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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Neurona
Veronica, Vanessa
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Health Professions Medicine & Pharmacology Neuroscience Public Health

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THE VIRTUAL NEUROLOGY EXAMINATION AS A LEARNING TOOL FOR MEDICAL STUDENTS UNDERGOING CLINICAL CLERKSHIPS DURING THE PANDEMIC ERA OF COVID-19 Pinzon, Rizaldy Taslim; Veronica, Vanessa
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.72932

Abstract

Background: Due to the critical importance of the COVID-19 pandemic in the educational system, medical academics must consider safe and appropriate clinical clerkship learning methodologies and models implemented during the pandemic.Aims: This study aimed to construct and evaluate virtual neurology examination as a tool for medical students undergoing clinical clerkships.Learning Media Review: This learning media review was action research conducted at Bethesda Hospital Yogyakarta, Indonesia. This study was conducted in two stages: developing a virtual neurology examination and evaluating student feedback. This study enrolled 12 medical students, the majority of whom were female (58%). The majority of medical students agreed that the virtual neurology assessment was a good overall experience (83%), with the majority stating that the image and sound quality were good (75%) and the virtual neurology examination cases were quite varied (66.5%). Nine medical students (75%) strongly supported the continuation of the virtual neurology examination program, while three medical students (25%) supported its continuation.Conclusion: This study indicates that virtual neurology examination is feasible and can serve as a helpful learning tool for medical students undergoing clinical clerkships during the COVID-19 pandemic.
Transeksi Medula Spinalis Nontraumatik Inkomplit pada Kompresi Medula Spinalis Suspek Metastasis Veronica, Vanessa; Ardianto, Dony
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 1 (2023): Vol 40 No 1 (2023)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i1.429

Abstract

Introduction: Vertebrae are the most common sites for metastases, and spinal cord compression can be an early manifestation of malignancy. The incidence of spinal cord compression tends to increase as the survival rate of cancer patients increases. We report a case of spastic paraparesis in suspected metastatic spinal cord compression. Case presentation: A 62-year-old male presented to the emergency room complaining of weakness in lower limbs and lower back pain that began one month prior to hospital admission and progressively worsened. The patient appeared moderately ill and completely conscious, with a body temperature of 36.4°C, a pulse rate of 89 beats per minute, a respiratory rate of 18 breaths per minute, oxygen saturation of 99%, a blood pressure of 144/81 mmHg, and a pain scale of 7. Neurological examination demonstrated spastic paraparesis with loss of posture and vibration sensation in both lower extremities. There were masses in the bodies of the fourth to tenth thoracic vertebrae, along with paravertebral masses and destruction of the surrounding bones, as well as intracranial and extracranial medullary invasions with lytic lesions in the second lumbar vertebra. Consolidation was also detected on radiological testing in the left lung's apicoposterior region, leading to the appearance of a pulmonary mass on computed tomography (CT) thoracolumbar myelography. Ketorolac, methylprednisolone, and citicoline were administered as therapy. Within a few days, the patient demonstrated significant relief in pain. Conclusion: Spinal cord compression due to metastases is an oncological emergency where spastic paraparesis and proprioception deficits are included as the neurologic consequences.
Co-Authors Ardianto, Dony Rizaldy Pinzon