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All Journal JURNAL BIOMEDIK Medical Scope Journal (MSJ) The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Pearla Lasut
Fakultas Kedokteran Universitas Sam Ratulangi Manado
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : medical scope journal msj

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Kanker Payudara Pasca Kemoterapi dengan Neutropenia: Laporan Kasus Rahmawati, Anita; Lasut, Pearla
Medical Scope Journal Vol 2, No 1 (2020): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.2.1.2020.29629

Abstract

Abstract: Febrile neutropenia is found in 10-50% of post chemotherapy patients with solid tumor and in more than 80% of patients with hematological malignancy. We reported a case of febrile neutropenia, local chemoport infection, and right breast cancer on chemoterapy in a 47-year-old female. Diagnosis was based on symptoms, clinical features, and laboratory examina-tion with absolute neutrophil count (ANC) 460 cells/mm3. This patient was treated with IVFD NaCl 0.9% 20 drops/minute, ceftazidime 2 g every 8 hour intravenous, and filgastrim 300 mcg every 24 hours subcutan. The prognosis of this patient was as follows: ad vitam was dubia ad malam, ad functionam was dubia ad bonam, and ad sanationam was dubia.Keywords: febrile neutropenia, post chemotherapy Abstrak: Febrile neutropenia terjadi pada 10-50% pasien pasca kemoterapi dengan tumor padat dan lebih dari 80% pasien pasca kemoterapi dengan keganasan hematologik. Kami melaporkan sebuah kasus seorang perempuan berusia 47 tahun dengan febrile neutropenia, infeksi lokal chemoport, dan kanker payudara on kemoterapi. Diagnosis ditegakkan berdasarkan anamnesis, gejala dan tanda klinis, serta pemeriksaan laboratorium absolute neutrophil count (ANC) 460 sel/mm3. Pasien diberikan terapi infus NaCl 0,9% 20 tetes/menit, ceftazidime injeksi 2 gr setiap 8 jam, dan filgastrim injeksi 300 mcg setiap 24 jam subkutan. Prognosis pasien ini secara ad vitam ialah dubia ad malam, ad functionam ialah dubia ad bonam, dan ad sanationam ialah dubia.Kata kunci: febrile neutropenia, pasca kemoterapi
Critical Limb Ischemia: Laporan kasus Quedarusman, Hermanto; Lasut, Pearla
Medical Scope Journal Vol 1, No 1 (2019): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.1.1.2019.26625

Abstract

Abstract: We reported a case of 56 years old man with critical limb ischemia. Diagnosis was made based on anamnesis, signs and clinical symptoms, as well as investigations that included the presence of rest pain in the left leg. Patient also had a history of diabetes mellitus. Echo- doppler and angiographic investigations supported the diagnosis of critical limb ischemia. In this patient, medicamentous treatment has been administered consisted of antiplatelet and cilostazol, blood sugar control by using insulin. The patient also underwent endovascular revascularization.Keywords: critical limb ischemia, peripheral artery diseaseAbstrak: Telah dilaporkan kasus critical limb ischemia pada seorang laki-laki berusia 56 tahun dengan keluhan nyeri seperti terbakar pada kaki kiri bahkan saat istirahat dengan riwayat diabetes melitus. Hasil pemeriksaan penunjang echo-doppler dan angiografi menyokong terdapatnya critical limb ischemia. Diagnosis ditegakkan berdasarkan anamnesis, tanda dan gejala klinis, serta pemeriksaan penunjang. Pada pasien ini, diberikan penatalaksanaan terapi medikamentosa yaitu antiplatelet dan cilostazol, kontrol gula darah dengan menggunakan insulin, dan dilakukan tindakan revaskularisasi endovaskular.Kata kunci: critical limb ischemia, peripheral artery disease
Co-Authors Anita Rahmawati Bradley Jimmy Waleleng Fandy Gosal Harlinda Haroen Hendratta, Cecillia Hermanto Quedarusman Linda Rotty Luciana Rotty, Luciana Randy Adiwinata, Randy Reginald L. Lefrandt Tendean, Michael Waleleng, Andrew Winarta, Jeanne