JURNAL ILMIAH SIMANTEK

FOLLICULAR CHOLECYSTITIS : A CASE REPORT OF UNCOMMON MORPHOLOGICAL SPECTRUM OF GALLBLADDER LESIONS

2024-08-23T05:54:42+00:00

Background: A very uncommon subtype of chronic cholecystitis is follicular cholecystitis (FC). Hyperplastic lymphoid follicles and noticeable germinal centers are its defining features. About 2% of standard cholecystectomies involve it. A very uncommon form of chronic cholecystitis is follicular cholecystitis. At least three lymphoid follicles per cent of the gall bladder tissue and an inflammatory infiltrate that is almost entirely made up of dispersed, well-formed lymphoid follicles define it. To prevent misinterpretation of lymphoma, the pathologist needs to be knowledgeable with this condition. Objective: To educate pathologists about this entity, this case is being presented. Case description: We describe a case of FC in a 42-year-old woman in this article. Her abdominal pain was clinically determined to be calculus cholecystitis, and laparoscopic cholecystectomy was used to treat it. It was grossly observed that the gall bladder wall had thickened. A histopathological study showed that the gall bladder wall was heavily infiltrated with lymphocytes, which produced lymphoid follicles with distinct germinal centers. We therefore determined that FC was the cause. This growth should not be confused with lymphoma. A thorough histological analysis is diagnostic, and immunohistochemistry may be used in some cases. Conclusion: This case was used to highlight the rarity of follicular cholecystitis. It is a benign and extremely uncommon entity that frequently looks like lymphoma. FC does not seem to be associated with autoimmunity, lymphoma, or obstructive pathologies.

PERAN RADIOLOGI FORENSIK DALAM PEMERIKSAAN KASUS TRAUMA TAJAM DI DADA AKIBAT PERKELAHIAN : LAPORAN KASUS BERBASIS ILMIAH

2024-08-24T04:52:57+00:00

A man came to the Emergency Department of PDHI Islamic Hospital Yogyakarta with chest injuries from being stabbed by his sibling. Cases of sharp trauma to the chest often cause emergency medical conditions that require quick and accurate diagnosis to optimize patient care. Cases of sharp trauma associated with violent acts are often the focus in forensic science for the purpose of identification, reconstruction of events and determination of causal factors. Radiography is one of the diagnostic tools commonly used to evaluate injuries to the chest that contribute to evidence in the process of legal investigations.

HUBUNGAN KUALITAS TIDUR DENGAN TINGKAT KEBUGARAN JASMANI TERHADAP MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA ANGKATAN 2019

2024-08-24T05:12:12+00:00

Physical fitness is a description of a person's physical condition or functional condition in carrying out various jobs or daily activities. The higher the level of physical fitness, the better the physical condition, so that they are able to do various jobs or workloads given and will be successful in completing the work. That way the ability or level of productivity is higher. To be able to do work or daily activities well, it takes good physical fitness as well. Healthy living habits are one of the factors that must be considered and can affect physical fitness, one of these habits is sleep. Sleep is a basic human need. Every human being needs time to rest and sleep to be able to restore stamina or good body condition so that they can do various jobs or daily activities. The purpose this research are to determine the relationship between sleep quality and physical fitness level for students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2019. Using an analytical method with a cross sectional approach, that is, each research subject will only be used once to determine the relationship between sleep quality and fitness level. physical student of the Faculty of Medicine, University of Muhammadiyah North Sumatra. The data of this study were obtained using the PSQI questionnaire and the Harvard Step Test. Data analysis using Chi Square test. The results showed that most of the respondents had poor sleep quality (64.4%) and most of them had a very poor level of physical fitness (57.8%). And there is a relationship between sleep quality and physical fitness level (p = 0.001).

