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All Journal Majalah Biomorfologi (Biomorphology Journal) CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology
Budi Widodo
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Management of Patient With Caustic Ingestion Injury: A Case Report Supriadi; Budi Widodo; Brinna Anindita
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17104

Abstract

The ingestion of caustic substances, both accidental and voluntary, determines a complex syndrome,characterized by severe, often irreversible, visceral lesions, with still remarkable mortality in highlycompromised patients. Al36-year-old woman came to Emergency-Room with the chief complaints ofblackish vomiting about 4ltimes after drinking liquid to clean the bathroom floor. Patients with findings ofgrade 2B esophageal injury, pangastritis and gastric ulcer on endoscopy have high the risk of perforationand complications. Endoscopy done within 12lhours and no later than 24lhours following caustic ingestionto classify mucosal injury subsequent to caustic ingestion is useful to determine the severity of injury,particularly in suicidal cases, and thus helpful in predicting outcomes. Patient threat with rehydration withnormal saline, total parenteral nutrition, pump omeprazole, injection of methylprednisolone, antibiotic,and sucralfate. Consultation with the Psychiatry department has been conducted psychoeducation andpsychotherapy.
Successful Treatment with Rectal tube Placement and Barium Enema in Uncomplicated Acute Sigmoid Volvulus: A Case Report Stevanus Immanuel Silahooij; Budi Widodo
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17993

Abstract

Sigmoid volvulus is a condition in which sigmoid colon wraps around itself and its own mesentery, which then causes a closed-loop obstruction. This condition accounts for 50-90% cases of twisted large intestine and often affects adults and are commonly found in males. The classic triad signs and symptoms are abdominal pain, distention, and constipation. Although the emergency resection seems to be the right procedure in treating acute sigmoid volvulus, there is still non-surgical treatment often done in several conditions. We reported a 52-years-old male with uncomplicated acute sigmoid volvulus who underwent non-surgical treatment due to his refusal of surgical therapy. Non-surgical treatment was successfully done and no recurrence found within one year. The aim of this report was to emphasize that non-surgical therapy only could be successfully done without surgical treatment.
Management of Patient with Caustic Ingestion Injury: A Case Report Supriadi1; Budi Widodo; Brinna Anindita
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15450

Abstract

The ingestion of caustic substances, both accidental and voluntary, determines a complex syndrome, characterized by severe, often irreversible, visceral lesions, with still remarkable mortality in highly compromised patients. Al36-year-old woman came to Emergency-Room with the chief complaints of blackish vomiting about 4ltimes after drinking liquid to clean the bathroom floor. Patients with findings of grade 2B esophageal injury, pangastritis and gastric ulcer on endoscopy have high the risk of perforation and complications. Endoscopy done within 12lhours and no later than 24lhours following caustic ingestion to classify mucosal injury subsequent to caustic ingestion is useful to determine the severity of injury, particularly in suicidal cases, and thus helpful in predicting outcomes. Patient threat with rehydration with normal saline, total parenteral nutrition, pump omeprazole, injection of methylprednisolone, antibiotic, and sucralfate. Consultation with the Psychiatry department has been conducted psychoeducation and psychotherapy.
Wilson’s Disease: A Review Amie Vidyani; Fauziah Diayu Retnaningtyas; Ulfa Kholili; Titong Sugihartono; Iswan Abbas Nusi; Poernomo Boedi Setiawan; Ummi Maimunah; Budi Widodo; Husin Thamrin; Muhammad Miftahussurur; Herry Purbayu
Current Internal Medicine Research and Practice Surabaya Journal Vol. 4 No. 1 (2023): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v4i1.36428

