case presentation
Download
Skip this Video
Download Presentation
Case Presentation

Loading in 2 Seconds...

play fullscreen
1 / 25

Case Presentation - PowerPoint PPT Presentation


  • 85 Views
  • Uploaded on

Case Presentation. SKKU School of Medicine Otorhinolaryngology, Head and Neck Surgery 2007313075 Son Eui Young. Chief Complaint. M / 52 Right infraauricular mass Onset(remote) : 4YA. Present illness. 2009-04-27(3YA)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Case Presentation' - kirkan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
case presentation

Case Presentation

SKKU School of Medicine Otorhinolaryngology, Head and Neck Surgery

2007313075 Son Eui Young

chief complaint
Chief Complaint
  • M / 52
  • Right infraauricular mass
    • Onset(remote) : 4YA

Page 2

present illness
Present illness
  • 2009-04-27(3YA)
    • 약 1년전 우연히 발견한 right infraauricular mass로 size 증가하여 SMC ENT 외래로 내원. 진찰 상 크기 약 1cm
  • 2009-06-03
    • Salivary CT상 3cm의 mass 보임. FNAB에서 pleomorphic adenoma
    • 수술 예정이었으나 환자 원하여 delayed

Page 3

present illness1
Present illness
  • 2012-02-08 (3MA)
    • 수술 위해 ENT 외래로 재내원함. P/Ex 상 hard, mobile, about 2cm mass
  • 2012-02-24
    • Superficial parotidectomy 예정, 수술 날짜 결정
  • 2012-05-07
    • 수술 위해 입원

Page 4

other histories
Other Histories
  • Past Medical History
    • Hypertension (+) : 15YA, on medication
    • DM (-), Hepatitis (-), Tb(-), Alllergy(-), antibiotics allergy(-)
  • Social History
    • Alcohol (+), Smoking (+)

Page 5

review of system
Review of System
  • General
    • General weakness (-), Fever(-)
  • Ear
    • Itching sense(-/+) (1MA)

Page 6

physical exam
Physical Exam
  • General
    • General appearance : not so ill looking
    • Mental status : alert
  • Neck

Page 7

imaging
Imaging

2.9 x 1.7 x 1.9 cm lobulating solid mass in the right parotid gland, aspiration.

US

Page 8

imaging1
Imaging

Salivary gland CT

Page 10

imaging2
Imaging

Salivary gland CT

Page 11

imaging3
Imaging

Salivary gland CT

Page 12

problem list
Problem List

#1. Right infraauricular mass

#2. Underlying Hypertension

Page 13

assessment operation
Assessment & Operation
  • Right parotid gland mass
    • r/o pleomorphic adenoma
    • r/o Warthin’s tumor
  • Total parotidectomy with facial nerve preservation(Right)
    • Histopathologic type : pleomorphic adenoma
    • Tumor size : 3cm
    • Greater auricular n. : Ant. branch (saved) Post. branch (saved)
    • Facial n. : Zygomatic branch (saved) Temporal branch (saved) Buccal branch (saved) Marginal mandibular branch (saved) Cervical branch (saved)
    • Stenson's duct : ligated

Page 14

hospital course
Hospital Course
  • POD #0
    • V/S stable, Pain tolerable
    • Wound clear, no immediate complication
    • family nurse practitioner (-)

Page 15

disease review

Disease Review

Salivary gland tumor

2007313075 Son Eui Young

slide17
역학

Page 17

slide19
임상양상

Page 19

slide20
진단

Page 20

slide21
병기

Page 21

reference
Reference
  • <이비인후과학, 두경부외과학> 개정판, 일조각
    • Vol II, Chapter 2, Chapter 7

Page 25

ad