{"id":23865,"date":"2025-11-30T09:00:43","date_gmt":"2025-11-30T00:00:43","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/30\/23865\/"},"modified":"2025-11-30T09:00:43","modified_gmt":"2025-11-30T00:00:43","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-%ec%8b%a0%ec%9e%a5%ec%95%94-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95-case-study-a-%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-3%ea%b0%9c","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/30\/23865\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 \uc2e0\uc7a5\uc554 \uac04\ud638\uacfc\uc815 Case Study A+ (\uac04\ud638\uc9c4\ub2e8 3\uac1c, \uac04\ud638\uacfc\uc815 1\uac1c)"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1. \uac74\uac15\ubb38\uc81c\uc640 \uad00\ub828\ub41c \uc790\ub8cc\uc218\uc9d1
\n1) \ud604\ubcd1\ub825(Present illness): \uc785\uc6d0\ud574\uc11c \ud604\uc7ac \uc0ac\uc815 \uc77c\uae4c\uc9c0\uc758 \ubcd1\ub825
\n2) \uacfc\uac70\ub825(Past history)
\n3) \uac00\uc871\ub825: Family tree\ub97c \uc774\uc6a9\ud55c\ub2e4(\uace0\ud608\uc555, \ub2f9\ub1e8, \uacb0\ud575, \uac04\uc5fc \ub4f1). <\/p>\n

2. \ub300\uc0c1\uc790\uc758 \uac74\uac15\uc591\uc0c1 \uc0ac\uc815
\n1) \uad50\ud658
\n2) \uc758\uc0ac\uc18c\ud1b5
\n3) \uad00\uacc4
\n4) \uac00\uce58
\n5) \uae30\ub3d9\uc131
\n6) \uc778\uc9c0\/\uc9c0\uac01
\n7) \uc9c0\uc2dd
\n8) \uc548\uc704
\n9) \ub300\uc751\/\uc2a4\ud2b8\ub808\uc2a4<\/p>\n

3. \ub300\uc0c1\uc790\uc758 \uc2e0\uccb4\uac80\uc9c4<\/p>\n

4. \uc9c4\ub2e8\uc801 \uac80\uc0ac
\n1)\t\ud608\uc561\uac80\uc0ac(Hematology)
\n2)\t\ud608\uc561\ud654\ud559 \uac80\uc0ac(Blood chemistry)
\n3)\t\ub3d9\ub9e5\ud608\uac00\uc2a4\ubd84\uc11d \uac80\uc0ac(Arterial Blood Gas Analysis, ABGA)
\n4)\t\uc694\uac80\uc0ac(Urine analysis)
\n5)\t\uc601\uc0c1 \uac80\uc0ac(Imaging Studies)
\n6)\t\ub0b4\uc2dc\uacbd, \ucd08\uc74c\ud30c \ubc0f \uae30\ud0c0\uac80\uc0ac<\/p>\n

5. \uce58\ub8cc\uc801 \uc790\ub8cc
\n1)\t \uc218\uc220 \ubc0f \ud2b9\uc218 \uce58\ub8cc \uc790\ub8cc
\n2)\t \uc2dd\uc774\uc694\ubc95
\n3)\t \uc218\uc561\uc694\ubc95 \ubc0f \uc57d\ubb3c\uc694\ubc95<\/p>\n

6. \ubb38\ud5cc\uace0\ucc30\uc5d0 \ub300\ud55c \uc5f0\uad6c
\n1)\t\uc9c4\ub2e8\uba85
\n2)\t\uc815\uc758
\n3)\t\uc6d0\uc778
\n4)\t\ubcd1\ud0dc\uc0dd\ub9ac
\n5)\t\uc99d\uc0c1 \ubc0f \uc9d5\ud6c4
\n6)\t\uc9c4\ub2e8\uac80\uc0ac
\n7)\t\uce58\ub8cc
\n8)\t\uac04\ud638\uc9c4\ub2e8
\n9)\t\uac04\ud638\uc911\uc7ac
\n10)\t\ucc38\uace0\ubb38\ud5cc<\/p>\n

7. \uac04\ud638\uacfc\uc815 \uc801\uc6a9
\n1) \uac04\ud638\uc0ac\uc815 \uc790\ub8cc \ubd84\uc11d
\n2) \ub300\uc0c1\uc790\uc758 \uac04\ud638\uc9c4\ub2e8 \ubaa9\ub85d \uc791\uc131
\n3) \uac04\ud638\uacfc\uc815 \uae30\ub85d\uc9c0<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

\uc131\ubcc4
\n F<\/p>\n

\uc5f0\ub839
\n74<\/p>\n

\uc815\ubcf4\uc81c\uacf5\uc790
\nEMR, \ubcf8\uc778, \ubcf4\ud638\uc790(\ub538)<\/p>\n

\uc785\uc6d0\uc77c
\n2023\ub144 05\uc6d4 15\uc77c <\/p>\n

\uc0ac\uc815\uc77c
\n 2023\ub144 05\uc6d4 17\uc77c ~ 05\uc6d4 22\uc77c<\/p>\n

\uc758\ud559\uc801 \uc9c4\ub2e8\uba85(Impression \ub610\ub294 Diagnosis):
\n> Malignant neoplasm of kidney, except renal pelvis, left<\/p>\n