Abstract

Wilson’s disease is a disease that results from a genetic disorder that causes copper accumulation. Wilson’s disease has presented challenges for physicians during the last century, but it can be diagnosed and treated over time. Diagnosing Wilson’s disease is challenging for doctors because of its wide range of clinical manifestations and complexity. Studies that can help diagnose Wilson’s disease include a 24-hour copper urine examination and neurological tests, such as a CT scan or MRI, and liver function tests. There is also a scoring system to help medical personnel diagnose this disease. Correct diagnosis and adequate therapy can be provided, such as penicillamine, trientine, zinc, and, most rarely, liver transplantation. It is also necessary to monitor the side effects of treatment and its effectiveness of treatment. When receiving therapy, Wilson’s disease has a better prognosis than if it is not treated.
Diagnosis and Management of Patients with Radiation Colitis Made Bayu Agastia Rakateja; Budi Widodo
Current Internal Medicine Research and Practice Surabaya Journal Vol. 4 No. 1 (2023): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v4i1.42417

Abstract

Radiation colitis (Radiation Proctitis or Proctopathy) is a condition in which injury to the rectal mucosa is induced by radiation therapy to the pelvic organs. Radiation colitis is a condition that progresses and is becoming more common and dangerous—usually occurring 6 months to 5 years following regional radiation. This paper presented the diagnosis and management of patients with radiation colitis. There was a patient who had cervical cancer and was hospitalized every 2-3 months because of red blood chapters and weakness. She did chemotherapy and radiation for one year. The patient also received medical therapy, including rectal administration of sucralfate and oral sulfasalazine. Management of patients with radiation colitis is still a problem. There are no definite and consistent guidelines for the treatment of radiation colitis In this patient's case, medical therapy was recently carried out, including rectal administration of sucralfate and oral sulfasalazine. The patient was planning to undergo surgical therapy, but the patient and family refused. It is necessary to think about endoscopic therapy in patients. Argon plasma coagulation (APC) has become the most widely used first-line endoscopic therapy.
AST TO PLATELET RATIO INDEX (APRI) AND DEGREE OF SEVERITY BASED ON CHILD-PUGH CLASSIFICATION AMONG CIRRHOSIS PATIENTS AT INTERNAL MEDICINE WARD IN A TERTIARY HOSPITAL Winanda Denis Kurniawan; Budi Widodo; Betty Agustina
Majalah Biomorfologi Vol. 32 No. 2 (2022): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v32i2.2022.46-51

Abstract

Highlights: 1. The Child-Pugh score is an instrument to assess the degree of severity and prognosis of chronic liver disease. 2. the rise in APRI score may predict the advance of cirrhosis stages. Abstract: Background: Simple diagnostic and screening methods are needed to assist with liver biopsy, which is not always available in local health facilities. Objective: To assess the AST-to-Platelet Count Index (APRI) as a means to predict the advance of cirrhosis stages as indicated in Child-Pugh classification. Material and Method: This research employed an observational descriptive study design to examine laboratory values such as serum AST and platelet count, which were then compared to Child-Pugh profiles among cirrhosis patients at an inpatient facility in a tertiary hospital of Dr Soetomo General Academic Hospital, Surabaya, Indonesia on 1 January – 31 December 2015. The sampling method for this research was total sampling from medical histories. Result: Data obtained were then analyzed and tabulated using the descriptive technique. As many as 191 samples were obtained, consisting of male (N=129, 67.54%) and female patients (N=62, 32.46%) with a ratio of 2.08:1. APRI score showed an increase in age, with a peak frequency of 68 patients (35.6%) in the range 50-59 years old. Male patients had a higher average APRI score (2.11) than their female counterparts (1.93). Patients from Child C were the majority in this research, consisting of 105 patients (54.9%), followed by Child B (N=65, 34.03%) and A (N=21, 10.9%). Conclusion: The proportion of patients with APRI score > 1.5 is increasing along with the degree of severity according to the Child-Pugh classification. This indicates that the rise in APRI score may predict the advance of cirrhosis stages.
Co-Authors Amie Vidyani Betty Agustina Brinna Anindita Fauziah Diayu Retnaningtyas Herry Purbayu Iswan Abbas Nusi Made Bayu Agastia Rakateja Muhammad Miftahussurur Poernomo Boedi Setiawan Stevanus Immanuel Silahooij Supriadi Supriadi1 Thamrin, Husin Titong Sugihartono Ulfa Kholili Ummi Maimunah Winanda Denis Kurniawan