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All Journal Jurnal Medika Nusantara Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
Regina Keumala Sabty
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Health Professions Nursing Public Health

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Seorang Wanita Usia 23 Tahun Dengan Anemia Mikrositik Hipokromik Suspect Systemic Lupus Erythematosus (SLE) Sri Meutia; Regina Keumala Sabty
Jurnal Medika Nusantara Vol. 2 No. 1 (2024): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i1.841

Abstract

Systemic Lupus Erythematosus (SLE) is an autoimmune inflammatory disease with diverse clinical manifestations, disease course and prognosis, and it is difficult to predict the onset of acute and subtle manifestations, can attack various organs of the body, and can recur. Hematological manifestations in SLE occur frequently and are one of the criteria for ACR. Thrombocytopenia occurs in 25% - 50% of patients, leukopenia occurs in around 50% and hemolytic anemia with positive Coombs test results in around 10%. Cytopenia that occurs is usually the result of peripheral damage mediated by autoantibodies that cause bone marrow hypercellularity. In rare cases, hypocellularity occurs in the bone marrow due to mediation of T cells that inhibit hemopoetic cells, which causes bone marrow failure and causes anemia gravis. A 23 year old woman came with complaints of paleness, fatigue, decreased appetite, joint pain, nausea, vomiting, headaches, dizzy eyes. On laboratory examination on June 12 2023, microcytic hypochromic anemia was found, on June 13 2023, microcytic hypochromic anemia was found, on peripheral blood morphology examination, anemia was suspected due to iron deficiency, and there was a bacterial and parasitic infection process, on June 15 2023, hypokalemia was found. , hyperchloremia, hypocalcemia. On June 16, 2023, microcytic hypochromic anemia was found. On ECG examination, benign Ves arrhythmia was found. On chest examination, the lung showed no abnormalities, the cast size was normal. On ultrasound examination, Nephrolithiasis Dextra was found. So it was found on physical examination, and the patient's supporting examination was confirmed as microcytic hypochromic anemia suspect systemic lupus erythematosus, however in the patient in this case report it could not be established as systemic lupus erythematosus, because the patient was not willing to be referred to Zainal Abidin General Hospital, Banda Aceh for treatment. further examination.
Seorang Anak Usia 7 Bulan dengan Bronkopneumonia Regina Keumala Sabty; Elli Kusmayati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1531

Abstract

Bronchopneumonia (BP) is the most common clinical manifestation of pneumonia in the pediatric population. BP is an acute inflammation of the lung parenchyma involving the bronchi or bronchioles to the alveoli, with a patchy consolidation distribution centered around the bronchi that are multifocally inflamed, usually bilateral. Bronchopneumonia in children has typical clinical symptoms, generally preceded by an upper respiratory tract infection, such as nasal congestion, fussiness, and decreased appetite. These symptoms are then followed by sudden fever reaching 39–40˚C or more, restlessness, and respiratory distress characterized by dyspnea, rapid and shallow breathing, use of accessory muscles, nasal flaring, and mouth breathing. Within a few days, respiratory symptoms may worsen. The basis of bronchopneumonia management in hospitalized patients is causal treatment with appropriate antibiotics based on the suspected etiology, as well as supportive measures such as oxygenation and hydration. This case report will discuss a pediatric patient with bronchopneumonia, the diagnostic approach, and the therapeutic management provided to achieve optimal clinical improvement.
Co-Authors Elli Kusmayati Sri Meutia