Archives of The Medicine and Case Reports
Archives of The Medicine and Case Reports (AMCR) is a broad scope journal aims to publish the most exciting Case studies/reports in Clinical and Medical Sciences. AMCR aims to provide an excellent platform for Clinical Practitioners, medical/ health practitioners, students, professionals, researchers in medicine. AMCR accept any original case report that expands the field of general medical knowledge, and original research relating to case reports including report of the symptoms, diagnosis, treatment, and follow-up of an individual patient. The journal covers all medical specialties including : • Oncology • Paediatrics • Respiratory disorders • Allergy • Radiology • Nephrology • Neurology • Haematology • Immunology • Radiology • Nuclear medicine • Medical imaging • Audiovestibular medicine • Cardiology and cardiovascular systems • Critical care medicine • Dermatology • Emergency medicine • Endocrinology and metabolism • Gastroenterology and hepatology • Geriatrics and gerontology • Infectious diseases and treatment • Medical disorders in pregnancy • Medical ophthalmology • Sports Medicine • Substance abuse • Palliative medicine • Psychiatry • Rheumatology • Sexual and reproductive health
Articles
206 Documents
<![CDATA[Diagnostic Overview of COVID-19 Patients with Comorbid Type 2 Diabetes Mellitus at Royal Prima General Hospital Medan in 2020 ]]>
<![CDATA[Lisda Pratiwi]]>;
<![CDATA[Wienaldi]]>;
<![CDATA[Adrian]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 2 No. 4 (2021): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v2i4.149
<![CDATA[COVID-19 is a disease caused by infection with a coronavirus known as SARS-CoV-2. COVID-19 patients with diabetes have a poor prognosis and thus have a shorter life expectancy than those without diabetes. This is because COVID-19 causes severe lung dysfunction and inflammation. The purpose of the study is to find out the description of diagnostic of COVID-19 patients with comorbid diabetes mellitus type 2 at Royal Prima general hospital Medan in 2020. The case study design method is descriptive with a retrospective approach, the sample size of 63 patient medical records is taken by purposive sampling, a complete medical record and analyzed with descriptive statistics. Most patients were aged more than 50 years old (66.7%) and female (50.8%). With symptoms of fever (84.1%), cough (87.3%), shortness of breath (87.3%), headache (28.6%), diarrhea (9.5%), nausea (42.9%), abdominal pain (31.7%), loss of smell (20.6%). The longest hospitalization time (11-20 days) (46%). It can be concluded that the most age is > 50 years, the most gender is female and the most clinical symptoms are cough and shortness of breath.]]>
<![CDATA[Hormonal Contraceptive Use Related to Menopausal Age ]]>
<![CDATA[Destri Safhira Siahaan]]>;
<![CDATA[Adek Amansyah]]>;
<![CDATA[Irza Haicha Pratama]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 2 No. 4 (2021): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v2i4.155
<![CDATA[The change in the pattern and timing of menopause is an exciting and exploratory phenomenon that requires more detailed research to be carried out using hormonal contraception. This study was aimed to explore the relationship between hormonal contraceptive use and menopausal age. This study used a cross-sectional design. The study was conducted at Royal Prima General Hospital Medan from May to August 2021. A total of 68 research subjects participated in this study with the following inclusion criteria: menopausal women, aged 50-60 years, using hormonal contraceptives (pills, injections, implants), able to remember history previous contraceptive use. This study uses primary data obtained directly from guided interviews with respondents. Participants were dominated by ≥ 55 years old women with 57 people (83.81%), 62 Muslims (91.2%), menarche age >13 years as many as 28 people (41.2%). The number of children 2-4 were 32 people (47.1%) with an average menopause age of 51.93 and the smallest for 1 was 8 people (11.8%) with an average menopause age of 50.37. There were 49 users of hormonal contraception (72.1%) and 48 people (70.6%). In conclusion, we found that the use of hormonal contraceptives is significantly related to menopausal age.]]>
<![CDATA[Overview and Management of Chronic Kidney Disease Inpatients at Royal Prima General Hospital Medan in 2020 ]]>
<![CDATA[Yuke Armika]]>;
<![CDATA[Nerseri Barus]]>;
<![CDATA[Sri Lestari Ramadhani Nasution]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 1 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i1.156