TRAUMATIC BRAIN INJURY (TBI) ET CAUSA HEMATOM SUBDURAL TRAUMATIK DAN FRAKTUR OS OCCIPITAL: SEBUAH LAPORAN KASUS

2024-08-24T05:16:51+00:00

Head injury or traumatic brain injury (TBI) is defined as a mechanical trauma to the head directly or indirectly that causes impaired neurological function, namely physical, cognitive, psychosocial functioning, both temporarily and permanently. The national prevalence of head trauma according to Riskesdas in 2013 increased 0.7% to 8.2% where men are twice as likely to experience head injuries than women. The diagnosis of head injury is established based on anamnesis in the form of post-traumatic disorders of the head followed by the presence or absence of disturbances of consciousness or lucid intervals, otorrhea or rhinorrhea, and post-traumatic amnesia. Neurological clinical assessment is necessary to assess whether there are signs of focal deficits. Supporting examinations in the form of imaging with a plain photo of the head in the AP/lateral/tangential position or with a CT scan of the head. 61-year-old man came with a history of fainting for five minutes which was preceded by a headache and profuse vomiting after being hit by a tree branch on the back of his head. On physical examination he was conscious of compos mentis and found a 4cm hematom in right occipital region. On ECG found sinus bradycardia. General status and other neurological status within normal limits. Radiological results showed an extracranial hematoma in the occipitoparietal region, a subdural hematoma in the right occipital lobe and a fracture of the right occipital bone. Patient received nasal cannula oxygenation, asering and mannitol infusion, tranexamic acid, citicholin and piracetam injection. The condition of the head injury in this case was a severe head injury as indicated by the presence of a subdural hematoma and fracture in the right occipital region even though the patient's consciousness from GCS was normal. The patient's condition improved after administration of osmotic diuretics, antifibrinolytics and neuroprotectant agents.

PERAN ULTRASONOGRAFI UNTUK VERIFIKASI POSISI PIPA ENDOTRAKEAL PADA ANAK

2024-08-24T05:41:51+00:00

Abstract: The Role of Ultrasonography for Verifying Endotracheal Tube Position in Children. Respiratory failure is the most common cause of cardiac arrest in children. When this condition occurs, an endotracheal tube must be used to provide ventilation and oxygenation assistance. Confirmation of correct endotracheal tube placement is a crucial step in airway management. Currently, ultrasound techniques are the choice for verifying the position of the endotracheal tube with a high degree of accuracy. This research is a literature review with searches via Pubmed, Cochrane Library, and Goggle Scholar. The results of this study showed that ultrasound imaging can help quickly assess the anatomical structure of the airway, as well as confirm the position of the endotracheal tube in the trachea. This method can be used in the intensive care unit, emergency room, or operationg room. Ultrasound can also measure the depth of the endotracheal tube. The sensitivity and specificity of this examination are quite high. Thus, ultrasound can be an alternative technique to assist the endotracheal tube verification process in cases of children with respiratory failure.

Abstrak: Peran Ultrasonografi untuk Verifikasi Posisi Pipa Endotrakeal pada Anak. Gagal napas merupakan penyebab tersering henti jantung pada anak. Saat kondisi tersebut terjadi, harus dilakukan pemasangan pipa endotrakeal untuk pemberian bantuan ventilasi dan oksigenasi. Konfirmasi penempatan pipa endotrakeal yang benar merupakan langkah krusial pada manajemen jalan napas. Saat ini, teknik pencitraan dengan USG menjadi pilihan untuk memverifikasi posisi pipa endotrakeal dengan tingkat akurasi yang tinggi. Penelitian ini merupakan literature review dengan penelusuran melalui PubMed, Cochrane Library, maupun Google Scholar. Dari hasil telaah, didapatkan bahwa pencitraan dengan USG dapat membantu penilaian struktur anatomis jalan napas dnegan cepat, sekaligus mengkonfirmasi posisi pipa endotrakeal di trakea. Metode ini dapat digunakan di ruang intensif, gawat darurat, maupun di ruang operasi. USG juga dapat mengukur kedalaman pipa endotrakeal. Sensitivitas dan spesifisitas dari pemeriksaan tersebut cukup tinggi. Dengan demikian, USG dapat menjadi Teknik alternatif untuk membantu proses verifikasi pipa endotrakeal pada kasus anak dengan gagal napas.