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ÇÁ·Î¸Æ½º ¸ñÂ÷

Pulmonology(È£Èí±â³»°ú) 18
Pneumonia, COPD, TB(Æó·Å, ¸¸¼º Æó¼â¼º ÆóÁúȯ, °áÇÙ) 21
È£Èí±â°è - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 22
°øÅë °£È£»çÁ¤ & ¼öÇà 23
1. ±âħ 23
2. °´´ã 24
3. È£Èí°ï¶õ 25
Áúȯº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 26
1. Pneumonia(Æó·Å) 26
2. Chronic Obstructive Pulmonary Disease(COPD, ¸¸¼º Æó¼â¼º ÆóÁúȯ) 29
3. Tuberculosis(Tb, °áÇÙ) 32
ó¹æ¿¡ µû¸¥ °£È£¼öÇà 35
1. »ê¼Ò¿ä¹ý 35
2. ºÐ¹«¿ä¹ý 38

Lung Cancer(Æó¾Ï) 40
È£Èí±â°è - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 41
Æó¾Ï ȯÀÚ Çʼö °Ë»ç 42
1. ±â°üÁö³»½Ã°æ °Ë»ç 42
2. °æÇÇÀû »ý°Ë 43
¾Ï ÀüÀÌ °Ë»ç 45
1. Brain MRI 45
2. Bone scan 45
3. PET-CT(Positron emission tomography-CT, ¾çÀüÀÚ ¹æÃâ ÄÄÇ»ÅÍ ´ÜÃþ ÃÔ¿µ) 46

Chemotherapy & Condition ÀúÇÏ 47
È£Èí±â°è - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 48
°øÅë °£È£»çÁ¤ & ¼öÇà 49
»óȲº° °£È£»çÁ¤ & ¼öÇà 51
1. ÄÁµð¼Ç ÀúÇÏ È¯ÀÚ ÀÔ¿ø È®ÀÎ »çÇ× 51
2. ºóÇ÷ & ÃâÇ÷ À§Çè 51
3. ¹ß¿­°ú °¨¿° ¿¹¹æ 53
4. ÇǺιßÁø, ÇǺΠ¼Ò¾ç°¨ 54
5. ±ÙÀ°, ½Å°æ Á¶Àý 54
6. ÀÏÇ÷(Extravasation) 55
È£Èí±â³»°ú Åõ¾à 58
1. Fluid(¼ö¾×) 58
2. Antibiotics(Ç×»ýÁ¦) 58
3. Ç×°áÇÙ¾à 59
4. COPD & õ½Ä(Asthma) Á¶ÀýÁ¦ 60
5. °£Áú¼ºÆóÁúȯ 61
6. Æó¾Ï(Lung Cancer) 62
7. Áõ»ó Á¶Àý ¾à¹° 62
È£Èí±â³»°ú °Ë»ç & ½Ã¼ú 64
1. µ¿¸ÆÇ÷ °¡½ººÐ¼® 64
2. Ç÷¾×°Ë»ç: °¨¿° 66
3. ÈäºÎ X-ray 66
4. Chest CT 67
5. ¹è¾ç°Ë»ç 68
6. Èä¼öõÀÚ 71
7. Æó±â´É°Ë»ç 73
8. ±â°üÁö À¯¹ß°Ë»ç(Bronchial Provocation Test, BPT) 74
9. ±âÈä(Pneumothorax)°ú Èä°ü(Chest tube) 75
* È£Èí±â³»°ú °£È£»ç¡¯s ³ëÇÏ¿ì 78
* È£Èí±â³»°ú ´ë»óÀÚ¡®s ±Ã±ÝÁõ 80

Cardiology(½ÉÀå³»°ú) 81
MI, Angina & Arrhythmia & HF(½É±Ù°æ»ö, Çù½ÉÁõ & ºÎÁ¤¸Æ & ½ÉºÎÀü) 83
½ÉÀå³»°ú - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 84
°øÅë °£È£»çÁ¤ & ¼öÇà 86
1. ÈäÅë(Chest Pain) 86
2. È£Èí°ï¶õ(Dyspnea) 87
3. ½É°èÇ×Áø(Palpitation) & ¾îÁö·¯¿ò(Dizziness) 89
Áúȯº° °£È£ & °Ë»ç & ½Ã¼ú 90
1. ÇãÇ÷¼º ½ÉÀåÁúȯ(Ischemic heart disease) 90
2. Arrhythmia 98
3. HF(Heart failure, ½ÉºÎÀü) 115
4. Pericarditis(½ÉÀ帷¿°) & Endocarditis(½É³»¸·¿°) 122
½ÉÀå³»°ú °øÅë °Ë»ç & ½Ã¼ú 124
1. Ç÷¾×°Ë»ç 124
2. ¿µ»ó ¹× ±â´É°Ë»ç 126
½ÉÀå³»°ú Åõ¾à 132
1. Fluid(¼ö¾×) 132
2. Antibiotics(Ç×»ýÁ¦) 133
3. Ç×ÀÀ°íÁ¦ 133
4. Ç׺ÎÁ¤¸ÆÁ¦ 134
5. Ç×Çù½ÉÁõÁ¦ 135
6. Ç×°íÇ÷¾ÐÁ¦ 136
7. °íÁöÇ÷Áõ Ä¡·áÁ¦ 137
8. ½ÉºÎÀü Ä¡·áÁ¦ 138
* ½ÉÀå³»°ú ÁÖ¿ä Áø´Ü ¹× ½Ã¼ú, °£È£ Á¤¸® 139
* Âü°í »çÇ× 144
* ½ÉÀå³»°ú °£È£»ç¡¯s ³ëÇÏ¿ì 149

