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Medika - Jurnal Kedokteran Indonesia - Studi Kasus

Edisi No 06 Vol XLI - 2015 - Studi Kasus

Angiografi Embolisasi  pada Perdarahan Saluran Cerna

Tanpa Sebab yang Jelas

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RENDY S. SIDIK, SOPHIE ISABELA, SUYANTO SIDIK, PARALAM SINAMBELA, MARCEL

 

Department Penyakit Dalam RSAL Dr. Mintohardjo

Departemen Gastroenterohepatik RSAL Dr. Mintohardjo

Departemen Radiologi RSAL Dr. Mintohardjo

Departemen Penyakit Dalam Universitas Krida Wacana

 

Kasus

Wanita usia 41 tahun didiagnosis obscu­re gastrointestinal bleeding dengan letak perdarahan di ileum berdasarkan pemeriksaan klinis, endokopi saluran atas, kolonoskopi, dan angiografi. Kemudian diterapi dengan baik menggunakan embolisasi bersama angiografi pada saat terjadi perdarahan aktif.

Pasien merupakan rujukan dari rumah sakit lain dengan diagnosis observasi hematokezia dan telah dirawat selama 3 hari. Keluhan awal pasien ini ialah buang air besar berwarna merah kehitaman sejak sehari sebelu­m masuk rumah sakit. Buang air besar (BAB) dengan konsistensi cair bercampur ampa­s disertai bekuan darah, terjadi sebanyak kurang lebih 5 kali sehari dengan jumlah sekitar 1 gelas belimbing setiap kali BAB. Selama perawatan di rumah sakit awal, dilakukan transfusi sel darah merah sebanyak 12 kantong dan meningkatkan hemoglobin dari 4,7 g/dl menjadi 11,9 g/dl.

Selengkapnya...
 
Edisi No 06 Vol XLI - 2015 - Studi Kasus

Pankreatitis Akut pada Leptospirosis

 

Pendahuluan

Pankreatitis akut adalah suatu peradang­an akut pada pankreas dan ditandai dengan berbagai derajat edema, perdarahan, serta nekrosis pada sel-sel asinus dan pembuluh darah. Terdapat berbagai teori tentang penyebab dan mekanisme terjadinya pankreatitis, umumnya dinyatakan sebagai otodigesti pankreas. Mortalitas dan gejala klini­s bervariasi sesuai derajat proses patologi.

Selengkapnya...
 
Edisi No 05 Vol XLI - 2015 - Studi Kasus

Sindrom Pulih Imun dan Pemilihan Waktu Memulai Terapi Antiretroviral

 

EVIE ROSA WIDYAWANTI NAPITUPULU*

SOROY LARDO**

 *PPDS Ilmu Penyakit Dalam FKUI/RSCM

*Sub SMF/Divisi Penyakit Tropik dan Infeksi Departemen Penyakit Dalam RSPAD Gatot Soebroto, Jakarta

 

Pendahuluan

Penemuan obat antiretroviral (ARV) pada 1996 mendorong revolusi perawatan orang dengan HIV AIDS (ODHA) di negar­a maju. Angka kematian ODHA karena penyakit infeksi oportunistik di negara maju semakin menurun dan angka harapan hidup pada ODHA semakin membaik.1 Saat ini obat antiretroviral ini sudah terdistribusi di negara-negara miskin dan berkembang. Diharapkan, baik di negara miskin ataupun berkembang, penderita HIV AIDS dapat memiliki angka harapan hidup yang membaik seperti di negar­a maju.

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