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All Journal Medicinus : Jurnal Kedokteran Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Rizki, Niken Ageng
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Health Professions Medicine & Pharmacology Neuroscience Public Health

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Challenge as Physician to Diagnose Pediatric Patient with Laryngopharyngeal Reflux: A case report and literature review Rizki, Niken Ageng
Medicinus Vol 9, No 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3121

Abstract

Background : Laryngopharyngeal reflux (LPR) is the reflux of backflow of gastric acid or refluxate that usually affects the throat and laryngopharynx. Many physicians are unable to differentiate between pediatric LPR with pneumonia. Laryngopharyngeal reflux needs to be widely known and understood by a physician because there are relationships between upper and lower airway disease. In pediatric, LPR may also contribute to many problems in the respiratory tract, the clinical manifestation of pediatric LPR, and remains a challenge for physicians.Objective : To emphasize the new diagnostic symptoms and signs instrument for pediatric LPR using a fiber-optic laryngoscope, also to remind the correlation between the upper and lower respiratory tract and factors which contribute to pediatric airway.Case : A case of a 21-month-old girl with sudden onset of hoarseness, stridor, and wheezing was diagnosed with pneumonia, further investigation showed reflux symptoms, vocal cord abnormalities, and subglottic edema that suggest LPR was the final diagnosis.Conclusion : Pediatric LPR may be difficult to diagnose, there are many differential diagnosis, symptoms, and signs that may occur. The new diagnostic instrument can be used for diagnosing pediatric LPR, it is feasible and applicable in daily practice. Laryngopharyngeal reflux needs to be understood and considered as a differential diagnosis for coughing, hoarseness, in children despite the diagnosis challenge.
Case Series: Upper Airway Obstruction in Post-Acute Sequelae of Covid-19 (Pasc) Infection Due to Subglottic Stenosis Rizki, Niken Ageng; Mushahigo, Mushahigo; Santjoko, Mikael Fernando
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 6 No. - (2022): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v6i-.130

Abstract

Introduction: Post-Acute Sequelae of Covid-19 (PASC) manifestations can lead to upper airway obstruction, especially in patients with a history of intubation. Tracheal intubation can cause damage to the subglottic, the lowest part of the larynx; SARS-CoV-2 infection damages not only the pulmonary system but also the trachea. Subglottic stenosis is an abnormality in the form of narrowing of the airway in the subglottic area. This case series demonstrates that subglottic stenosis needs to be broadly understood as it contributes to PASC and should be considered an airway emergency. Objective: To emphasize the symptoms and signs of subglottic stenosis in patients with prolonged intubation and to show the correlation between the respiratory tract symptoms and factors contributing to airway obstruction. Case: We present 2 cases, one month after discharge from the hospital; a 55-year-old man and a 32-year-old man. both came with stridor, dyspnoea, intercostal retractions one month after being hospitalized due to covid-19 infection Conclusion: There are many symptoms and signs that may occur with shortness of breath, making diagnosis difficult. It is necessary to conduct investigations to establish the diagnosis and find the cause of shortness of breath. Early tracheostomy shortens days on the ventilator, intensive care unit, and hospital and should be considered for patients in the intensive care unit at risk for more than seven days of intubation.
Challenge as Physician to Diagnose Pediatric Patient with Laryngopharyngeal Reflux: A case report and literature review Rizki, Niken Ageng
Medicinus Vol. 9 No. 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3121

Abstract

Background : Laryngopharyngeal reflux (LPR) is the reflux of backflow of gastric acid or refluxate that usually affects the throat and laryngopharynx. Many physicians are unable to differentiate between pediatric LPR with pneumonia. Laryngopharyngeal reflux needs to be widely known and understood by a physician because there are relationships between upper and lower airway disease. In pediatric, LPR may also contribute to many problems in the respiratory tract, the clinical manifestation of pediatric LPR, and remains a challenge for physicians.Objective : To emphasize the new diagnostic symptoms and signs instrument for pediatric LPR using a fiber-optic laryngoscope, also to remind the correlation between the upper and lower respiratory tract and factors which contribute to pediatric airway.Case : A case of a 21-month-old girl with sudden onset of hoarseness, stridor, and wheezing was diagnosed with pneumonia, further investigation showed reflux symptoms, vocal cord abnormalities, and subglottic edema that suggest LPR was the final diagnosis.Conclusion : Pediatric LPR may be difficult to diagnose, there are many differential diagnosis, symptoms, and signs that may occur. The new diagnostic instrument can be used for diagnosing pediatric LPR, it is feasible and applicable in daily practice. Laryngopharyngeal reflux needs to be understood and considered as a differential diagnosis for coughing, hoarseness, in children despite the diagnosis challenge.
Co-Authors Mushahigo, Mushahigo Santjoko, Mikael Fernando