÉÇ÷°üÆò°¡¿¡ ÁÖ¿ä ½ÃÇàµÇ´Â °Ë»ç ................ 927 ½ÉÀüµµ °Ë»ç ........................................................ 927 ÃÊÀ½ÆÄ: °æµ¿¸ÆÃÊÀ½ÆÄ(Part 5 ÂüÁ¶) ÃÊÀ½ÆÄ: ½ÉÃÊÀ½ÆÄ(Part 5 ÂüÁ¶) µ¿¸Æ°æÈ°Ë»ç(Arterial Stiffness Tests): PWV, °æµ¿¸Æ ³»Á߸· µÎ²²(Part 5 ÂüÁ¶) ¸»Ãʵ¿¸ÆÁúȯ °Ë»ç: ABI(Part 5 ÂüÁ¶) 02. ½ÉÇ÷°ü¿¡ ÁÖ·Î »ç¿ëµÇ´Â ¾à¹°(Part 5 ÂüÁ¶) . 946 CHAPTER 2. ÁÖ¿ä ½ÉÇ÷°ü Áõ»ó¤ý¡ÈÄ 03. °¡½¿ÅëÁõ(ÈäÅë)(Chest pain) .......................... 948 04. ½Ç½Å(Syncope) ................................................... 957 05. µÎ±Ù°Å¸²(Palpitation) ...................................... 968 CHAPTER 3. ÁÖ¿ä ½ÉÇ÷°ü Áúȯ 06. ºÎÁ¤¸Æ(Arrhythmia) ............................. 974 07. Á¤¸ÆÇ÷Àü»öÀü Áúȯ(Venous thromboembolism) (½ÉºÎÁ¤¸ÆÇ÷ÀüÁõ, Æó»öÀüÁõ) ............................ 975 08. Á¤¸ÆÁúȯ: ÇÏÁöÁ¤¸Æ·ù ...................................... 988 09. ¼ö¼ú ÀüÈÄ ½ÉÇ÷°ü Áúȯ °ü¸® ............... 996 ºñ½ÉÀå ¼ö¼ú¿¡ ´ëÇÑ Æò°¡ ............................... 996 ¼ö¼úÀüÈÄÀÇ Ç×Ç÷ÀüÁ¦ °ü¸® ............................ 996 PART 7. Ç÷¾× Á¾¾ç(CBC °Ë»çÀÇ Çؼ®) CBC °Ë»ç¿¡ ´ëÇÑ ÀÌÇØ ................................. 1000 CHAPTER 1. ¹éÇ÷±¸ ¼öÄ¡ Çؼ® 01. ¹éÇ÷±¸ °¨º°°è¼ö(WBC differential count).1003 02. ¹éÇ÷±¸ Áõ°¡Áõ(Leukocytosis) ..................... 1007 [º¸Ãæ] È£»ê±¸Áõ°¡Áõ(Eosinophilia) .......... 1012 03. ¹éÇ÷±¸ °¨¼ÒÁõ(Leukopenia) ......................... 1016 CHAPTER 2. ÀûÇ÷±¸ ¼öÄ¡ Çؼ®¤ýºóÇ÷(Anemia) 04. ÀûÇ÷±¸ °ü·Ã ÁöÇ¥ .............................................. 1021 05. ÀûÇ÷±¸ Áõ°¡Áõ(Erythrocytosis, Polycythemia) ............................................................................... 1029 06. ÀûÇ÷±¸ °¨¼ÒÁõ(ºóÇ÷)ÀÇ Á¢±Ù ........................ 1033 ö°áÇÌ ºóÇ÷(Iron deficiency anemia) ...... 1033 ¸¸¼ºº´ ºóÇ÷(Anemia of chronic disease) . 1047 °Å´ëÀûÇ÷¸ð±¸ ºóÇ÷(Megaloblastic anemia).1053 ¿ëÇ÷ ºóÇ÷(Hemolytic anemia) ....... 1060 Àç»ýºÒ·® ºóÇ÷(Aplastic anemia) ... 1060 CHAPTER 3. Ç÷¼ÒÆÇ ¼öÄ¡Çؼ® ¤ý ÃâÇ÷Áúȯ 07. Ç÷¼ÒÆÇ °ü·ÃÁöÇ¥ .............................................. 1062 08. Ç÷¼ÒÆÇ ¼öÄ¡ ÀÌ»ó ............................................. 1064 Ç÷¼ÒÆÇ Áõ°¡Áõ(Thrombocytosis) ............. 1064 Ç÷¼ÒÆÇ °¨¼ÒÁõ(Thrombocytopenia) ........ 1072 09. Ç÷¾×ÀÀ°í°Ë»ç .................................................... 1079 ÀÏ¹Ý ÀÀ°í°Ë»ç ................................................. 1079 Ư¼ö ÀÀ°í°Ë»ç ................................................. 1084 10. ÃâÇ÷¿¡ ´ëÇÑ Á¢±Ù ............................................. 1087 11. Ç÷°üº®¤ýÇ÷¼ÒÆÇ Àå¾ÖÁúȯ(SMART ³»°ú ÂüÁ¶) ................................................................................ 