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KARSINOMA ESOFAGUS Iskandar Zakaria
Jurnal Kedokteran Syiah Kuala Vol 5, No 1 (2005): Volume 5 Nomor 1 April 2005
Publisher : Universitas Syiah Kuala

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Abstrak.    Karsinoma esofagus jarang ditemukan,  Angka kejadian  antara 1-2% dari seluruh tumor  ganas dan  5-7% dari  seluruh keganasan dibidang gastrointestinal, perbandingan antara pria  dan wanita adalah 3: I.  Terbanyak adalah  karsinoma sel epidennoid ,  yaitu sekitar 95% dari semua kasus,  diikuti Adeno carsinorna.   Lokasi tersering tumor ganas ini adalah pada  1/3   tengah esophagus.  Dibidang radiologi, esofagografi merupakan pemeriksaan yang  harus  dilakukan jika  ada  kecurigaan terhadap tumor esofagus. Esofagografi akan mernberikan gambaran kelainan esofagus sesuai dengan bentuk makrokopisnya, yaitu eksofitik atau polopoid,  ulseratif dan infiltratif. Pemeriksaan CT Scan diperlukan untuk menentukan staging dari tumor ini. (JKS 2005;1:40-45)                                                                                                                          ;-Kata kunci : karsinoma  sel epidennoid, esofagografi, Abstract.   Carcinoma  of  the  esophagus   is rare.  The  incidence  between   1-2%  of  all malignant   tumors   and  5-7%  of  all  malignancies    in  the field   of  gastrointestinal, comparisons   between  men  and  women  is  3: I.  Most  are  cell  carcinoma   epidermoid, which  is about  95% of all cases, followed by Adeno  carcinoma.   Location  commonest malignant  tumors  are the third middle  esophagus.  Esophagography   is an examination should  be performed   if there is suspicion  of esophageal  tumors. Esophagography   willprovide   an   overview   of  esophageal   abnormalities    in   accordance   with   the  formmakrokopisnya,  namely  eksofitik  or polopoid,   ulcerative  and  infiltrative.   CT scan  is needed  to determine  the staging of these tumors. (.lKS  2005;1:40-45) Keyword:  epidermoid  cell carcinoma,   esophagography
Peranan Radiologi Dalam Diagnosis Dan Terapi Invaginasi Iskandar Zakaria
Jurnal Kedokteran Syiah Kuala Vol 7, No 2 (2007): Volume 7 Nomor 2 Agustus 2007
Publisher : Universitas Syiah Kuala

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Abstrak.  Invaginasi atau intussussepsi  adalah masuknya satu segmen usus kedalam usus lainnya dan biasanya bagian proksimal usus masuk ke bagian distal sebagai akibat peristaltik.  Penyebab terjadinya invaginasi pada anak belum diketahui secara pasti. Invaginasi dapat menyebabkan obstruksi usus.  Dibagi 3 tipe; enterik, colical, dan entero-colica. Diagnosis ditegakkan berdasarkan gejala klinis, anamnesis,   pemeriksaan fisik dan pemeriksaan Radiologis. Foto polos memberikan gambaran massa tubular dan tanda-tanda obstruksi ileus, gambaran khas pada colon in loop adalah coiled spring appearance dan terdapat gambaran terget's sign pada pemeriksaan  dengan  USG.   Terapi  umumnya  dilakukan  secara  operatif,  tetapi  apabila  tidak  ditemukan komplikasi dapat dicoba terapi dengan teknik reduksi hyd 'statik. Prognosis tergantung cepat tidaknya penanganan diberikan. ((JKS 2007!2: 99-108) Kata Kunci :  Invaginasi atau intussussepsi Abstract.  Invagination or intussusseption is the inclusion of one to another segment of the intestine into the · colon and usually' the proximal into the distal intestine as a result of peristalsis. The cause of Invagination  in children is not known with certainty. Invagination can cause intestinal obstruction. Divided into 3 types; enteric, colical,  and  entero-colica. Diagnosis  based  on  clinical  symptoms,  anamnesis,  physical  examination  and Radiological examination. Plain provides a mass of tubular obstruction and signs of ileus, a typical picture of the colon in the loop is Coiled spring appearance and there is a picture of target's sign on examination with ultrasound. Operative therapy is  generally done, but  if not  found  any  complications to  try   therapy with hydrostatik reduction techniques. The prognosis depends on whether or not treatment is given quickly. (JKS2007; 2: 99-108) Keyword : Invagination or intussusseption
Cavernosografi Iskandar Zakaria
Jurnal Kedokteran Syiah Kuala Vol 7, No 3 (2007): Volume 7 Nomor 3 Desember 2007
Publisher : Universitas Syiah Kuala

