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Pathological Review of Clinical Autopsy in The Perspective of Health Law in Indonesia Muhammad Yoga Dwi Anggara Sopiyan; Fahmi Irsan Nasution; Hendri meirialdi
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i2.6223

Abstract

Clinical autopsy is an important procedure in the medical world to determine the exact cause of death and evaluate the quality of medical services. In Indonesia, its implementation is still limited due to various legal, social, and ethical obstacles. This article discusses the position of clinical autopsy from the perspective of pathology and medicolegal forensics and examines the relevant legal framework for health in Indonesia. This study aims to encourage the implementation of autopsy legally, professionally, and ethically through a multidisciplinary approach. In conclusion, regulatory reform and enhanced education are needed to support the implementation of clinical autopsies that are legally valid and beneficial for both the medical and legal fields.
Luka Tusuk di Pangkal Leher Menembus Paru-Paru Kanan yang Menyebabkan Kematian: Laporan Kasus Patologi Forensik Hendri Meirialdi; Fahmi Irsan Nasution; Indah Afriwanty Simatupang
Jurnal Siti Rufaidah Vol. 3 No. 4 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i4.257

Abstract

Wound is the breakdown of tissue units/components, where specifically there are damaged or missing tissue substances. Several articles have their own definition of injury, based on the damage caused. This includes damage to internal organs. Another article also mentions the degree of injury, not based on its shape but based on the consequences that can endanger the life of the victim.A stab wound is a wound with a depth that exceeds the length of the wound due to a sharp-edged or blunt-edged tool that occurs with a perpendicular or oblique pressure on the body surface.In this case report, a male corpse was identified. From the results of the examination, the victim suffered several injuries due to sharp violence on the right forehead, left lower jaw, left shoulder, left upper arm, and right chest base of the neck, which tore the carotid artery and penetrated the right lung. so that the right lung ruptures and the presence of blood fluid in the chest cavity is as much as 2000 cc. The victim's death was caused by a stab wound at the base of the neck that hit the carotid artery and penetrated the right lung, causing bleeding, which resulted in suffocation.
Primary Plasma Cell Leukaemia (pPCL) Pada Sumsum Tulang Belakang: Laporan Kasus dan Tinjauannya Indah Afriwanty Simatupang; Fahmi Irsan Nasution; Hendri Meirialdi
Jurnal Siti Rufaidah Vol. 3 No. 4 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i4.258

Abstract

Plasma Cell Leukemia (PCL) is a rare lymphoproliferative disorder characterized by the proliferation of malignant plasma cells in the bone marrow and their presence in the peripheral blood. PCL is classified into primary plasma cell leukemia (pPCL), which occurs de novo without a prior history of multiple myeloma, and secondary plasma cell leukemia (sPCL), which arises in association with relapsed or refractory multiple myeloma. A 58-year-old woman presented with right hip pain that had been ongoing for four months. The pain progressively worsened, limiting her ability to move her leg and eventually causing significant difficulty in walking. She also experienced bilateral lower limb weakness and an unintentional weight loss of 10 kg over the same period. The patient denied any history of trauma. Physical examination revealed pallor without signs of bruising or spontaneous bleeding. Laboratory findings showed severe anemia (Hb 6.5 g/dL), leukocytosis (24,100/µL), thrombocytopenia, an elevated erythrocyte sedimentation rate, and 25% plasma cells on peripheral blood smear. Bone marrow aspiration demonstrated 40% infiltration by plasma cells. Based on the patient’s clinical presentation, physical examination, and laboratory findings, the diagnosis is consistent with primary Plasma Cell Leukemia.