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All Journal Jurnal Kedokteran Syiah Kuala Budapest International Research in Exact Sciences (BirEx Journal) Britain International of Exact Sciences Journal (BIoEx Journal)
Muhammad Jailani
Department Of Plastic Reconstructive And Aesthetic Surgery, Faculty Of Medicine Universitas Syiah Kuala
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Health Professions Mathematics Medicine & Pharmacology Physics Transportation

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SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (SffiS) PADA LUKA BAKAR Muhammad Jailani
Jurnal Kedokteran Syiah Kuala Vol 5, No 1 (2005): Volume 5 Nomor 1 April 2005
Publisher : Universitas Syiah Kuala

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Abstract

Abstrak.   SIRS merupakan  eksagerasi  respons  klinis  terhadap  cedera  berat,   hal  yang umum   terjadi  pada  Iuka  bakar  maupun   cedera  berat  lainnya.   Permasalahan   akibat gangguan   sirkulasi  pada  Iuka  bakar    demikian  kompleks  dan  menjadi  faktor utama penyebab   timbulnya  Systemic  Inflammatory  Response  Syndrome   (SIRS),  sepsis  dan Multi-system Organ Dysfunction (MODS).  Manifestasi klinis SIRS  yang paling  umum adalah  gangguan  kesadaran,  CHAOS,  ARDS,  ileus, gangguan  hemeostasis,  gangguan hemostatik  (Disseminated  Intravascular  Coagulopathy,  DIC),  gangguan  fungsi saluran cerna seperti diare dan enterokolitis.  Sepsis  (bakteremia,  septikemia)  adalah  SIRS yang disebabkan  infeksi. Sepsis terjadi karena  :    1) translokasi bakteri,  2) infeksi Iuka dan  3) tindakan   perawatan.  MODS   adalah   fase  akhir   perjalanan   SIRS;  fungsi  organ-organ sisternik   terganggu dan berakhir  dengan kegagalun  menjalankan  fungsi.   Hal  ini tcrjadi karena  gangguan  perfusi  ke organ,  kekacauan  sisrim  metabolisme  dan peran destruktif beberapa mediator pro-inflamasi.  Penatalaksanaan  kasus Iuka bakar mengacu  pada permasalahan   yang ada/   timbul  dengau  strategi   mengupayakan pencegahan berkembangnya kaskade SIRS  dan  MODS;   atau memurus rantai  kaskade  yang sudah berjalan. (JKS 2005;1:27-39) Kata  kunci  : Luka bakar berat, SIRS, kaskade Abstract. SIRS is an enlargement of the clinical response to severe  injury,  it is common in burns or other serious injuries.  Problems  due to poor circulation  of the burns are so complex  and  the main factor causing  the Systemic  Inflummatory  Response Syndrome (SIRS). sepsis  and multi-system  organ  dvsfunction  (MODS).  Clinical  manilestcnions    of SIRS is the most common disorder  of consciousness.  CHAOS, ARDS,  ilcus.  hcnieostasis disorders.    he111os1C11ic   disorders   (Disseiuinated    huravascular    c·oagulopwhr,    DIC). gastrointestinal   ,~r.~(t111c1io11  such  (IS    diarrhea  and  enterocolitis.   Sepsis  (bacteremia, septicemia) is SIRS  caused  by infection. Sepsis  occurs  because:   I)  translocation   of bacteria,  2) wound  infection  and  3) maintenance  actions.  MODS  is the final  phase of the journey   SIRS; systemic  organ Ji111c1io11  becomes impaired and ended  with a failure to execute thefunction.  This happens due to organ perfusion  disorder, metabolic system disorder   and  destructive   role   of  multiple  proinflammatory    mediators.    Burns  case management  refers  to the existing problems  with prevention  efforts 011 the development of SIRS and MODS cascade; or decide cascade chain that is already running.(JKS 2005;/:27-39) Keywords: Severeburns. SIRS. cascade
Fixed Drug Eruption: Case Report Azhari Gani; Muhammad Jailani
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.310