1105 12. ÀÀ°íÀå¾ÖÁúȯ(SMART ³»°ú ÂüÁ¶) ... 1105 PART 8. ¼Òȱâ CHAPTER 1. ¼Òȱâ Áø·á¸¦ À§ÇÑ ±âÃÊ 01. ¼Òȱ⠰˻ç½Ç °Ë»ç .................................... 3 °£±â´É °Ë»ç ............................................................. 3 Ãé´ãµµ °Ë»ç ............................................................. 3 02. ¼Òȱ⠿µ»ó °Ë»ç ........................................ 3 º¹ºÎ X¼± ................................................................... 3 º¹ºÎ ÃÊÀ½ÆÄ ............................................................. 3 03. ¼Òȱ⠳»½Ã°æ ............................................. 3 »óºÎÀ§Àå°ü ³»½Ã°æ ................................................ 3 ÇϺÎÀ§Àå°ü ³»½Ã°æ ................................................ 3 04. ¼Òȱ⿡ ÁÖ·Î »ç¿ëµÇ´Â ¾à¹° ................. 3 Çױ˾çÁ¦(Anti-ulcer agents) ............................. 3 À§Àå°ü¿îµ¿ÃËÁøÁ¦(Prokinetics) ........................ 3 Ç×±¸ÅäÁ¦(Anti-emetics) ...................................... 3 Áø°æÁ¦(Anti-spasmodics) ................................... 3 º¯ºñ¿ÏÇÏÁ¦(Laxatives) ......................................... 3 Áö»çÁ¦(Anti-diarrheal agents) .......................... 3 ÃéÀåÈ¿¼ÒÁ¦ ............................................................... 3 CHAPTER 2. ¼Òȱâ Áõ»ó¤ý¡ÈĤýÁúȯ(À§Àå°ü) 05. »ïÅ´°ï¶õ(Dysphagia) ............................................ 6 06. ±¸¿ª/±¸Åä(Nausea/Vomiting ............................ 17 07. º¹Åë(Abdominal pain) ....................................... 22 ±Þ¼º º¹Åë(Acute abdominal pain) ................ 22 ¸¸¼º º¹Åë/¼ÒȺҷ®(Chronic abdominal pain/Dyspepsia) ........................................................... 33 08. ¼³»ç(Diarrhea) ..................................................... 36 ±Þ¼º ¼³»ç(Acute diarrhea) .............................. 36 ¸¸¼º ¼³»ç(Chronic diarrhea) .......................... 46 09. º¯ºñ(Constipation) ............................................. 54 10. À§Àå°üÃâÇ÷(Gastrointestinal bleeding) .................................................................................... 66 »óºÎÀ§Àå°ü ÃâÇ÷(Upper gastrointestinal bleeding) ............................................................... 66 ÇϺÎÀ§Àå°ü ÃâÇ÷(Lower gastrointestinal bleeding) ............................................................... 66 .¿øÀι̻óÀÇ À§Àå°üÃâÇ÷(Obscure GI bleeding) = ¼ÒÀåÃâÇ÷(Small bowel bleeding) .............. 66 11. ÁÖ¿ä »óºÎÀ§Àå°ü Áúȯ ......................................... 67 ½ÄµµÁúȯ(Esophageal diseases) ....... 67 À§½Äµµ ¿ª·ù Áúȯ(Gastroesophageal reflux disease) ................................................................. 