<![CDATA[Chronic kidney disease (CKD) is a condition in which there is a gradual decline in kidney function. This disease is progressive and usually irreversible. Indications for hospitalized CKD patients with severe complications and do not allow inpatient therapy. This study was aimed to describe the overview and management of chronic kidney disease inpatient in Royal Prima General Hospital Medan. The type of research used is research with a descriptive and retrospective case study design. This study is based on medical record data related to inpatient CKD patients' diagnostic and management features at the Royal Prima General Hospital Medan in 2020. The research subjects were all inpatients diagnosed with CKD, whereas 100 research subjects with complete medical records were included in this study. It was found that the highest age group was 57-65 years, as much as 37.0%, and men as much as 27%. The chief complaint was shortness of breath at 43% and additional complaints, the most of which were fever + low back pain + edema at 38%. On physical examination, most of the inspections were weak, 55%. Most palpation was sociable 57%. There was auscultation of four abdominal regions and normal positive bowel sounds (93%). Complete blood count + blood sugar level + electrolytes + urea + creatinine 70%, the most combination medication is NaCl 0.9% + Furosemide injection 31%. Based on the length of stay, the longest was 13-14 days (20%).]]>
<![CDATA[Overview of Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients at Royal Prima Hospital Medan Indonesia ]]>
<![CDATA[Riski N. Situmeang]]>;
<![CDATA[Erwin Sopacua]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 1 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i1.157
<![CDATA[Diabetes Mellitus (DM) is a chronic disease characterized by blood glucose (blood sugar) levels exceeding normal. Diabetic nephropathy is a chronic microvascular complication that often occurs in diabetics. This study presents a picture of diabetic nephropathy in type 2 DM patients at the Royal Prima Hospital in Medan. This research is a type of descriptive research. The sample from this study was the total data of patients suffering from diabetic nephropathy who met the inclusion and exclusion criteria at Royal Prima Hospital from January 1, 2020 – to December 31, 2020. The inclusion criteria for the subjects of this study were complete patient medical records, type 2 diabetes patients, urinalysis tests. (proteinuria ≥ +2), renal function examination exceeds normal values, blood urea, and creatinine. The mean age of diabetic nephropathy patients was 57.52 years and the majority were 62 men (50.8%). The average picture of urea levels in diabetic nephropathy patients is 51.8 and the average creatinine level is 1.48. The majority of patients with diabetic nephropathy do not have proteinuria. And the average blood sugar level is 267 mg/dL. In conclusion, the incidence of diabetic nephropathy is highest in patients aged 57 years. The mean value of urea level is 51.80 mg/dl, creatinine value is 1.48 mg/dl, and the average blood sugar level is 267 mg/dl. Most proteinuria was in the negative category of as many as 107 people (87%).]]>
<![CDATA[Diagnostic Overview and Management of Adult Pulmonary Tuberculosis Patients Inpatient at RSU Royal Prima Medan in 2020 ]]>
<![CDATA[Dewi Sartika]]>;
<![CDATA[Nerseri Barus]]>;
<![CDATA[Sri Lestari Ramadhani Nasution]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 1 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i1.158
<![CDATA[Tuberculosis is an inflammatory disease of the lung parenchyma caused by infection with Mycobacterium tuberculosis. This research aims to find out the description of the diagnosis and management of adult pulmonary TB patients hospitalized at RSU Royal Prima Medan in 2020. This study is a descriptive study. This study is based on medical record data on inpatients with a diagnosis of pulmonary TB at the Royal Prima General Hospital Medan in 2020. The youngest patient was 18 years old and the oldest was 82 years old. The main complaint was shortness of breath (53%), additional complaints were cough (48%), symmetrical physical examination of the thorax (91%), positive sputum smear examination (72%), combined medical management of pulmicort + fumadryl + paracetamol + levofloxacin + OAT category I (72%), the longest length of stay was 7-8 days (38%), the shortest was 11-12 days (1%). In conclusion, pulmonary TB occurs more in men in the 37- 45 year age group (22%), the most complaints are shortness of breath (53%), and the most widely used combination treatment is pulmicort + fumadryl + paracetamol + levofloxacin + drugs anti tuberculosis category I (72%).]]>
<![CDATA[A Case Report of New-Onset Atrial Fibrillation in a Young Male After Electrical Injury ]]>
<![CDATA[Herick Alvenus Willim]]>;
<![CDATA[Harie Cipta]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 1 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i1.171
<![CDATA[Electrical injuries occur mostly as a consequence of home or workplace accidents. It can cause various manifestations from minor skin burn injuries to cardiac arrhythmias. Atrial fibrillation (AF) after electrical injury is a rare manifestation. A 28-year-old man presented to the emergency department with palpitation after an electrical injury accident from a live wire carrying 220 volts in his home. He had loss of consciousness for 2 minutes after the accident, but was conscious at admission. He had no history of cardiovascular disease. Blood pressure was 130/80 mmHg, heart rate was 150 beats/min irregularly irregular, respiratory rate was 20 breaths/min, body temperature was 36.6oc, and oxygen saturation was 98% on room air. There was an entry wound on the palmar aspect of the right hand and exit wound on the plantar aspect of the right foot. Electrocardiogram showed AF with rapid ventricular response at 150 - 200 beats/min. Laboratory tests and echocardiogram were in normal limits. Pharmacologic cardioversion with intravenous amiodarone was given, followed by maintenance dose. AF was converted into sinus rhythm in 1 hour after amiodarone administration. The patient was discharged one day later. AF can occur after a low-voltage electrical injury. Cardiac monitoring for at least 24 hours is indicated in all patients with loss of consciousness, documented arrhythmias or ECG abnormalities, or who have sustained a high-voltage injury.]]>