Hemato-oncology(Ç÷¾×Á¾¾ç³»°ú) 151
Admission & Chemotherapy(ÀÔ¿ø & Ç׾Ͽä¹ý) 155
ÀÔ¿ø & Ç׾Ͽä¹ý - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 156
°øÅë °£È£»çÁ¤ & ¼öÇà 158
1. ¿À½É(Nausea), ±¸Åä(Vomiting) 158
2. Á¡¸·¿°(Mucositis) Á¶Àý 160
3. º¯ºñ(Constipation) 162
4. ¿¬ÇÏ°ï¶õ(Dysphagia) & ½Ä¿åºÎÁø(Anorexia) 164
5. ÇǺιßÁø(Skin Rash), ÇǺμҾ簨(Itching sense) Á¶Àý 166
6. ÅëÁõ(Pain) 167
7. ¾Ï ȯÀÚ ÇÕº´Áõ ´ëó 168
8. ±âŸ Áõ»ó °ü¸® 170
¾ÏȯÀÚ Ä¡·á 171
1. ¼ö¼úÀû Ä¡·á(Surgery) 172
2. Ç×¾ÏÈ­Çпä¹ý(Chemotherapy) 173
¾î·Á¿î ·¹Áö¸Ç ÀÌÇØÇϱâ 177
3. ¹æ»ç¼± ¿ä¹ý(Radiation therapy) 179
4. Á¶Ç÷¸ð¼¼Æ÷ À̽Ä(Hematopoietic Stem Cell Transplantation, HSCT) 181
Ç÷¾×Á¾¾ç³»°ú ÁÖ¿ä Áúȯ°ú Ç×¾ÏÄ¡·á: Ç÷¾×¾Ï(Hematologic Malignancy) 183
1. Leukemia(¹éÇ÷º´) 183
2. Lymphoma(¸²ÇÁÁ¾) 187
3. Multiple Myeloma(´Ù¹ß¼º °ñ¼öÁ¾, MM) 190
4. Ç÷¾×¾ÏÀº ¾Æ´ÏÁö¸¸ °ñ¼ö ±â´É ÀÌ»óÀ¸·Î ¹ß»ýÇÏ´Â Áúȯ #1
: Aplastic Anemia(Àç»ýºÒ·®¼º ºóÇ÷) 194
5. Ç÷¾×¾ÏÀº ¾Æ´ÏÁö¸¸ °ñ¼ö ±â´É ÀÌ»óÀ¸·Î ¹ß»ýÇÏ´Â Áúȯ #2
: Myelodysplastic Syndrome(MDS, °ñ¼öÀÌÇü¼º ÁõÈıº) 194
Ç÷¾×Á¾¾ç³»°ú ÁÖ¿ä Áúȯ°ú Ç×¾ÏÄ¡·á: °íÇü¾Ï(Solid tumor) 196
1. Lung Cancer(Æó¾Ï) 197
2. Gastric Cancer(À§¾Ï) 199
3. Colon and Rectal cancer(°áÀå¾Ï°ú Á÷Àå¾Ï) 200
4. Liver Cancer(°£¾Ï) & Gallbladder cancer(´ã³¶¾Ï) & Pancreas Cancer(ÃéÀå¾Ï) 202
5. Thyroid Cancer(°©»ó¼±¾Ï) & Breast Cancer(À¯¹æ¾Ï) 205
6. Genital Cancer(»ý½Ä±â¾Ï) 208

