n Past history HTNDMPul TBHepatitis 3 DM OHA

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n Past history HTN/DM/Pul TB/Hepatitis (-/+/-/-) 3년전 DM 진단 OHA사용중. 25년전 Ectopic pregnancy. Social

n Past history HTN/DM/Pul TB/Hepatitis (-/+/-/-) 3년전 DM 진단 OHA사용중. 25년전 Ectopic pregnancy. Social history smoking : (-) alcohol : (-) n Family history non specific n

Review of system general weakness (-) weight loss (-) febrile sensation/chilling sensation(-/-) headache/dizziness(-/-) chest

Review of system general weakness (-) weight loss (-) febrile sensation/chilling sensation(-/-) headache/dizziness(-/-) chest discomfort/chest pain(-/-) D. O. E. /orthopnea(-/-/-) dyspnea/cough/sputum(-/-/-) anorexia/nausea/vomiting(-/+/-) abdominal pain (+) diarrhea/constipation(-/-) hematemesis/melena/hematochezia(-/-/-)

n Physical examination n n V/S 110/70 mm. Hg - 76/min - 20/min –

n Physical examination n n V/S 110/70 mm. Hg - 76/min - 20/min – 36. 8°C Abdomen soft and flat direct tenderness on epigastric area no palpable mass Murphy’s sign (-) ■ Initial laboratory findings n n n CBC 17, 240/u. L-14. 6 g/d. L – 240000 /u. L 17, 240 AST/ALT 81/21 IU/L Amylase 48 T-bil 1. 7 ESR/CRP 19/2. 50

Day #10 n S) Pain은 감소, febrile sense(+) n O) Urine culture : E.

Day #10 n S) Pain은 감소, febrile sense(+) n O) Urine culture : E. coli동정 n P) 복부 CT 예약 경구 항생제 처방.

복부 CT F/U(Day #25)

복부 CT F/U(Day #25)