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Imtinan Khoirunnisa
Universitas Lampung
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HIFEMA : TINJAUAN KLINIS DAN KLASIFIKASI Imtinan Khoirunnisa; Carissa Aprilia Y; Fadilah Alwiyah; Regita Dwi M; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.720

Abstract

Accumulation of blood in the anterior chamber of the eye called hyphema. A hyphema usually caused by blund trauma to the eye. It can also occur as a result of surgery inside the eye or abnormal blood vessels inside eye. Bleeding, eye pain, blurry or distorted vision, and light sensitivity is the symptoms of hyphema. The treatment are encouraging the blood, treat elevation incraocular pressure, bed rest is recommended. Also, patient of hyphema can also kept head in elevatd position during sleep and protect the eye with a shield. Steroid eye drops usually prescribed to limit inflammation, dilating drops, and reduce the pain. The last treatment is surgery with purpose to remove the blood. Prognosis of hyphema depends on size, small sized have a good prognosis. But, patient whose have eyes undergo rebleding have bad prognosis because they have larger sized of hyphema.
Tuberkulosis Paru Anak dengan Hemoptisis dan Resistensi Rifampisin Indeterminate: Laporan Kasus Imtinan Khoirunnisa; Shinta Nareswari
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1968

Abstract

Tuberculosis (TB) in children remains a major contributor to global morbidity and mortality. Although clinical manifestations such as hemoptysis have been increasingly reported in adolescents, the primary diagnostic challenge in this case lies in the Molecular Rapid Test (TCM) GeneXpert result showing indeterminate rifampicin resistance. The patient's chest X-ray showed primary pulmonary TB, consistent with positive Mantoux and lipoarabinomannan (LAM) TB test results. TCM GeneXpert examination confirmed pulmonary TB bacteriologically, with MTB trace detected and indeterminate rifampicin resistance. In addition, Gram staining of sputum showed a mixed flora of bacteria and fungi, reflecting colonization or potential infection in the respiratory tract. The patient was diagnosed with bacteriologically confirmed pulmonary TB with hemoptysis and anemia due to chronic disease, and was well-nourished. Medical interventions included a first-line Anti-Tuberculosis Drug (OAT) regimen and symptomatic therapy. The patient's clinical outcome was excellent, characterized by the immediate cessation of hemoptysis post-tranexamic acid initiation and the achievement of overall clinical improvement during hospitalization.  Overall, indeterminate rifampicin in TCM with a low (trace) bacterial load requires thorough clinical correlation to guide timely therapy.
Co-Authors Carissa Aprilia Y Fadilah Alwiyah Rani Himayani Regita Dwi M Sangging, Putu Ristyaning Ayu Shinta Nareswari