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Semara, Putu Bagus Aditya Putra
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19 Years Old Male Patient with Cholelithiasis: A Case Report Semara, Putu Bagus Aditya Putra; Wirawan, I Made Suma
Indonesian Health Journal (IHJ) Vol. 3 No. 4 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i4.610

Abstract

Cholelithiasis refers to the formation of hardened deposits of digestive fluid, known as gallstones, which can develop in the gallbladder, bile duct, or both. This study aims to analyze the factors contributing to the occurrence of cholelithiasis in young patients, specifically 19-year-old males, and identify the clinical symptoms and associated examination results. A 19-year-old male patient visited the Internal Medicine Polyclinic with the main complaint of right upper abdominal pain radiating to the back. He also experienced nausea and vomiting. The patient frequently consumed high-fat foods. On physical examination, the patient's height was 171 cm, weight 74 kg, and BMI 25.34 kg/m² (overweight). Abdominal examination revealed a positive Murphy's sign. Laboratory tests showed total cholesterol of 216 mg/dl, LDL 158 mg/dl, HDL 38 mg/dl, and triglycerides 86 mg/dl. An abdominal ultrasound indicated thickened gallbladder walls, a single stone measuring approximately 0.82 cm by 1.17 cm, accompanied by sludge, and calcification in the right lobe of the liver. The patient was treated with Ursodeoxycholic Acid (UDCA) 250 mg twice daily and Atorvastatin 10 mg once daily.   Cholelithiasis is a multifactorial condition, influenced by several factors, commonly referred to as the "4F" factors: female gender, age over 40, fertility (being in the fertile period), and fat (obesity). Other contributing factors include age, genetics, and race. Children and adolescents may develop gallstones due to increased consumption of fat, refined carbohydrates, and low fiber intake. Overweight and obesity are significant risk factors because they increase the secretion of intrahepatic cholesterol, which promotes gallstone formation. The treatment of cholelithiasis can be classified into non-surgical and surgical approaches.
19 Years Old Male Patient with Cholelithiasis: A Case Report Semara, Putu Bagus Aditya Putra; Wirawan, I Made Suma
Indonesian Health Journal Vol. 3 No. 4 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i4.610

Abstract

Cholelithiasis refers to the formation of hardened deposits of digestive fluid, known as gallstones, which can develop in the gallbladder, bile duct, or both. This study aims to analyze the factors contributing to the occurrence of cholelithiasis in young patients, specifically 19-year-old males, and identify the clinical symptoms and associated examination results. A 19-year-old male patient visited the Internal Medicine Polyclinic with the main complaint of right upper abdominal pain radiating to the back. He also experienced nausea and vomiting. The patient frequently consumed high-fat foods. On physical examination, the patient's height was 171 cm, weight 74 kg, and BMI 25.34 kg/m² (overweight). Abdominal examination revealed a positive Murphy's sign. Laboratory tests showed total cholesterol of 216 mg/dl, LDL 158 mg/dl, HDL 38 mg/dl, and triglycerides 86 mg/dl. An abdominal ultrasound indicated thickened gallbladder walls, a single stone measuring approximately 0.82 cm by 1.17 cm, accompanied by sludge, and calcification in the right lobe of the liver. The patient was treated with Ursodeoxycholic Acid (UDCA) 250 mg twice daily and Atorvastatin 10 mg once daily.   Cholelithiasis is a multifactorial condition, influenced by several factors, commonly referred to as the "4F" factors: female gender, age over 40, fertility (being in the fertile period), and fat (obesity). Other contributing factors include age, genetics, and race. Children and adolescents may develop gallstones due to increased consumption of fat, refined carbohydrates, and low fiber intake. Overweight and obesity are significant risk factors because they increase the secretion of intrahepatic cholesterol, which promotes gallstone formation. The treatment of cholelithiasis can be classified into non-surgical and surgical approaches.
Hubungan Antara Lama Hemodialisis Dengan Red Cell Distribution Width (RDW) Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di Rumah Sakit Pusat Angkatan Laut Dr. Ramelan Surabaya Semara, Putu Bagus Aditya Putra; Herjunianto2, Herjunianto; Andisari, Hendrata Erry
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i9.16334

Abstract

Penyakit Ginjal Kronis (PGK) merupakan masalah kesehatan yang makin berkembang secara global dan membutuhkan terapi pengganti ginjal. Red cell Distribution Width (RDW) merupakan suatu penanda kuantitatif dari variabilitas ukuran eritrosit. Peningkatan RDW menandakan adanya peningkatan variasi ukuran sel darah merah. Penelitian bertujuan untuk mengetahui hubungan antara lama hemodialisis dengan peningkatan Red Cell Distribution Width (RDW) pasien penyakit ginjal kronis yang menjalani hemodialisis di RSPAL Dr. Ramelan Surabaya. Penelitian ini menggunakan metode cross sectional dengan desain penelitian observasional analitik. Teknik pengambilan sampel adalah purposive sampling dengan jumlah sampel 64 pasien PGK yang menjalani HD di RSPAL Dr. Ramelan Surabaya. Pengambilan data menggunakan data sekunder yaitu rekam medis. Analisis data menggunakan uji korelasi Pearson untuk mengetahui hubungan kedua variabel. Hasil Penelitian menunjukan 64 pasien memenuhi kriteria inklusi, terdiri dari laki-laki 39(61%) orang dan perempuan 25(39%) orang, dengan rerata umur 53,68±9,54 tahun, rerata lama hemodialisis yang dijalani pasien adalah 10,22±12,29 bulan, dan rerata nilai RDW_CV adalah 15,13±2,36%. Dari hasil uji korelasi Pearson diperoleh koefisien korelasi 0,046 dengan nilai signifikansi (p) = 0,715. Nilai signifikansi (p) 0,715 > (α) 0,05 menunjukan tidak ada hubungan signifikan antara lama hemodialisis dengan peningkatan RDW pasien PGK yang menjalani HD di RSPAL Dr. Ramelan Surabaya. Dari penelitian ini disimpulkan bahwa, tidak didapatkan korelasi antara lama HD dengan RDW pasien PGK yang menjalani HD. Nilai RDW pasien PGK yang mejalani HD didapatkan rerata yaitu 15,13%. Lama HD yang dilaksanakan pasien PGK di RSPAL Dr. Ramelan Surabaya didapatkan rerata yaitu 10,22 bulan.
Co-Authors Andisari, Hendrata Erry Herjunianto2, Herjunianto Wirawan, I Made Suma