<![CDATA[Failure of First Attempt Needle Decompression in Tension Pneumothorax: Case Report ]]>
<![CDATA[Christianto Wisman]]>;
<![CDATA[Boby Yaputra]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 1 (2022): Archives of The Medicine and Case Reports ]]>
Publisher : <![CDATA[HM Publisher ]]>
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DOI: 10.37275/amcr.v3i1.172
<![CDATA[Tension pneumothorax can occur as a potentially life-threatening complication of chest trauma. Tension pneumothorax is commonly treated with needle decompression, both the 2nd intercostal space in the midclavicular line and the 4th/5th intercostal space in the anterior axillary. A 45 years old man came to our emergency department after blunt injury of the chest presenting tension pneumothorax with unstable hemodynamic treated with needle decompression using 14th (5 cm) gauge cannula at 2nd intercostal space midclavicular line, the patient felt comfortable and became hemodynamic stable, but chest radiograph evaluation showed no improvement tension pneumothorax. Several studies show the failure of needle decompression may be due to several factors such as chest wall thickness, cannula length, occlusion of the catheter, and location of the needle decompression. In this case, failure of needle decompression may be because of the occlusion due to catheter kinking so that the air cannot escape through the cannula and may also be caused by the insufficient length of the cannula to pass through the full thickness of the patient's chest wall.]]>
<![CDATA[Pathophysiological to Clinical Aspects of Chronic Suppurative Otitis Media (CSOM): Narrative Literature Review ]]>
<![CDATA[Rachmat Hidayat]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 2 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i2.175
<![CDATA[Chronic suppurative Otitis Media (CSOM) is inflammation of the middle ear mucosa and mastoid space that lasts more than 2 months characterized by perforation of the tympanic membrane and continuous or intermittent discharge from the ear canal. Secretion in the form of watery or thick clear or pus. CSOM with cholesteatoma is characterized by a perforation that is located marginally or can be tampered with the bone and often causes dangerous complications. CSOM is still a major health problem, especially in developing countries. The incidence of CSOM cases is estimated at more than 20 million people worldwide. Of these, approximately 5 million patients suffer from chronic otitis media with cholesteatoma, although the overall number of cases of chronic otitis media with cholesteatoma appears to be decreasing. The prevalence of CSOM worldwide is around 65-330 million people with complaints of watery ears, 60% of them (39-200 million) suffer from significant hearing loss. The incidence of chronic otitis media with cholesteatoma is 3 in 100,000 in children and 9.2 in 100,000 adults.]]>
<![CDATA[Cross-Sectional Study as Research Design in Medicine ]]>
<![CDATA[Puspa Zuleika]]>;
<![CDATA[Legiran]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 2 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i2.193
<![CDATA[A cross-sectional study is an observational study that analyzes data from a population at one point in time. These studies are often used to measure prevalence in medicine, analyze health studies, and describe health characteristics. Unlike other types of observations, in a cross-sectional study, each research subject was only observed once, the measurement of research variables was carried out at the time of the observation, and no follow-up was carried out on the measurements made. These studies are less expensive and easier to perform and help establish preliminary evidence in planning further studies in the future. This article reviews essential characteristics, describes strengths and weaknesses, discusses methodological issues, and provides design recommendations and statistical analysis for cross-sectional studies.]]>
<![CDATA[Voice Handicap Index (VHI) as Diagnostic Tools for Dysphonia Disorder: Narrative Literature Review ]]>
<![CDATA[Ramakrishnan]]>;
<![CDATA[Gopala Krishna]]>
<![CDATA[ Archives of The Medicine and Case Reports Vol. 3 No. 2 (2022): Archives of The Medicine and Case Reports ]]>
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DOI: 10.37275/amcr.v3i2.195
<![CDATA[In the diagnosis of dysphonia, assessing the patient's voice quality is personal and subjective. The diagnosis of voice abnormalities is based on history, physical examination, and supporting examinations. In determining the degree of Dysphonia disorder, we can use the voice handicap index. Voice Handicap Index (VHI) is one of the most widely used tools to measure the physical, functional, and emotional aspects of Dysphonia disorder.]]>
