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All Journal ProNers Jurnal Biomedika dan Kesehatan Brawijaya Journal of Urology
Mikha, Mikha
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Kasus Langka Karsinoma Sarcomatoid Kandung kemih dan Batu Kandung kemih pada pria berusia 58 tahun : Lapran Kasus Vincent, Vincent; Mikha, Mikha; Alpendri, Aries
Jurnal Biomedika dan Kesehatan Vol 6 No 3 (2023)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2023.v6.340-346

Abstract

BACKGROUND: Sarcomatoid bladder carcinoma is scarcely found, with most cases of bladder carcinoma due to bladder stone as a risk factor consisting of squamous cell carcinoma. Only 221 cases were reported between 1973 and 2004 of sarcomatoid bladder cancer.  Therefore, this case report brings out sarcomatoid bladder carcinoma and its clinical relevance. CASE DESCRIPTION: A 58 years old Indonesian man experienced gross hematuria for 3 months, and thus finally brought to the Emergency Room (ER) where he was initiated urinary catheter and given intravenous (IV) fluid along with analgesic parenterally. Emergency abdominal radiograph assessment and blood test were made. Abdominal radiograph assessment suggests a 6 x 6 cm opacity in the bladder and several urolithiasis in the pelvic cavity. Ureum and creatinine increased in the blood test procedure. Based on the characteristic appearance and radiological findings, a diagnosis of vesicolithiasis was made. Following the diagnosis, the patient was urgently operated on (Open vesicolithotomy), and during the stone removal, there was a tangled polyp-like mass found buried underneath the stone. Histological findings of mass and surrounding lymph nodes were made and histopathologically stated the mass was sarcomatoid carcinoma of the bladder and it had metastated to lymph node and pelvic region. CONCLUSION: Considering hematuria in urolithiasis is frequent, the clinician should be aware of any tumor findings especially when the hematuria is massive thus emergency urolithotomy should be considered immediately.
HUBUNGAN MOTIVASI PERAWAT DAN SUPERVISI KEPALA RUANGAN TERHADAP PENDOKUMENTASIAN DISCHARGE PLANNING DI RUMAH SAKIT TK. II KARTIKA HUSADA Mikha, Mikha
ProNers Vol 6, No 2 (2021): Desember
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v6i2.49099

Abstract

Latar Belakang: Discharge planning adalah proses dimana tim rumah sakit yang berhubungan dengan pasien mengatur pengembalian pasien ke rumah mereka atau pindah ke tempat perawatan lain. Adapun yang mempengaruhi pelaksanaan discharge planning yaitu motivasi perawat dan supervisi kepala ruangan.    Tujuan: Mengetahui hubungan antara motivasi perawat dan supervisi kepala ruangan dengan kinerja perawat dalam pendokumentasian discharge planning. Metode: Ada hubungan kuantitatif dengan menggunakan cross sectional Instrumen penelitian meliputi angket skala likert dan checklist untuk observasi. Analisis data univariat dan bivariat.Hasil: Dari hasil uji analitik, kinerja perawat dalam pencatatan discharge plan dipengaruhi oleh motivasi dan supervisi yang dilakukan oleh kepala ruangan. Kesimpulan: Terdapat korelasi antara motivasi perawat dan supervisi kepala ruangan terhadap pendokumentasian discharge planning, akan tetapi korelasinya berlawanan arah.
A Case Report: A Pancreatic Cyst Mask as a Renal Cyst: A Diagnostic Challenge Mikha, Mikha; Raharja, Putu Angga Risky
Brawijaya Journal of Urology Vol. 6 No. 03 (2026): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2026.006.03.3

Abstract

Introduction. Pancreatic cysts are increasingly detected and can mimic renal cystic lesions on imaging, particularly on the left side where the pancreatic tail abuts the upper pole of the kidney. Distinguishing between these entities is a diagnostic challenge, as clinical symptoms and standard imaging can be nonspecific. Case. A 55-year-old woman presented with left flank pain, abdominal fullness, nausea, and heartburn. An abdominal CT scan identified a cystic lesion superior to the left kidney, leading to an initial diagnosis of a perirenal cyst. After unsuccessful treatment for GERD, diagnostic retroperitoneoscopy was performed. The intraoperative finding revealed the cyst was not renal but pancreatic origin, necessitating a subsequent open distal pancreatectomy. Conclusion. This case highlights that large pararenal cysts, especially on the left, require pancreatic cysts to be considered in the differential diagnosis. When CT findings are inconclusive, advanced modalities like MRI with tissue-specific contrast or fine-needle aspiration of cyst fluid can be crucial for an accurate preoperative diagnosis and to avoid unnecessary surgical interventions.
Co-Authors Aries Alpendri Raharja, Putu Angga Risky Vincent Vincent, Vincent