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Abstrak.   Cavemosografi    merupakan  suatu teknik  radiodiagnostik    dalam   upaya  menegakkan    kelainan    penis terutama   mengevaluasi     kelainan   anatomi  dari  corpora   cavemosa  oleh   berbagai    penyebab.    Cavemosografi disamping    dapat     memberikan   gambaran     abnormalitas    dari   corpora   cavemosa,    juga    berguna     dalam menentukan     differensial      diagnosis     dari      kegagalan      ereksi      organik.      Pengetahuan       anatomi       penis, hemodinamik   dan  fisiologi    ereksi    sangat   diperlukan   untuk  menuju  pada  suatu   diagnosis    yang   tepat   serta menentukan   penyebab  disfungsi    ereksi   yang akurat. (JKS 2007;3:   165-176) Kata  Kunci:    Cavemosografi,   disfungsi   ereksi, kegagalan   ereksi  organik Abstract.  Cavemosography   is   a radiodiagnostic     technique   to  enforce  the penis  disorders  especially   to evaluate  anatomic  abnormalities   of  the  corpora  cavemosa  by various  causes.    Cavemosography   give  the abnormality    features  of corpora  cavemosa  and also   useful in determining   the differential   diagnosis  of its organic  erectile  failure.  The knowledge   of penile anatomy, hemodinamics,  and physiology   of the erection is  very   necessary  to lead a correct  diagnosis  and determine  the precise   cause of the erectile  dysfunction. (JKS  2007;3:  165-176) Keywords:  Cavernosography,   erectile dysfunction,  organic erectile failure
Aspek Radiologis Hypertrophic Pyloric Stenosis (HPS) Iskandar Zakaria
Jurnal Kedokteran Syiah Kuala Vol 7, No 1 (2007): Volume 7 Nomor 1 April 2007
Publisher : Universitas Syiah Kuala

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Abstrak.   Hypertrophic  Pyloric  Stenosis (HPS)  adalah    suatu  keadaan  penyempitan  lumen  pylorus  yang disebabkan oleh hypertropi otot pylorus dengan angka kejadian 1   dari 250 bayi. Radiologi memegang peranan penting dalam mendiagnosis penyakit ini. Pada foto polos abdomen tampak   dilatasi hebat gaster disertai pelebaran insisura yang memberikan gambaran 'single  bubble'  atau 'caterpillar sign',  gambaran khas pada MDF  adalah string sign, dimana  barium yang mengisi kanal yang sempit tampak sebagai garis radio opaque memanjang dan pada pemeriksaan USG  memberikan gambaran target sign pada irisan transversal, (JKS 2007,·1:31-38)Kata Kunci: Hypertrophic Pyloric Stenosis ""Abstract.  Hypertrophic Pyloric Stenosis (HPS) is a condition of luminal narrowing caused by hypertropi of pylorus muscle with an incidence 1   of 250 infants. Radiology plays an important role in diagnosing this disease. On plain abdominal image appears gastric dilatation accompanied by widening of the notch provides a 'single bubble' or 'caterpillar sign', a typical picture of the MDF is a string sign, where the barium that fill the narrow charinel appears as  a line  of radioopaque elongated and on ultrasound .examinatio.Qprovides ltarget sign' appearance on transverseslices. (JKS1007; l:Jl:..38F     ..           .                     ·.Keyword: Hypertrophic Pyloric Stenosis
Therapeutic Success in Amoebic and Pyogenic Liver Abscesses Azhari Gani; Iskandar Zakaria
Britain International of Exact Sciences (BIoEx) Journal Vol 3 No 1 (2021): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v3i1.353

Abstract

A 52 year old male patient presented with complaints of upper right abdominal pain since 1 month ago, worsening in the last 1 day. Fever has been complained of since 1 month ago, fever fluctuates indefinitely, comes down with fever-reducing drugs, complained of weakness. There is nausea and vomiting, vomiting 1-2 times per day, black vomit like coffee is not there. Complained about weight loss. BAK is like strong tea. Liquid defecation has been complained of since 5 weeks ago, initially liquid defecation was accompanied by mucus and blood with a frequency of 3-4 times per day for 3 days, at that time the patient went to the health center and complaints were reduced and now liquid CHAPTER 1-2 times a day is yellow, liquid, no mucus, no blood for the past 1 month. The patient is an agricultural instructor with his daily activities going down to the farm. History. History of diabetes mellitus denied. Patients diagnosed with multiple pyogenic liver abscess were treated at RSUDZA and received bed rest therapy, 1800 kcal / day soft food diet, IVFD NaCl 0.9% 20 drops per macro minute, metronidazole drip 500 mg every 8 hours, ciprofloxacin 2x 500 mg, intravenously paracetamol 1 gram every 8 hours. The patient was treated for 17 days, on the 10th day of hospitalization the patient was performed a laparotomy and multiple incisions of the liver abscess, purulent abscess fluid mixed with blood. The abscess fluid was cultured as a result of Entamoeba Colli, and metronidazole antibiotic therapy was continued. During treatment, the patient experienced clinical improvement, the patient was opened surgical sutures on the 10th and 15th day after laparotomy, the surgical wound improved, the patient experienced clinical improvement, currently the patient is still a control at the Internal Medicine and Surgery Department at Cut Nyak Dhien Meulaboh Hospital.
Bone Maturnity Delay in Congenital Hypothyroid Azhari Gani; Iskandar Zakaria
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 1 (2021): Budapest International Research in Exact Sciences, January
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i1.1489

Abstract

Congenital hypothyroid (CH) is a Hormonal disorder that can be caused by thyroid gland dysfunction and if not treated early on, will cause serious mental and physical growth disorders. CH is divided into permanent and transient forms which etiologically can be divided into primary, secondary or peripheral. Thyroid dysgenesis is the primary cause and 85% of permanent CH is with abnormalities of thyroid hormone biosynthesis from birth (dishormongeneses). The incidence of dysgenesis accounts for 10-15% of cases. Transient congenital thyroid occurs mostly in infants with preterm birth in low-iodine endemic areas. A study showed a permanent incidence of CH 1: 1500 and transient CH 1: 300 in one of the areas with iodine deficiency in Central Java.Survival analysis showed that the risk of developing mental retardation and delayed physical growth was greater at the age of diagnosis over 1 year.