1) \ud604\ubcd1\ub825(Present illness): \uc785\uc6d0\ud574\uc11c \ud604\uc7ac \uc0ac\uc815 \uc77c\uae4c\uc9c0\uc758 \ubcd1\ub825
\n\u2460 \ubc1c\ubcd1 \uc2dc\ubd80\ud130 \ubcd1\uc6d0\uc5d0 \uc624\uae30\uae4c\uc9c0\uc758 \uc0c1\ud669
\n> \ud0c0\ubcd1\uc6d0\uc5d0\uc11c \uac74\uac15\uac80\uc9c4 \ubcf5\ubd80\ucd08\uc74c\ud30c \ubc0f CT\uac80\uc0ac\uc5d0\uc11c left renal mass \uad00\ucc30\ub428(2023.03). \ud608\ub1e8\uc640 \ud1b5\uc99d \ub4f1\uc740 \uc5c6\uc5c8\uc74c<\/p>\n

\u2461 \ubcd1\uc6d0 \ub3c4\ucc29 \uc2dc \ub300\uc0c1\uc790\uc758 \uc0c1\ud0dc \ubc0f \ubcd1\uc2e4 \uc785\uc2e4 \uc804\uae4c\uc9c0\uc758 \uacbd\uacfc
\n> Left renal mass \uad00\ucc30\ub418\uc5b4 \uc218\uc220 \uc704\ud574 \uc785\uc6d0\ud568
\n> \ud608\ub1e8, \ud1b5\uc99d \ub4f1 \ubcc4 \ub2e4\ub978 \uc99d\uc0c1 \uc5c6\uc5c8\uc74c<\/p>\n

\u2462 \ubcd1\uc2e4 \uc785\uc2e4\ubd80\ud130 \ud604\uc7ac\uae4c\uc9c0\uc758 \uacbd\uacfc
\n> \uc218\uc220 \uc804\uae4c\uc9c0 \ud1b5\uc99d \uc5c6\uc73c\uba70 \uc591\ud638\ud568
\n> 5\/16 Robot radical nephrectomy \uc218\uc220 \uc9c4\ud589
\n> \uc218\uc220 \uc9c1\ud6c4\ubd80\ud130 PCA \uc801\uc6a9 \uc911\uc774\uba70 \uc218\uc220 \ubd80\uc704 \ud1b5\uc99d NRS 4\uc810 -> 3\uc810
\n> 5\/16 abdomen op site dressing chilling, shivering, \ubc1c\ud55c, malaise, \uc1e0\uc57d\uac10 \ub4f1 \uad00\ucc30\ub428
\n> \uc218\uc220 \uc9c1\ud6c4 12:20 V\/S 178\/81-73-20-36.6<\/p>\n

\u2463 \ud604\uc2dc\uc810\uc5d0\uc11c\uc758 \uc8fc \ud638\uc18c(Chief Complaint, C.C.)
\n> P : \uc218\uc220\ud558\uace0 \ub098\uc11c \uc77c\uc5b4\ub098\uac70\ub098 \uac78\uc744 \ub54c \uc545\ud654
\nQ : \uc800\ub9b0 \ub290\ub08c\uc73c\ub85c \uc544\ud514
\nR : \uc218\uc220 \ubd80\uc704 \ubcf5\ubd80 All
\nS : NRS 3\uc810
\nT : \uc218\uc220 \ud6c4 \ub9c8\ucde8 \ud480\ub9ac\uace0\ubd80\ud130 \uc77c\uc815\ud55c \ud1b5\uc99d
\nU : \uc218\uc220
\n> 5\/17 vomiting 1\ud68c \ud558\uc5ec PCA clamp\ud558\uc600\uc73c\uba70 \uc544\uce68 \uc2dd\uc0ac \ud6c4 \u201c\ubc25 \uba39\uc73c\ub2c8 \ud1a0\ud560\uac70 \uac19\uc544\uc694\u201d\ub77c\uace0 \ud638\uc18c\ud568
\n> \uc218\uc220 \ubd80\uc704 oozing, \ubc1c\uc801 \ub4f1 \uac10\uc5fc \uc9d5\ud6c4 \uad00\ucc30\ub428(5\/17)<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1. \uac74\uac15\ubb38\uc81c\uc640 \uad00\ub828\ub41c \uc790\ub8cc\uc218\uc9d1 1) \ud604\ubcd1\ub825(Present illness): \uc785\uc6d0\ud574\uc11c \ud604\uc7ac \uc0ac\uc815 \uc77c\uae4c\uc9c0\uc758 \ubcd1\ub825 2) \uacfc\uac70\ub825(Past history) 3) \uac00\uc871\ub825: Family tree\ub97c \uc774\uc6a9\ud55c\ub2e4(\uace0\ud608\uc555, \ub2f9\ub1e8, \uacb0\ud575, \uac04\uc5fc \ub4f1). 2. \ub300\uc0c1\uc790\uc758 \uac74\uac15\uc591\uc0c1 \uc0ac\uc815 1) \uad50\ud658 2) \uc758\uc0ac\uc18c\ud1b5 3) \uad00\uacc4 4) \uac00\uce58 5) \uae30\ub3d9\uc131 6) \uc778\uc9c0\/\uc9c0\uac01 7) \uc9c0\uc2dd 8) \uc548\uc704 9) \ub300\uc751\/\uc2a4\ud2b8\ub808\uc2a4 3. \ub300\uc0c1\uc790\uc758 \uc2e0\uccb4\uac80\uc9c4 4. \uc9c4\ub2e8\uc801 \uac80\uc0ac 1) \ud608\uc561\uac80\uc0ac(Hematology) […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[6825,29622,29623,29624],"class_list":["post-23865","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-6825","tag-29622","tag-29623","tag-29624"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/23865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=23865"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/23865\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=23865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=23865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=23865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}