67 [º¸Ãæ] À§»ê¾ïÁ¦Á¦ Àå±â»ç¿ë ............... 81 ¼Òȼº ±Ë¾ç(Peptic ulcer) ................................ 82 Ç︮ÄÚ¹ÚÅÍ ÆÄÀϷθ®°¨¿°(Helicobacter pylori infection) .............................................................. 95 12. ÁÖ¿ä ÇϺÎÀ§Àå°ü Áúȯ ....................................... 104 ±Þ¼º Ãæ¼ö¿°(Acute appendicitis) ................ 104 °Ô½Ç Áúȯ(Diverticular disease) ..................... 111 ¿°Áõ¼º ÀåÁúȯ(Inflammatory bowel disease) .................................................... 119 ÁÖ¿ä Ç×¹®Áõ»óÀÇ Á¢±Ù(Common anorectal complaints) ........................................................ 120 ÁÖ¿ä Ç×¹®Áúȯ: Ä¡ÇÙ(Hemorrhoids) µî ..... 125 13. ±â´É¼º À§ÀåÀå¾Ö(Functional gastrointestinal disorders) ............................................................. 137 ±â´É¼º ¼ÒȺҷ®Áõ(Functional dyspepsia) .137 °ú¹Î´ëÀåÁõÈıº(Irritable bowel syndrome).145 CHAPTER 3. ¼Òȱâ Áõ»ó¤ý¡ÈĤýÁúȯ(°£´ãÃé) 14. Ȳ´Þ(Jaundice) ................................................... 158 15. º¹¼ö(Ascites) ....................................................... 172 16. ±Þ¼º °£¿°(Acute hepatitis)¿¡ ´ëÇÑ Á¢±Ù ..... 179 17. ¹ÙÀÌ·¯½º °£¿°(Viral hepatitis) ....................... 182 ±Þ¼º ¹ÙÀÌ·¯½º °£¿°(AÇü °£¿°À» Áß½ÉÀ¸·Î).182 ¸¸¼º BÇü °£¿°(Chronic hepatitis B) ........... 193 ¸¸¼º CÇü °£¿°(Chronic hepatitis C) ........... 201 [º¸Ãæ] Pan-genotypic DAA regimens ..... 216 18. µ¶¼º/¾àÀμº °£¿°(Toxic/drug-induced hepatitis) ................................................. 218 19. ¾ËÄÚ¿Ã °£Áúȯ(Alcoholic liver disease) ...... 219 20. ºñ¾ËÄÚ¿Ã Áö¹æ°£Áúȯ(Nonalcoholic fatty liver disease) ................................................................ 227 21. °£°æº¯/°£°æº¯ ÇÕº´Áõ(Liver cirrhosis/complication) ........................................ 238 22. ´ãµµ Áúȯ .............................................................. 239 ´ã¼® Áúȯ(Gallstone) ...................................... 239 ´ãµµ°è °¨¿°(Biliary tract infection): ´ã³¶¿°(Cholecystitis), ´ã°ü¿°(Cholangitis) 251 ´ã³¶ ¿ëÁ¾(GB polyp) ............................ 251 23. ÃéÀå Áúȯ .................................................. 251 PART 9. ³»ºÐºñ CHAPTER 1. ÁÖ¿ä ³»ºÐºñ Áúȯ 01. °©»ó»ù Áúȯ(Thyroid disease) ....................... 255 [Âü°í] °©»ó»ù¿¡ ´ëÇÑ ÀÌÇØ ............... 255 °©»ó»ù °ü·Ã°Ë»ç ................................... 255 °©»ó»ù ÃÊÀ½ÆÄ ........................................ 255 °©»ó»ù ±â´É Ç×ÁøÁõ(Hyperthyroidism) ..... 256 °©»ó»ù ±â´É ÀúÇÏÁõ(Hypothyroidism) ...... 269 °©»ó»ù¿°(Thyroiditis) ...................................... 