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Case Review

Case Review. 포항세명기독병원 신경과 조상 희. Patient Identification. 김 ㅊ ㄷ (M/73) PMHx ) HTN, DM, CHF(LVH), 고지혈증 Previous medication) Aspirin protect 100mg qd Januvia 100mg qd Diabex 500mg bid Lipitor 10mg qd Diovan 160mg qd Mucosta 100mg bid. Present illness.

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Case Review

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  1. Case Review 포항세명기독병원 신경과 조상희

  2. Patient Identification • 김 ㅊㄷ(M/73) • PMHx) HTN, DM, CHF(LVH), 고지혈증 • Previous medication) • Aspirin protect 100mg qd • Januvia 100mg qd • Diabex 500mg bid • Lipitor 10mg qd • Diovan 160mg qd • Mucosta 100mg bid

  3. Present illness • Attack of cerebral infarction (10/1/6) • Right side: ataxic hemiparesis • Occipital lobe, thalamus and subcortex involve (watershed), left • Left ICA total occlusion • Left VA multifocal stenosis

  4. MR DWI

  5. MR FLAIR

  6. MRA

  7. Carotid MRA

  8. Drug Modulation • Medication) • Aspirin protect 100mg qd • Januvia 100mg qd • Diabex 500mg bid • Lipitor 10mg qd • Exforge 5/160mg qd • Pletaal 100mg bid • Gliatilin 400mg bid • Mucosta 100mg bid  Increased Compliance !!

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