Case·Î ¾Ë¾Æº¸´Â °íÇü¾Ï Ä¡·á: À¯¹æ¾Ï 210
À¯¹æ¾Ï - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 211
»óȲº° °£È£»çÁ¤ & ¼öÇà 213
Condition ÀúÇÏ 221
ÄÁµð¼Ç ÀúÇÏ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 222
»óȲº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 223
1. ÃâÇ÷(Bleeding) 223
2. °¨¿°(Infection) 227
3. ÀÏÇ÷(Extravasation) 229
Ç÷¾×Á¾¾ç³»°ú Åõ¾à 232
1. ¼ö¾×(Fluid) 232
2. ¿À½É(Nausea) & ±¸Åä(Vomiting) 233
3. Áõ»ó Á¶Àý ¾à¹° 234
4. Ç×ÀÀ°íÁ¦(Anticoagulant) 235
Ç÷¾×Á¾¾ç³»°ú °Ë»ç 236
1. Ç÷¾×°Ë»ç: Á¾¾çÇ¥ÁöÀÚ °Ë»ç(Tumor marker) 236
2. Ç÷¾×°Ë»ç: °¨¿° 237
3. ¹è¾ç°Ë»ç(Culture, Cx) 238
4. ÃâÇ÷ °ü·Ã Ç÷¾×°Ë»ç 240
5. °ñ¼ö°Ë»ç(Bone Marrow Examination, BM) 241
6. ±â°üÁö³»½Ã°æ °Ë»ç 242
7. °æÇÇÀû »ý°Ë 243
8. MRI 244
9. CT 244
10.PET-CT(Positron emission tomography-CT, ¾çÀüÀÚ ¹æÃâ ÄÄÇ»ÅÍ ´ÜÃþ ÃÔ¿µ) 245
11. Bone scan 246
12. ÃÊÀ½ÆÄ °Ë»ç(Ultrasound) 246
13. ºóÇ÷°Ë»ç 248
* Ç÷¾×Á¾¾ç³»°ú °£È£»ç¡¯s ³ëÇÏ¿ì 249
* Ç÷¾×Á¾¾ç³»°ú ´ë»óÀÚ¡¯s ±Ã±ÝÁõ 251

Gastro Enterology(¼ÒÈ­±â³»°ú) 252
Gastritis & Colitis & GI-Bleeding(À§¿° & ´ëÀå¿° & À§Àå°üÃâÇ÷) 254
¼ÒÈ­±â ³»°ú - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 255
°øÅë °£È£»çÁ¤ & ¼öÇà 257
1. º¹Åë(Abdomen Pain) 257
2. ¿À½É(Nausea), ±¸Åä(Vomiting) 258
3. ¼Ó ¾²¸²(Epigastric Pain, Heartburn) 259
»óȲº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 260
1. Dyspepsia(¼ÒÈ­ºÒ·®) 260
2. Inflammation(¿°Áõ) Gastritis(À§¿°) & Colitis(´ëÀå¿°) 262
3. Bleeding(ÃâÇ÷) 265

Early Gastric Cancer, Gastric Cancer & Colon Cancer(Á¶±âÀ§¾Ï, À§¾Ï & ´ëÀå¾Ï) 269
EGC(Á¶±âÀ§¾Ï), À§¾Ï & ´ëÀå¾Ï - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 270
¼ÒÈ­±â°è ¾Ï °ü·Ã Áúº´ ÀÌÇØÇϱâ 271
1. À§¾Ï(Gastric cancer) 271
2. ¿ëÁ¾(Polyp) & ´ëÀå¾Ï(Colon cancer) 272
°øÅë °£È£»çÁ¤ & ¼öÇà 273
1. ¹èº¯ ¾ç»ó º¯È­ 273
2. ½Ä¿åºÎÁø(Anorexia) & üÁß°¨¼Ò 273
»óȲº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 275
1. ³»½Ã°æ Àü/ÈÄ °£È£»çÁ¤ & ¼öÇà 275
¼ÒÈ­±â³»°ú Åõ¾à 278
1. Fluid(¼ö¾×) 278
2. Antibiotics(Ç×»ýÁ¦) 278
3. Áõ»ó Á¶Àý ¾à¹° 279
4. °Ë»ç&½Ã¼ú °ü·Ã ¾à¹° 279
¼ÒÈ­±â³»°ú °Ë»ç & ½Ã¼ú 280
1. Ç÷¾×°Ë»ç: °¨¿°°ú ÃâÇ÷ 280
2. º¹ºÎ X-ray 281
3. Abdominal CT 283
4. Stool lab(´ëº¯°Ë»ç) 283
5. »óºÎÀ§Àå°üÁ¶¿µ°Ë»ç(Upper gastrointestinal series, UGIS) 284
6. ´ëÀåÁ¶¿µ¼ú(Colon study) 284
7. PET-CT(Positron emission tomography-CT, ¾çÀüÀÚ ¹æÃâ ÄÄÇ»ÅÍ ´ÜÃþ ÃÔ¿µ) 285
8. ³»½Ã°æÀû Á¡¸·Á¦°Å¼ú(Endoscopic mucosal resection, EMR) 286
9. ³»½Ã°æÀû dz¼±È®Àå¼ú & ½ºÅÙÆ® »ðÀÔ¼ú 287
* ¼ÒÈ­±â³»°ú °£È£»ç¡¯s ³ëÇÏ¿ì 288