Abstract

Drug allergy is characterized by hypersensitivity reactions to pharmacological agents, having an immune mechanism of development. In these reactions antibody and/or activated T cells are directed against medications or their metabolites. This problem is rather urgent for practical healthcare, as over 7% of people suffer from drug allergy. A 54-year old male presented at the emergency room Hospital Zainoel Abidin with redness and swelling of the bodies of a burning sensation, itching pain. In the detailed anamnesis taken from the patient, it was learned that 1 days previously he had consulted a nurse with the fever and 60 min after examination had been prescribed with acid mefenamic. Hypersensitivity immune reactions to medications, according to the present concepts, are divided into immediate reactions (within 1–6 h after starting the preparation manifesting with various forms—from mild to life-threatening symptoms of anaphylaxia), or delayed reactions (several hours to several days after the offending medication is started, manifesting clinically with exanthemas in the majority of cases). Drug allergy should be prevented.Steps to prevent allergic drug reactions include (1) a careful history to determine host risk factors, (2) avoidance of cross-reactive drugs, (3) use of predictive tests when available, (4) proper and prudent prescribing of drugs (especiallyantibiotics) that are frequently associated with adverse reactions,(5) use of oral drugs when possible, and (6) documentation of drug allergy in the patient’s medical record.
One-Step Urethroplasty in Recurrent Chordee on Scrotal Hipospadia Muhammad Jailani
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.311

Abstract

Hypospadia is genitalia externa congenital anomaly in male. Recurrent chordee is one of most complication often happen in hypospadias correction. One-step urethroplasty in recurrent chordee is very challenging due to formed massive fibrosis. Correction surgery goals is to release chordee and moving meatus urethra externa to glans tip, and could be done by one-step or two-step. We report patient, 13 years old boy came with chief complain urinate from scrotal region. Patient was diagnose with scrotal hypospadia. Patient done chordee excision previously, but penis still not straight. Then, we perform one-step urethroplasty rechordee excision with local flap. Patient was follow-up one week postoperative, wound in good condition, and dehiscent wasn’t found. Urinary catheter released after three weeks. Evaluation also done in one month postoperative, and found no fistel. One-step urethroplasty rechordee excision was perform in scrotal hypospadi with local urethroplasty flap technique. Evaluation from beginning until two months postoperative found no fistel and urinate in straight line.
Priapism in Patients Chronic Myeloid Leukemia Azhari Gani; Muhammad Jailani
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 4 (2020): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i4.1258

Abstract

The aims of this study are to find out the healing process of Priapism in Patients Chronic Myeloid Leukemia. This study used one case of patient which has some complaint, The patients is man with age 29 years old, The patient complained of an enlarged left stomach since 4 months and became heavy in the last 2 weeks, On vital sign examination, compos mentis awareness was found with blood pressure 110/70 mmHg, pulse 80 times per minute, respiratory rate 20 times per minute and temperature 37oC. On the visual analogue scale (VAS) examination showed a value of 4-6 (moderate pain). The result shows that CML is a hematological malignancy characterized by the Philadelphia chromosome and detected clonal expansion of hematopoietic stem cells from ABL BCR examination on chromosomes 9 and 22 which is characterized by an increase in the number of leukocytes with or without enlargement of the spleen. One of the complications of CML is priapism which occurs due to hyperleukocytosis which causes an increase in the viscosity of the blood and this is a major cause of complications of vascular obstruction. Priapism in CML is classified as low-flow (static / ischemic) caused by venocclusiveness which must be treated immediately to restore blood flow to the cavernous corpora by means of needle aspiration.
Hemangioma of Lower Lip - A Case Report Muhammad Jailani
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 4 (2020): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i4.1254

Abstract

Hemangioma is an endothelial tumor that most commonly found in infants and children. Most hemangiomas arise during birth or shortly after birth and proliferate during the first 18 months and then disappear spontaneously at the age of 5-10 years. The most complaints of patients with a hemangioma are the psychosocial problems, which are conditions that can affect the appearance and invite the attention of people around them. Some hemangiomas still require therapy, namely if the size and growth result in severe deformities, or if it interferes with vital functions, such as breathing, vision, hearing and digestion. Therapy depends on the size, location, and clinical stage. In this paper, we report an enormous hemangioma case involving the lower lip in male patients aged 45 years who has acquired wide excision (Cheiloplasty reduction).
Co-Authors Azhari Gani