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All Journal Journal of Agromedicine and Medical Sciences
Novan Krisno Adji
Department of Neurosurgery, Soebandi Regional Hospital, Jember, Indonesia; Faculty of Medicine, University of Jember, Jember, Indonesia
Health Professions

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Symptoms Improvement of Cerebral Venous Sinus Thrombosis: A Case Report Komang Yunita Wiryaning Putri; Novan Krisno Adji; Azham Purwandhono; Muhammad Yudha Nugraha; Salsabila Maula Zalfa El Hamzah
Journal of Agromedicine and Medical Sciences Vol 8 No 2 (2022)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v8i2.30193

Abstract

Cerebral venous sinus thrombosis (CVT) is a rare cause of stroke, a life-threatening disorder that occurs in approximately 0,5-1% of all stroke incidents. Various clinical presentations, risk factors, and neuroimaging findings of this disease may cause a delay in the early diagnosis and treatment of CVT. We discuss a case of a 34-year-old female who was admitted to the emergency room (ER) with the onset of a generalized tonic-clonic seizure with a progressive headache in the occipitotemporal region. Based on head CT, there was multiple hyperdense and cerebral venous infarction in the posterior left parietal lobe. D-dimer evaluation, there was an increasing level of D-dimer (>10.000 ng/mL). The patient was treated with the primary therapy heparin. After 15 days of being hospitalized, the patient was discharged without any sequelae. Keywords: CVT, heparin, stroke
Differences of BUN and Serum Creatinine Values in Severity of Diabetic Ketoacidosis Patients at RSD dr. Seobandi Jember Irawan Fajar Kusuma; Nur Fa'iza Raihanah Masita; Novan Krisno Adji
Journal of Agromedicine and Medical Sciences Vol 9 No 2 (2023)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v9i2.33947

Abstract

Diabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus classified as mild, moderate, and severe based on the severity of the metabolic acidosis and level of consciousness. As one of hyperglycemic crisis, DKA causes kidney dysfunction which then trigger acute kidney injury (AKI). High mortality rates, recurrent DKA (repeated episodes), increased health care costs, and the risk of further complications can occur due to AKI. Early detection of AKI risk by renal function tests such as blood urea nitrogen (BUN) and serum creatinine can be done because its easy method hence it is widely used for routine evaluation. This study aims to determine the differences of BUN and serum creatinine values ​​in DKA patients classified by severity as a prognostic markers associated with the risk of AKI in RSD dr. Soebandi Jember. The design of this study was analytic observational using a cross-sectional design obtained from medical records of 34 patients. The results showed a non-significant difference in BUN values ​​(p=0.085) and a significant difference in serum creatinine values ​​(p=0.033) between mild, moderate, and severe DKA. Serum creatinine evinced to be more reliable indicator than BUN as prognostic marker of DKA in the setting of AKI risk. Keywords: DKA, prognosis, acute kidney injury, AKI
Co-Authors Azham Purwandhono Irawan Fajar Kusuma Komang Yunita Wiryaning Putri Muhammad Yudha Nugraha Nur Fa'iza Raihanah Masita Salsabila Maula Zalfa El Hamzah