Hepatology°£´ãÃé³»°ú 289
Liver, Gallbladder + Pancreas(°£, ´ã³¶+ÃéÀå) 291
°£´ãÃé³»°ú - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 292
°øÅë °£È£»çÁ¤ & ¼öÇà 294
1. Ȳ´Þ(Jaundice) Á¶Àý 294
Áúȯº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 295
1. °£ Áúȯ 295
2. ´ãµµ & ÃéÀå Áúȯ 301
»óȲº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 306
1. ERCP Àü/ÈÄ °£È£»çÁ¤ & ¼öÇà 306
°£´ãÃé³»°ú Åõ¾à 310
1. °£(Liver) 310
2. Gallbladder(´ã³¶) & Pancreas(ÃéÀå) 310
3. ÃéÀå¿°¿¡ ´ëÇÑ Ç×»ýÁ¦ 310
°£ Áúȯ °Ë»ç & ½Ã¼ú 311
1. Ç÷¾×°Ë»ç 311
2. CT 313
3. MRI 313
4. »óº¹ºÎ ÃÊÀ½ÆÄ(Abdominal ultrasonography) 314
5. °£´ãµµ ½ºÄµ(Hepatobiliary scan) 314
6. PCD(Percutaneous catheter drainage, °æÇÇÀû ¹è¾×¼ú) 315
7. º¹¼öõÀÚ(Abdominal paracentesis) 316
8. °æÇÇÀû °£»ý°Ë(Percutaneous liver biopsy) 317
9. °æÁ¤¸Æ°£³»¹®¸ÆÁ¤¸Æ´Ü¶ô¼ú(Transjugular intrahepatic portosystemic shunt, TIPS) 317
10. ¿ªÇ༺ °æÁ¤¸ÆÆó¼â¼ú(Retrograde transvenous obliteration, RTO) 319
11. °íÁÖÆÄ¿­Ä¡·á(Radiofrequency thermal ablation, RFTA) 320
12. °æµ¿¸ÆÈ­ÇлöÀü¼ú(Transarterial chemoembilization, TACE) 321
13. °£ À̽Ä(Liver transplantation) 322
´ãµµ, ÃéÀå Áúȯ °Ë»ç & ½Ã¼ú 324
1. ³»½Ã°æÀ» ÅëÇÑ ½ÊÀÌÁöÀå À¯µÎºÎ È®Àå¹ý 324
2. ³»½Ã°æÀ» ÅëÇÑ ´ãµµ ¹è¾×¼ú 325
3. °æÇÇÀû °£ ´ãµµ Á¢±Ù 326
* °£´ãÃé³»°ú °£È£»ç¡¯s ³ëÇÏ¿ì 328
* °£´ãÃé³»°ú ´ë»óÀÚ¡¯s ±Ã±ÝÁõ 329

Nephrology(½ÅÀå³»°ú) 330
APN(±Þ¼º ½Å¿ì½Å¿°) 332
½ÅÀå³»°ú - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 333
°øÅë °£È£»çÁ¤ & ¼öÇà 334
1. ¿·±¸¸® ÅëÁõ(Flank Pain) 334
2. ¹ß¿­(Fever), ¿ÀÇÑ(Chilling, Shivering) 336
3. Ç÷´¢(Hematuria) 338
Áúȯº° °£È£»çÁ¤ & ¼öÇà 340
1. Urinary Tract Infection(UTI, ¿ä·Î°¨¿°) & Acute PyeloNephritis(APN, ±Þ¼º ½Å¿ì½Å¿°) 340
2. Antibiotics(Ç×»ýÁ¦) 342
3. °ü·Ã Ç÷¾× °Ë»ç 343

Renal Syndrome(½ÅÁõÈıº) 344
½ÅÁõÈıº - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 345
°øÅë °£È£»çÁ¤ & ¼öÇà 346
1. Ç÷¾Ð Á¶Àý 346
2. °ÅÇ°´¢(Foamy urine)¿Í ºÎÁ¾(Edema) Á¶Àý 347
»óȲº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 350
1. Renal Biopsy(½ÅÀåÁ¶Á÷°Ë»ç) Àü/ÈÄ °£È£»çÁ¤ & ¼öÇà 350

Renal Failure(½ÅºÎÀü) 352
½ÅºÎÀü - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 353
Áúȯº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 355
1. Acute Renal Failure(ARF, ±Þ¼º ½ÅºÎÀü) 355
2. Chronic Renal Failure(CRF, ¸¸¼º ½ÅºÎÀü) 364
»óȲº° °£È£»çÁ¤ & ¼öÇà 368
1. Åõ¼®Ä¡·á(Dialysis) 368
2. Åõ¼®¿ë µµ°ü(Catheter) 369
3. Åõ¼® Ç÷¾×µµ°ü °ü¸® 371
4. Åõ¼® °£È£»çÁ¤ & ¼öÇà 373
½ÅÀå³»°ú Åõ¾à 376
1. ¼ö¾×(Fluid) 376
2. ÀüÇØÁú ºÒ±ÕÇü 377
3. »óȲ¿¡ µû¸¥ Åõ¾à 378
4. Åõ¼® ȯÀÚ °ü·Ã 378
5. Ç×ÀÀ°íÁ¦(Anticoagulant) 379
½ÅÀå³»°ú °Ë»ç 381
1. ½ÅÀå °ü·Ã Ç÷¾× & ¼Òº¯ °Ë»ç 381
2. Ç÷¾×°Ë»ç: °¨¿° 382
3. ¹è¾ç°Ë»ç(Culture, Cx) 383
4. ÃâÇ÷ °ü·Ã Ç÷¾×°Ë»ç 385
5. µ¿¸ÆÇ÷ °¡½ººÐ¼®(ABGA, Arterial Blood Gas Analysis) 386
6. ÃÊÀ½ÆÄ °Ë»ç 388
7. ½ÅÀå »ý°Ë(Renal Biopsy) 389
* ½ÅÀå³»°ú °£È£»ç¡¯s ³ëÇÏ¿ì 390
* ½ÅÀå³»°ú ´ë»óÀÚ¡¯s ±Ã±ÝÁõ 391

