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Mathias Rusli
Unggul Karsa Medika Teaching Hospital, Bandung, West Java, Indonesia
Health Professions Medicine & Pharmacology Public Health

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Meningitis Diagnosed With Computed Tomography Scan of Brain Angelica Agnesia Rening; Aulia Okti Wulandari; Bherline Novita Wijaya; Destiya Ulfah Riany; Fiorentina Elitasari; Ignatius Jonathan; Ni luh Putu Trisanti; Veren Antonie; Mathias Rusli
Medical Clinical Update Vol. 1 No. 1 (2022): October
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7937.922 KB) | DOI: 10.58376/mcu.v1i1.15

Abstract

Meningitis is defined as inflammation of the meninges, which consists of dura mater, arachnoid mater, and pia mater. Meningitis can be caused by infectious and non-infectious processes such as autoimmune disorders, cancer, drug reactions. Meningitis can have a varied clinical presentation. Symptoms such as fever, neck pain or stiffness, photophobia, headache, dizziness, confusion, delirium, irritability, and nausea or vomiting may present. Signs of increased intracranial pressure such as altered mental status, neurologic deficits, and seizures indicate poor prognosis. Meningitis is diagnosed through cerebrospinal fluid analysis. However, there is controversy that the lumbar puncture could lead to brain herniation in the presence of increased intracranial pressure. Thus, Computed Tomography Scan (CT scan) could be alternative modality. In this case, we present meningitis diagnosed with CT scan of brain.
Ultrasonography in Tubo-Ovarian Abscess: A Case Study Muhamad Rafdhi; Ririn Angeline Limbong; Fransiska Ayu Septiani Pratama Putri; Daniel Riskiandi; Maxzillion Sky Kasnadi; Stefanie Sumartono; Apriani Lam; Syifa Navisah; Nadya Ariella; Mathias Rusli
Medical Clinical Update Vol. 1 No. 1 (2022): October
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2150.741 KB) | DOI: 10.58376/mcu.v1i1.17

Abstract

Tubo-ovarian abscess (TOA) is one of acute complications of pelvic inflammatory disease that usually occur in woman of childbearing age. Factors associated with TOA are reproductive age, Intra-Uterine Device (IUD) insertion, multiple sexual partners, and a history of a prior episode of PID. The classic presentation of a TOA includes abdominal pain, pelvic mass on examination, fever, and leukocytosis. However, prompt diagnostic evaluation must be undertaken to specify the diagnosis. Tubo-ovarian abscess can be found on imaging with ultrasonography, computed tomography (CT), or magnetic resonance imaging (MRI). Ultrasonography as the cheaper of all could be used as first-line diagnostic modality. This study presents an example of ultrasonography examination of 42-year-old woman presenting with stomach pain and fever. Abdominal ultrasonography was performed and we found abscess formation in adnexa. Emergency surgery was performed and antibiotics were given after surgery. This study showed us how abdominal ultrasound could diagnose tubo-ovarian abscess.
Ultrasonography Findings in Acute Appendicitis: A Case Study Angelina Vanessa Prasethio; Aldwin Wiranata Fam; Ayen Giovina; Hendi Fuki Lukmanta; Ingrid Anjani; Kadek Ayu Sri Purniawati; Komang Intania Putri Pelangi; Mutia Utami Ariani; Pinkan Al Shabrina; Mathias Rusli
Medical Clinical Update Vol. 1 No. 1 (2022): October
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2286.418 KB) | DOI: 10.58376/mcu.v1i1.18

Abstract

Acute appendicitis is one of the most common diagnosis suspected in patients with acute abdominal pain. Classic symptoms such as right iliac fossa pain, anorexia, nausea, constipation, and vomiting only occur in 50% of cases. Thus, other diagnostic modalities are still needed to help doctors conclude the definitive diagnosis that lead to prompt treatment. Ultrasound examination of the abdomen could be good choice since it is relatively faster, cheaper, and quite accurate in diagnosing appendicitis. This study presents an example of ultrasonography examination of patient with abdominal pain suspected of appendicitis. Ultrasound imaging showed echoic inflamed fat with appendix diameter of 13,1 mm indicates acute inflammation of appendicitis. Dilated appendix which is more than 6 mm in size was one of the supportive sign to propose appendicitis. This finding was in line with the patient’s signs and symptoms, thus acute appendicitis was diagnosed. The patient went to surgery and appendectomy was performed. This study showed us how abdominal ultrasound could add diagnostic value to diagnose acute appendicitis.
Co-Authors Aldwin Wiranata Fam Angelica Agnesia Rening Angelina Vanessa Prasethio Apriani Lam Aulia Okti Wulandari Ayen Giovina Bherline Novita Wijaya Daniel Riskiandi Destiya Ulfah Riany Fiorentina Elitasari Fransiska Ayu Septiani Pratama Putri Hendi Fuki Lukmanta Ignatius Jonathan Ingrid Anjani Kadek Ayu Sri Purniawati Komang Intania Putri Pelangi Maxzillion Sky Kasnadi Muhamad Rafdhi Mutia Utami Ariani Nadya Ariella Ni luh Putu Trisanti Pinkan Al Shabrina Ririn Angeline Limbong Stefanie Sumartono Syifa Navisah Veren Antonie