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All Journal Open Access Indonesian Journal of Medical Reviews Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Jurnal Kedokteran Meditek
Nicodemus
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Water-beads Ingestion with Intestinal Obstruction in Children: A Case Report Nicodemus; Irma Susanti, Nuraini
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 3 No. 1 (2024): APGHN Vol. 3 No. 1 February 2024
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.3.1.2024.24-32

Abstract

Background: Foreign body ingestion often occurs in the pediatric population and can cause no symptoms or even cause complications due to swallowing the foreign body. The aim of this case report is to increase clinician knowledge of cases of foreign body ingestion which can cause complications. Case: We report a case of foreign body ingestion water beads with complications of intestinal obstruction in a 1 year 2-month-old girl. The patient came with complaints of vomiting more than ten times containing fluid accompanied by decreased intake. The patient was suspected of swallowing water beads. The patient came to the emergency room with no signs of acute abdomen and the results of plain abdominal radiograph showed no foreign objects. The patient began to show symptoms of obstruction, not being able to defecate and not being able to pass gas. Physical examination revealed abdominal distention accompanied by inaudible bowel sounds. Abdominal CT scan results showed ileal obstruction. An exploratory laparotomy was performed, and two water beads were found intraoperative, which were the cause of the obstruction. The foreign body was removed. After surgery, the patient experienced gradual clinical improvement until he was discharged ten days after the procedure. Discussion: Foreign body ingestion in children is often not witnessed by anyone and may not cause symptoms until complications such as obstruction or peritonitis occur. Some foreign objects are radiolucent in plain radiographs. In emergency cases of foreign body ingestion, it is necessary to carry out emergency endoscopic procedures, even emergency surgical procedures in cases that cause complications. Conclusion: This case report increases clinician knowledge and awareness regarding the clinical approach in evaluating patients with suspected foreign body ingestion in children.
Lupus Eritematosus Sistemik pada Anak Nicodemus
Jurnal Kedokteran Meditek Vol 30 No 1 (2024): JANUARI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v30i1.2611

Abstract

Lupus eritematosus sistemik merupakan penyakit yang tidak saja menyerang dewasa tetapi sering kali ditemukan pada anak dengan onset dini. Penyakit ini dapat menyerupai berbagai penyakit lain dengan gejala yang tidak spesifik sehingga penegakkan diagnosis sulit dilakukan. Etiologi dan patogenesis dari LES juga masih belum diketahui secara pasti. Tujuan dari karya tulis ini adalah untuk menambah pengetahuan klinisi mengenai lupus pada anak sehingga mampu melakukan penegakkan diagnosis lebih dini agar dapat memberikan tata laksana yang adekuat. Dengan diagnosis dini dan tata laksana yang adekuat, diharapkan mampu memperbaiki kualitas hidup pasien dan mencegah terjadinya komplikasi dari lupus.
Diagnosis and Management of Wilms Tumor Nicodemus
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 2 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i2.178

Abstract

Wilms Tumor is one of the malignancies frequently found in children under five years old. This tumor is frequently found coincidentally by parents or caregivers who notice a lump in the children’s abdomen. The specific factors of Wilms tumor have not been detected yet. However, it is often associated with specific syndromes as a predisposing factor and a mutation of specific genes. The symptoms caused by this tumor are varied, starting from asymptomatic without any symptom to severe symptoms due to the tumor distribution to the lung. In general, Wilms tumor attacks one of the kidneys (unilateral) with different grades and particular histology. Generally, the management encompasses surgery, chemotherapy, and radiotherapy, depending on the tumor grade. The patients’ recovery rate and managed survival rate were quite high with a low recurrence rate. Therefore, a clinical approach and skepticism of Wilms tumor become one of the diagnoses in children with an abdominal mass.
Co-Authors Irma Susanti, Nuraini