General surgery(ÀϹݿܰú) 392
Breast Cancer(À¯¹æ¾Ï) 395
À¯¹æ¾Ï - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 396
°øÅë °£È£»çÁ¤ & ¼öÇà 397
1. À¯¹æ°ú ÁÖº¯ ºÎÀ§ ÅëÁõ 397
2. ÇǺΠ±Ë¾ç, À¯µÎ ºÐºñ¹° Á¶Àý 398
3. À¯¹æ Å©±â »çÁ¤ 399
¼ö¼ú Àü °£È£ 402
1. ¼ö¼ú Àü °£È£ 402
2. ¼ö¼ú Áß °£È£ 408
3. ¼ö¼ú ÈÄ °£È£ 409
»óȲº° °£È£»çÁ¤ & ¼öÇà 411
À¯¹æ¾Ï °ü·Ã °Ë»ç 419
1. ÀÚ°¡°ËÁø 419
2. À¯¹æÃÔ¿µ¼ú(Mammography, MMG) 419
3. À¯¹æÃÊÀ½ÆÄ(Breast ultrasonography) 420
4. À¯¹æ MRI 420
5. À¯¹æ »ý°Ë(Breast biopsy) 421
6. Ç÷¾×°Ë»ç: °¨¿° 423
7. Ç÷¾×°Ë»ç: ÃâÇ÷ 424
8. ¹è¾ç °Ë»ç(Culture, Cx) 425
ÀüÀÌ °Ë»ç 427
1. PET-CT(Positron emission tomography-CT, ¾çÀüÀÚ ¹æÃâ ÄÄÇ»ÅÍ ´ÜÃþ ÃÔ¿µ) 427
2. º¹ºÎ ÃÊÀ½ÆÄ(Abdominal ultrasonography 428
3. º¹ºÎ CT 429
4. Bone scan 429

Gatric cancer & Colon cance(À§¾Ï & ´ëÀå¾Ï) 430
À§¾Ï & ´ëÀå¾Ï - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 431
°øÅë °£È£»çÁ¤ & ¼öÇà 433
1. ¼ö¼ú ÈÄ ÅëÁõ 433
2. ¼ö¼ú ºÎÀ§ »çÁ¤ & ¹è¾×°ü °ü¸® 435
3. º¹ºÎ ºÒÆí°¨ 436
4. ½Ä¿åºÎÁø, üÁß °¨¼Ò 437
5. ¹è´¢ Àå¾Ö 438
6. ¹èº¯ ¾ç»ó º¯È­ 439
7. ¿À½É, ±¸Åä 440
»óȲº° Ãß°¡ °£È£»çÁ¤ & ¼öÇà 441
1. ³»½Ã°æ Àü/ÈÄ °£È£»çÁ¤ & ¼öÇà 441
2. ´ëÀå¾Ï ¼ö¼ú 444
3. À§¾Ï ¼ö¼ú °£È£ 450
4. ºñ¼ö¼úÀû Ä¡·á 453
¼ÒÈ­±â°è ¾Ï °øÅë °Ë»ç 455
1. º¹ºÎ X-ray 455
2. Abdominal CT 456
3. Stool lab(´ëº¯°Ë»ç) 456
4. »óºÎÀ§Àå°üÁ¶¿µ°Ë»ç(Upper gastrointestinal series, UGIS) 457
5. ´ëÀåÁ¶¿µ¼ú(Colon study) 458
6. Á÷Àå¼öÁö°Ë»ç(Digital rectal examination, DRE) 459
7. °æÁ÷Àå ¹× Ç×¹® ÃÊÀ½ÆÄ(Transrectal & transanal ultrasonography) 459
8. Ç÷¾×°Ë»ç: °¨¿°°ú ÃâÇ÷ 460
9. º¹ºÎ ÃÊÀ½ÆÄ(Abdominal ultrasonography) 460
GB stone & Appendicitis(´ã¼®Áõ & Ãæ¼öµ¹±â¿°) 461
´ã¼®Áõ & Ãæ¼öµ¹±â¿° - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 462
°øÅë °£È£»çÁ¤ & ¼öÇà 463
1. ÅëÁõ 463
2. ¿À½É, ±¸Åä 464
3. ¹ß¿­ 465
4. ¼ö¼ú ºÎÀ§ »çÁ¤ & ¹è¾×°ü °ü¸® 467
5. º¹ºÎ ºÒÆí°¨ 468
6. Ȳ´Þ(Jaundice) Á¶Àý 469
»óȲº° °£È£»çÁ¤ & ¼öÇà 470
1. Ãæ¼öµ¹±â¿° 470
2. ´ã¼®Áõ 471
3. ´ã¼®Áõ ¼ö¼ú °£È£ 472
4. ´ã¼®ÁõÀÇ ºñ¼ö¼úÀû Ä¡·á 474
´ã¼®Áõ, Ãæ¼öµ¹±â¿° ȯÀÚ Åõ¾à 480
1. ¼ö¾× 480
2. Ç×»ýÁ¦ 480
3. ±âŸ¾à¹° 481
´ã¼®Áõ, Ãæ¼öµ¹±â¿° ȯÀÚ °Ë»ç 482
1. Ç÷¾×°Ë»ç: °¨¿°°ú ÃâÇ÷, ºô¸®·çºó 482
2. º¹ºÎ X-ray 482
3. Abdominal CT 483
4. º¹ºÎ ÃÊÀ½ÆÄ(Abdominal ultrasonography) 484
5. ÀÚ±â°ø¸í´ãÃé°üÁ¶¿µ¼ú(Magnetic resonance cholangiopancreatography, MRCP) 484
6. °£´ãµµ ½ºÄµ(Hepatobiliary scan) 485
* ÀϹݿܰú ¼ö¼ú Àü/ÈÄ Check List 486
* ÀϹݿܰú °£È£»ç¡¯s ³ëÇÏ¿ì 488
* ÀϹݿܰú ´ë»óÀÚ¡¯s ±Ã±ÝÁõ 490