277 °©»ó»ù °áÀý(Thyroid nodule) ...................... 283 02. ºÎ½ÅÁúȯ(Adrenal disease) ................ 291 ºÎ½Å ±â´ÉÀúÇÏÁõ(Adrenal insufficiency) ... 291 Äí½Ì ÁõÈıº(Cushing’s disease) .................. 291 03. °ñ´ë»çÁúȯ: °ñ´Ù°øÁõ(Osteoporosis) ......... 292 CHAPTER 2. °»³â±â Ŭ¸®´Ð 04. ¿©¼ºÀÇ Æó°æ±â ÁõÈıº(Postmenopausal syndrome) .......................................................... 326 05. ³²¼º °»³â±â ÁõÈıº(Testosterone deficiency syndrome) ........................................................... 339 PART 10. ½ÅÀåºñ´¢±â CHAPTER 1. ½ÅÀå¤ýºñ´¢±â Áø·á¸¦ À§ÇÑ ±âÃÊ 01. ½ÅÀå±â´É °Ë»ç(Renal function test): BUN, Creatinine, GFR µî ............................................ 355 02. ÀüÇØÁú °Ë»çÀÇ Çؼ® ............................... 359 ³ªÆ®·ý: Àú³ªÆ®·ýÇ÷Áõ, °í³ªÆ®·ýÇ÷Áõ ......... 359 Ä®·ý: ÀúÄ®·ýÇ÷Áõ, °íÄ®·ýÇ÷Áõ ...................... 359 03. ¼Òº¯°Ë»ç(Urinalysis) ........................................ 360 CHAPTER 2. ÁÖ¿ä Áõ»ó¤ýÁúȯº° Á¢±Ù 04. Ç÷´¢(Hematuria) ............................................. 368 05. ´Ü¹é´¢(Proteinuria) .......................................... 377 06. ¿ä·Î°¨¿°(Urinary tract infection) .............. 382 07. ¼º¸Å°³°¨¿°(Sexually transmitted disease).399 ¼º¸Å°³°¨¿°°ú ¿¬°üµÈ Áõ»ó: ¿äµµºÐºñ¹°(Urethral discharge) ...................................... 399 ¼º¸Å°³°¨¿°°ú ¿¬°üµÈ Áõ»ó: »ý½Ä±â ±Ë¾ç(Genital ulcer) .................................................. 404 ¼º¸Å°³°¨¿°°ú ¿¬°üµÈ Áõ»ó: »ý½Ä±â »ç¸¶±Í(Genital warts) ................................................. 408 ÁÖ¿ä ¼º¸Å°³°¨¿° .................................... 411 08. ÇϺοä·ÎÁõ»ó/¹è´¢Àå¾Ö ................................... 412 ÇϺοä·ÎÁõ»ó(Lower urinary tract symptoms) ................................................................................. 412 Àü¸³¼±ºñ´ëÁõ(Benign prostatic hyperplasia) ................................................................................. 419 °ú¹Î¼º ¹æ±¤(Overactive bladder) ............... 431 ¿ä½Ç±Ý(Urinary incontinence) .................... 438 09. ¿ä·Î°á¼®(Urinary stone) ................................ 446 10. ±Þ¼º ½Å¼Õ»ó(Acute kidney injury) ................ 457 11. ¸¸¼º ÄáÆϺ´(Chronic kidney disease) ....... 466 CHAPTER 3. ³²¼º Ŭ¸®´Ð 12. ³²¼º ¼º±â´ÉÀå¾Ö .................................... 478 ¹ß±âºÎÀü(Erectile dysfunction) .................. 478 Á¶·ç(Premature ejaculation) ...................... 478 13. ºñ´¢±â°ú ¼ö¼ú ......................................... 478 Æ÷°æ¼ö¼ú ............................................................. 