Abdillah A.F Hasanusi
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Penyakit Ginjal Kronis dengan Anemia, Hiperkalemia, dan Hipoalbuminemia pada Pasien Wanita 41 Tahun: A Case Report Abdillah A.F Hasanusi; Susan Timisela
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5539

Abstract

Chronic Kidney Disease (CKD) is a global health issue with an increasing prevalence each year. One of the most significant complications of CKD is anemia, which occurs due to decreased erythropoietin production as a result of kidney damage. Erythropoietin plays a vital role in stimulating red blood cell production, and its deficiency leads to decreased hemoglobin and hematocrit, worsening quality of life, increasing cardiovascular risk, and accelerating kidney disease progression. This case report presents a 41-year-old female with complaints of bilateral lower leg edema for one week, accompanied by weakness and repeated vomiting. The patient has a history of poorly controlled kidney failure. Physical examination revealed pale conjunctiva and leg edema, while vital signs showed hypertension (BP 160/80 mmHg). Laboratory results revealed severe anemia (Hb 3.3 g/dL, HCT 9.2%, erythrocytes 1,007,000/mm³), severe renal dysfunction (urea 401 mg/dL, creatinine 18 mg/dL), hypoalbuminemia (2.7 g/dL), hyperkalemia (K 5.3 mmol/L), and a decreased glomerular filtration rate (6.29 mL/min/1.73m²), indicating CKD stage 5. This clinical manifestation emphasizes the strong relationship between CKD and anemia due to erythropoietin deficiency, exacerbated by metabolic disturbances and fluid retention. Management includes anemia correction through blood transfusion, erythropoietin supplementation, electrolyte disturbance management, and renal replacement therapy such as hemodialysis. Early detection and routine CKD management are critical to prevent severe anemia and life-threatening systemic complications. This case report aims to serve as a reference for clinical practice in managing CKD and its complications.
Hernia Inguinalis Lateralis Bilateral Irreponible : A Case Report Abdillah A.F Hasanusi; Jacky Tuamelly
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2386

Abstract

Inguinal hernia is one of the most common abdominal wall disorders, accounting for approximately 75% of all hernia cases, with 50% classified as lateral inguinal hernias, and it occurs more frequently in older adults. We report a 57-year-old male patient who was admitted to the hospital with a complaint of a lower abdominal mass. The mass initially appeared in the right inguinal region one year prior and subsequently developed in the left inguinal region two months later. The swelling progressively increased in size. Intermittent pain, predominantly on the left side, had been present for the past month without associated nausea, vomiting, or fever. Physical examination revealed a moderately ill general condition, stable vital signs, and a soft, tender mass in both inguinal regions. Based on the clinical history, physical examination, and supporting investigations, the patient was diagnosed with bilateral irreducible lateral inguinal hernia. The patient received intravenous Ringer’s lactate and intravenous ketorolac, followed by an elective herniorrhaphy using Lichtenstein Tension-Free Repair Technique under spinal anesthesia. The operation was completed successfully without intraoperative complications.