Orthopedics(Á¤Çü¿Ü°ú) 491
Vertebral disease(ôÃßÁúȯ) 493
ôÃßÁúȯ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 494
°øÅë °£È£»çÁ¤ & ¼öÇà 496
1. ¹æ»çÅë(Radiation Pain) & Àú¸²(Numbness/Tingling) 496
2. ½Å°æÇÐÀû Áõ»ó(Neurological Symptom)
: ¸¶ºñ(Paralysis), °¨°¢ ÀÌ»ó(sensory disturbance),°­Á÷(Rigidity, Spasticity) 498
3. ½Å°æÇÐÀû »çÁ¤(Neurological Assessment) 499
4. Ç×¹® °ý¾à±Ù ÀÌ»ó 501
5. »çÁö û»öÁõ(Cyanosis) 502
ôÃß Áúȯ ȯÀÚ ¼ö¼ú °£È£ 504
1. C-spine(°æÃß) ¼ö¼ú °ü·Ã 504
2. T-spine(ÈäÃß) ¼ö¼ú°ü·Ã 505
3. L-spine(¿äÃß) ¼ö¼ú°ü·Ã 506
ôÃß Áúȯ °Ë»ç 507
1. Ç÷¾×°Ë»ç: °¨¿°°ú ÃâÇ÷ 507
2. X-ray 507
3. CT 507
4. MRI 507

Inflammation & Fracture & Rupture Disease(¿°Áõ¼º & °ñÀý¼º & ÆÄ¿­¼º Áúȯ) 509
¿°Áõ¼º & °ñÀý¼º & ÆÄ¿­¼º Áúȯ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 510
°øÅë °£È£»çÁ¤ & ¼öÇà 512
1. ÅëÁõ(Pain) 512
2. Àú¸²(Paresthesia), °¨°¢ÀÌ»ó(Sensory abnormalities) 513
3. ¿îµ¿´É·Â °¨¼Ò(Decline in physical function) 514
4. ¹ß¿­(Fever) 515
5. ºÎÁ¾(Edema) 516
¿°Áõ, °ñÀý, ÆÄ¿­¼º Áúȯ ȯÀÚ ¼ö¼ú °£È£ 517
1. °ñÀýÁúȯ ¼ö¼ú 517
2. ¿°ÁõÁúȯ ¼ö¼ú 518
3. Àδë±ÙÀ°ÆÄ¿­ ¼ö¼ú 519
¿°Áõ, °ñÀý, ÆÄ¿­¼º Áúȯ °Ë»ç 520
1. Ç÷¾×°Ë»ç: °¨¿°°ú ÃâÇ÷ 520
2. X-ray 520
3. CT 520
4. MRI 521
5. ÃÊÀ½ÆÄ(Ultrasonography) 521
6. °ñÀý, ¿°Áõ, ÀδëÆÄ¿­ °øÅë °Ë»ç
: ±ÙÀüµµ(Electromyography, EGM) & ½Å°æÀüµµ °Ë»ç(Nerve conduction test, NCT) 522