478 Á¤°ü¼ö¼ú ............................................................. 478 ³²¼º¼ö¼ú ............................................................. 478 PART 11. »êºÎÀΰú/¿©¼ºÀÇÇÐ CHAPTER 1. ÀӽŰü·Ã Áø·á 01. ÇÇÀÓ»ó´ã .................................................. 483 02. ºÒÀÓ»ó´ã .................................................. 483 03. »êÀü°ü¸® .................................................. 483 04. »ê¿å±â/¼öÀ¯±â ....................................... 483 CHAPTER 2. ÁÖ¿ä »êºÎÀΰú Áõ»ó 05. ¿ù°æ °ü·Ã Áõ»ó(Menstruation related symptoms) .......................................................... 485 ¿ù°æÅë(Dysmenorrhea) ................................. 485 ¿ù°æ°ú´Ù(Menorrhagia) .................................. 491 ¹«¿ù°æ(Amenorrhea) .......................... 491 ¿ù°æÀü ÁõÈıº .................................................... 491 Æó°æ(Menopause)(Part 9 ÂüÁ¶) ................... 495 06. ÁúºÐºñ¹°/ÃâÇ÷(Vaginal discharge/bleeding).496 Áú ÃâÇ÷/ºñÁ¤»ó »ý½Ä±âÃâÇ÷(Vaginal bleeding/Abnormal genital bleeding) ........................ 496 Áú ºÐºñ¹°(Vaginal discharge)(¼º¸Å°³°¨¿°°ú ¿¬°üµÈ Áõ»ó ÂüÁ¶) ............................................. 507 07. ¿ÜÀ½ºÎ º´º¯(Vulvar lesion) ............................ 508 ¿ÜÀ½ºÎ µ¢ÀÌ(Vulvar masses) ........................ 508 ¿ÜÀ½ºÎ ±Ë¾ç(Vulvar ulcers) ............................. 515 ¿ÜÀ½ºÎ ÇǺκ´º¯(Vulvar dermatoses) ....... 523 ¿ÜÀ½ºÎ ÅëÁõ(Vulvodynia) ............................... 526 CHAPTER 3. ÁÖ¿ä »êºÎÀΰú Áúȯ 08. ÀڱñÙÁ¾(Leiomyoma) ......................... 531 09. Àڱ󻸷Áõ(Endometriosis) ............... 531 10. ÀڱðæºÎ¾Ï(Cervical cancer) .............. 531 CHAPTER 4. À¯¹æ Ŭ¸®´Ð 11. À¯¹æ Áõ»ó(Breast problems) .......................... 533 À¯¹æ ÅëÁõ(Breast pain, mastalgia) .............. 533 À¯¹æ µ¢¾î¸®(Breast mass) ............................ 538 À¯¹æ ºÐºñ¹°(Nipple discharge) .................... 543 Á¥È帧Áõ(Galactorrhea) .................... 548 ¿©¼ºÇü À¯¹æ(Gynecomastia) ........... 548 12. À¯¹æ ¾ç¼ºÁúȯ(Benign breast disease) ...... 549 PART 12. ½Å°æ Á¤½Å CHAPTER 1. Áõ»ó¤ý¡ÈĤýÁúȯº° Á¢±Ù 01. µÎÅë(Headache) ................................................. 563 µÎÅë¿¡ ´ëÇÑ Á¢±Ù .............................................. 563 ÆíµÎÅë(Migraine) .............................................. 576 ±äÀåÇüµÎÅë(Tension-type headache) ....... 597 ±º¹ßµÎÅë(Cluster headache) ........... 604 02. ¾ó±¼ÅëÁõ(Facial pain)/¸¶ºñ ............................ 605 ¾ó±¼ÅëÁõ¿¡ ´ëÇÑ Á¢±Ù ..................................... 605 »ïÂ÷½Å°æÅë(Trigeminal neuralgia) .............. 