DM Foot(´ç´¢º´¼º Á·ºÎÁúȯ) 524
´ç´¢º´¼º Á·ºÎÁúȯ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 525
°øÅë °£È£»çÁ¤ & ¼öÇà 526
1. ÅëÁõ(Pain) 526
2. °¨°¢ÀÌ»ó(Sensory abnormalities) 528
3. ÃâÇ÷(Bleeding) 529
4. ¼ö¼ú ºÎÀ§ °¨¿° 530
´ç´¢º´¼º Á·ºÎÁúȯ »óó °£È£ 531
1. DM Foot 531
2. »óó°£È£ 532
´ç´¢º´¼º Á·ºÎÁúȯ ¼ö¼ú °£È£ 534
1. Wound Debridement(Á¶Á÷ Á¦°Å¼ú) 534
2. Skin Graft(ÇǺÎÀ̽Ä) & Skin Flap(ÇǺÎÇÇÆÇ) 534
3. Amputation(Àý´Ü) 535
´ç´¢º´¼º Á·ºÎÁúȯ °Ë»ç 536
1. Ç÷¾×°Ë»ç: °¨¿°°ú ÃâÇ÷ 536
2. ¹ß¸ñ»ó¿ÏÁö¼ö(Ankle brachial index, ABI) 536
3. CT-angiography(Ç÷°üÁ¶¿µ CT) 537
4. MRI 537
5. µµÇ÷¯ ÃÊÀ½ÆÄ(Doppler Ultrasound) 538
6. ¸»Ãʵ¿¸Æ Á¶¿µ¼ú & °æÇÇÀû Ç÷°ü¼ºÇü¼ú 538
Á¤Çü¿Ü°ú ȯÀÚ Åõ¾à 540
1. ¼ö¾× 540
2. Ç×»ýÁ¦ 541
3. ±âŸ¾à¹° 541
* Á¤Çü¿Ü°ú °£È£»ç¡¯s ³ëÇÏ¿ì 542
* Á¤Çü¿Ü°ú ´ë»óÀÚ¡¯s ±Ã±ÝÁõ 543

Neurology(½Å°æ°ú) 544
Cerebral Hemorrhage & Cerebral Infarction(³úÃâÇ÷ & ³ú°æ»ö) 546
³úÃâÇ÷ & ³ú°æ»ö - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 547
³úÁ¾¾ç - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 549
°øÅë °£È£»çÁ¤ & ¼öÇà 551
1. ½Å°æÇÐÀû »çÁ¤(Neurological Assessment) 551
2. Ç÷¾Ð Á¶Àý: ³úÃâÇ÷(Intracerebral hemorrhage, ICH) 553
3. Ç÷¾Ð Á¶Àý: ³ú°æ»ö(Ischemic Stroke) 555
4. ¿À½É(Nausea) & ±¸Åä(Vomiting) Á¶Àý 556
5. µÎÅë Á¶Àý 558
6. µÎ°³³»¾Ð »ó½Â(Increased Intracranial Pressure, IICP) 559
7. ¼ö¼ú ºÎÀ§ »çÁ¤ & ¹è¾×°ü °ü¸® 562
8. ¹ßÀÛ(Seizure) 566
Stroke(³úÁ¹Áß) °£È£»çÁ¤ & ¼öÇà 569
1. Áõ»ó ¹ßÇö °¨Áö 569
2. Áø´Ü °Ë»ç & ½Å°æ°ú ÀÇ»ç Áø·á 569
3. °Ë»ç °á°ú¿¡ µû¸¥ Ä¡·á °áÁ¤ 570
4. Ä¡·á¿¡ µû¸¥ °£È£ 571
½Å°æ¿Ü°ú Áúȯ ¼ö¼úÀû Ä¡·á & °£È£ 572
½Å°æ°ú Áúȯ ½Ã¼ú Ä¡·á & °£È£ 582
½Å°æ°ú Åõ¾à 584
1. ¼ö¾×(Fluid) 584
2. Antibiotics(Ç×»ýÁ¦) 585
3. Ç×°æ·ÃÁ¦(Anticonvulsant) & Ç׳úÀüÁõ¾à(Antieplieptic drug) 586
4. Ç×ÀÀ°íÁ¦(Anticoagulant) 587
5. ¿À½É(Nausea) & ±¸Åä(Vomiting) 588
6. ³ú¾Ð °¨¼Ò ¾à¹° 588
7. ±âŸ ¾à¹° 589
½Å°æ°ú °Ë»ç 590
1. Brain CT 590
2. Brain MRI 592
3. Cerebral Angiography(³úÇ÷°ü Á¶¿µ¼ú)
: TFCA(Transfemoral cerebral angiography) 594
4. °æµÎ°³ µµÇ÷¯ ÃÊÀ½ÆÄ °Ë»ç(Transcranial Doppler Ultrasound, TCD) 596
5. Holter Monitor 597
6. °æµ¿¸Æ µµÇ÷¯ ÃÊÀ½ÆÄ(Carotid Doppler) 597
7. ¿äÃß ÃµÀÚ(Spinal Tapping, Lumbar Puncture, CSF tapping) 598
8. ³úÆÄ°Ë»ç(Electroencephalogram, EEG) 600
9. Ç÷¾×°Ë»ç: °¨¿° 602
10. ¹è¾ç°Ë»ç 603
11. ÃâÇ÷ °ü·Ã Ç÷¾×°Ë»ç 606