613 ÅΰüÀý Àå¾Ö(ÃøµÎÇϾÇÀå¾Ö)(Temporomandibular joint disorder) .................................................. 622 ¾ó±¼½Å°æ ¸¶ºñ(Facial palsy) .......................... 631 03. ¾îÁö·³Áõ(Dizziness, Vertigo) ........................ 643 ¾îÁö·³Áõ¿¡ ´ëÇÑ Á¢±Ù ..................................... 644 ¾ç¼ºµ¹¹ßµÎÀ§ÇöÈÆ(Benign Paroxysmal Positional Vertigo, BPPV) ............................ 658 [º¸Ãæ] ¾ç¼ºµ¹¹ßµÎÀ§ÇöÈÆÀÇ Áø´Ü±âÁØ ...... 665 ÀüÁ¤½Å°æ¿°(Vestibular Neuritis) .................. 672 ¸Þ´Ï¿¡¸£º´(Meniere’s Disease) .................. 678 04. ¶³¸²/ÆÄŲ½¼º´(Tremor/Parkinson’s disease). 682 ¶³¸²(Tremor)¿¡ ´ëÇÑ Á¢±Ù ........................... 682 ÆÄŲ½¼º´(Parkinson’s disease) .................... 691 05. ¹ßÀÛ(Seizure)/³úÀüÁõ(Epilepsy) ..................... 713 ¹ßÀÛ(Seizure)¿¡ ´ëÇÑ Á¢±Ù ............................. 713 ³úÀüÁõ(Epilepsy) ................................. 720 06. ¼Õ¹ßÀú¸²(Numbness and Tingling on Hands and Feet) .............................................................. 721 07. ¿ì¿ïÁõ(Depression) .......................................... 728 08. ºÒ¾ÈÀå¾Ö(Anxiety disorder) ........................... 743 CHAPTER 2. Ä¡¸Å Ŭ¸®´Ð 09. Ä¡¸Å¿¡ ´ëÇÑ ÀÌÇØ ¹× Áø´Ü ................................ 752 [º¸Ãæ] GDS/CDR °Ë»ç .................................... 758 10. ÁÖ¿ä Ä¡¸ÅÁúȯ: ¾ËÃ÷ÇÏÀ̸Ӻ´(Alzheimer’s disease), Ç÷°üÄ¡¸Å(Vascular dementia) µî . 759 11. Ä¡¸ÅÀÇ Ä¡·á .......................................................... 765 12. Ä¡¸ÅÀÇ Çൿ½É¸®Áõ»ó(Behavioral and Psychological symptoms of Dementia, BPSD) .................. 772 CHAPTER 3. ¼ö¸éÀå¾Ö Ŭ¸®´Ð 13. ¼ö¸éÀå¾Ö¿¡ ´ëÇÑ Á¢±Ù ...................................... 780 14. ºÒ¸éÁõ(Insomnia) .............................................. 784 15. ¼ö¸é °ü·Ã ¿îµ¿Àå¾Ö(Sleep-related movement disorders)/ÇÏÁöºÒ¾È ÁõÈıº(Restless legs syndrome) .............................................. 797 PART 13. ´« CHAPTER 1. ÁÖ¿ä ´« Áõ»ó ¹× Áúȯ 01. ÃæÇ÷´«(Red eye) ................................................ 801 02. ´«ÅëÁõ(ºñÃæÇ÷¼º)(Eye pain) .......................... 805 03. ´«²¨Ç® ¹ßÀû/ºÎÁ¾/µ¿Åë: ´Ù·¡³¢(Hordeolum, Stye) .................................................................... 813 04. °á¸·Áúȯ: °á¸·¿°(Conjunctivitis) .................. 819 05. ¸Á¸·Áúȯ .................................................. 828 ³ªÀÌ °ü·Ã Ȳ¹Ýº¯¼º(Age related macular degeneration, AMD) ...................................... 828 ´ç´¢¸Á¸·º´Áõ(Diabetic retionopathy) ..... 828 ¸Á¸·Ç÷°üÁúȯ: Retinal artery occl
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