Vertebral Disease(ôÃßÁúȯ) 607
ôÃßÁúȯ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 608
°øÅë °£È£»çÁ¤ & ¼öÇà 610
1. ¹æ»çÅë(Radiation Pain) & Àú¸²(Numbness/Tingling) 610
2. ½Å°æÇÐÀû Áõ»ó(Neurological Symptom)
: ¸¶ºñ(Paralysis), °¨°¢ ÀÌ»ó(sensory disturbance), °­Á÷(Rigidity, Spasticity) 613
»óȲº° °£È£»çÁ¤ & ¼öÇà 614
1. ¼ö¼ú Àü °£È£ 615
2. ¼ö¼ú Áß °£È£ 621
3. ¼ö¼ú ÈÄ °£È£ 622
ôÃß ¼ö¼ú ÈÄ °£È£ 624
ôÃßÁúȯ °Ë»ç 627
1. X-ray & CT & MRI 627
2. ½Å°æ»ý¸® °Ë»ç 628
3. ±âŸ °Ë»ç 628
* ½Å°æ¿Ü°ú °£È£»ç¡¯s ³ëÇÏ¿ì 629
* ½Å°æ¿Ü°ú ´ë»óÀÚ¡¯s ±Ã±ÝÁõ 630

È°·Â¡ÈÄ 631
Ç÷¾Ð 632
°íÇ÷¾Ð - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 633
ÀúÇ÷¾Ð - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 634
Ç÷¾Ð(Blood Pressure, BP) 635

½É¹Úµ¿¼ö 642
ºó¸Æ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 643
¼­¸Æ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 644
½É¹Úµ¿¼ö(Heart Rate, HR) 645

ü¿Â 656
°íü¿Â - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 657
Àúü¿Â - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 658
ü¿Â(Body Temperature, BT) 659

È£Èí¼ö 667
ºóÈ£Èí - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 668
È£ÈíÀúÇÏ - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 669
È£Èí¼ö(Respiratory Rate, RR) 670

°øÅë °£È£ 687
Á¤¸ÆÁÖÀÔ¿ä¹ý 688
1. ¾à¹° ÁÖ¿ä Åõ¾à ¹æ¹ý 689
2. ÁÖ¿ä Á¤¸Æ 690
3. Á¤¸Æ°ü Á¾·ù¿Í Ư¡ 691

Ç÷¾× °Ë»ç 696
1. ÁÖ¿ä Ç÷¾× °Ë»ç Á¾·ù¿Í °Ëü 697
2. Ç÷¾× °Ë»ç Á¾·ù¿¡ µû¸¥ °Ëü & Ư¡ & äÇ÷ ¼ø¼­ 698
3. ±× ¿Ü Áß¿ä °Ë»ç 699

¹Ì»ý¹° °Ë»ç¿Í Ç×±ÕÁ¦ 702
1. Gram (+) (-) °á°ú¿¡ µû¸¥ ¹Ì»ý¹° ºÐ·ù 704
2. ´ÙÁ¦³»¼º±Õ (Multi-drug Resistant Organism, MDRO) 708
3. Ç×±ÕÁ¦ 711

¼öÇ÷ 716
1. ¼öÇ÷Á¦Á¦ ¸ðÀ½ 717
2. ÀϹÝÀûÀÎ ¼öÇ÷ tip 719

ÁøÅë & ÁøÁ¤ & Acting Out 722
1. ºñ¸¶¾à¼º ÁøÅëÁ¦: °æÁõ ÅëÁõ¿¡ Åõ¾à 724
2. ¸¶¾à¼º ÁøÅëÁ¦: Áߵ ÀÌ»ó ÅëÁõ¿¡ Åõ¾à 725
3. ÁøÁ¤Á¦: ¼¶¸ÁÀ̳ª µ¿¿ä(agitation), ÈïºÐ »óÅ¿¡¼­ Åõ¾à 726
Acting Out(ÀÚÇØ or ŸÇØ À§Ç輺) - Why Algorithm ¾Ë°í¸®Áò »ç°í·Â ±â¸£±â 727

»ê¼Ò¿ä¹ý 729
1. »ê¼Ò Àü´Þ ÀåÄ¡(Oxygen delivery systems) 730
2. ȯÀÚ¿¡°Ô °ø±ÞµÇ´Â »ê¼Ò´Â Àû´çÇÑ °É±î? »ê¼ÒÈ­ÀÇ ÁöÇ¥ 731

¼ö¾×¿ä¹ý 733
1. ¼ö¾×ÀÇ Á¾·ù 734
2. Áõ»ó¿¡ µû¸¥ ¼ö¾× ¼±Åà TIP 735

Ç÷¾Ð ¿Ã¸®´Â ¾à¹°: ½Â¾ÐÁ¦ 736

Àå±âÀÌ½Ä È¯ÀÚ °ü¸® 739