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INDONESIA
Cermin Dunia Kedokteran
Published by PT. Kalbe Farma Tbk.
ISSN : 0125913X     EISSN : 25032720     DOI : 10.55175
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Cermin Dunia Kedokteran (e-ISSN: 2503-2720, p-ISSN: 0125-913X), merupakan jurnal kedokteran dengan akses terbuka dan review sejawat yang menerbitkan artikel penelitian maupun tinjauan pustaka dari bidang kedokteran dan kesehatan masyarakat baik ilmu dasar, klinis serta epidemiologis yang menyangkut pencegahan, pengobatan maupun rehabilitasi. Jurnal ini ditujukan untuk membantu mewadahi publikasi ilmiah, penyegaran, serta membantu meningkatan dan penyebaran pengetahuan terkait dengan perkembangan ilmu kedokteran dan kesehatan masyarakat. Terbit setiap bulan sekali dan disertai dengan artikel yang digunakan untuk CME - Continuing Medical Education yang bekerjasama dengan PB IDI (Pengurus Besar Ikatan Dokter Indonesia)
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 5 Documents
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Search results for , issue "Vol. 46 No. 7 (2019): Continuing Medical Education - 2" : 5 Documents clear
Diagnosis Klinis, Tatalaksana, dan Pencegahan Chlamydial Conjunctivitis Adriani Sakina
Cermin Dunia Kedokteran Vol. 46 No. 7 (2019): Continuing Medical Education - 2
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i7.459

Abstract

Konjungtivitis merupakan salah satu penyakit mata yang umum. Penyebab konjungtivitis antara lain alergi, zat kimiawi, reaksi imun, dan infeksi. Salah satu agen infeksi penyebab konjungtivitis adalah Chlamydia. Infeksi Chlamydia mata dibagi menurut klasifikasi Jones, meliputi Blinding trachoma, Non-blinding trachoma, dan Paratrachoma. Diagnosis Chlamydial Conjunctivitis ditegakkan berdasarkan klinis. Berbagai pemeriksaan laboratorium dilakukan saat survei epidemiologis atau penelitian.. Conjunctivitis is a common eye disease. The etiology can be allergy, chemical reaction, immunology reaction, and infection. One of the infection agent is Chlamydia. Chlamydial eye infection is classified according to Jones Classification into 3 group : Blinding trachoma, Non-blinding trachoma, and Paratrachoma. Dagnosis of chlamydial conjunctivitis is based on the clinical condition. Laboratory tests are only used in epidemiology survey or research.
Keratosis Pilaris Ratih Purnamasari Nukana
Cermin Dunia Kedokteran Vol. 46 No. 7 (2019): Continuing Medical Education - 2
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i7.460

Abstract

Keratosis pilaris sering dialami saat kanak-kanak dan akan membaik seiring bertambahnya usia. Beberapa faktor risiko antara lain keturunan, riwayat penyakit kulit lain, jenis kelamin, usia, jenis kulit kering, cuaca. Pilihan pengobatan termasuk emolien, keratolitik, steroid topikal, dan terapi laser. Hasilnya bervariasi antara individu. Keratosis pilaris is a common skin disorder of childhood that often improves with advancing age. Some risk factors include heredity, history of other skin diseases, gender, age, dry skin type, weather. Treatment options include emollients, keratolytics, topical steroids and laser therapy. The results varies among individuals.
Tinjauan atas Stevens-Johnson Syndrome dan Toxic Epidermal Necrolysis Cinthia Christina Dewi
Cermin Dunia Kedokteran Vol. 46 No. 7 (2019): Continuing Medical Education - 2
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i7.461

Abstract

Stevens-Johnson Syndrome dan toxic epidermal necrolysis (SJS/TEN) merupakan kasus jarang dengan kejadian 1-10 kasus per 1 juta kasus per tahun tetapi potensial mengancam nyawa. Etiologi tersering adalah reaksi hipersensitivitas terhadap obat. Patogenesis SJS/TEN belum sepenuhnya dimengerti. Gejala prodromal flu like symptom diikuti timbulnya bula dan epidermolisis. Komplikasi tersering adalah hipo- dan hiperpigementasi kulit serta pada mata. Tatalaksana terbaik adalah menghentikan obat yang disangka pencetus, terapi suportif berupa penggantian cairan dan elektrolit, terapi sistemik dan topikal, serta terapi untuk komplikasi pada mata. Stevens-Johnson syndrome and toxic epidermal necrolysis ( SJS / TEN) is rare with an incidence of 1-10 cases per 1 million cases per year; but potentially life-threatening. The most common etiology is hypersensitivity reaction to drug. The symptoms begin with prodromal flu-like symptoms followed by the appearance of reddish lesions followed by bullae formation and epidermolysis. The most common complications are skin hypo- and hyperpigmentation and eye complications. The best management is to stop the presumptive drug, fluid and electrolye therapy and therapy for eye complications
Diagnosis Sindrom Piriformis Daniel Mahendrakrisna
Cermin Dunia Kedokteran Vol. 46 No. 7 (2019): Continuing Medical Education - 2
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i7.462

Abstract

Sindrom piriformis adalah neuropati perifer kompresi muskulus piriformis pada nervus iskiadikus. Kelainan ini banyak ditemukan pada wanita dan cenderung luput dari diagnosis karena banyaknya penyakit dengan gejala sama. Aktivitas berlebihan dan duduk lama merupakan pencetus. Gejala dan pemeriksaan fisik sederhana seperti Pace sign, Freiberg sign, pyriformis sign, dan Beatty sign dapat membantu diagnosis. Tatalaksana mencakup farmakologi obat anti inflamasi non steroid, fisioterapi, psikoterapi, serta pembedahan. Piriformis syndrome (PS) is a neuropathy due to compression to sciatic nerve lying on piriformis muscle. PS are more commonly found in women. Excessive activities and sitting could be precipitating factors. PS is often misdiagnosed because of many diseases with similar symptoms. Physical signs, such as Pace sign, Freiberg sign, piriformis sign, and Beatty sign, could aid to diagnosis. Non-steroidal anti inflammatory agent, physioterapy, psychotherapy, and surgery could reduce the symptoms.
Tatalaksana Farmakologi Hipertensi pada Hiperaldosteronisme Primer I Gede Yasa Asmara
Cermin Dunia Kedokteran Vol. 46 No. 7 (2019): Continuing Medical Education - 2
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i7.463

Abstract

Hipertensi secara umum menurut etiologinya dibagi menjadi primer dan sekunder. Hiperaldosteronisme primer merupakan salah satu penyebab hipertensi sekunder yang memiliki terapi spesifik dan sangat mungkin disembuhkan. Hiperaldosteronisme primer memiliki efek multiorgan antara lain penurunan sensitivitas insulin pada otot dan jaringan lemak, gangguan fungsi sistolik dan hipertrofi otot jantung, inflamasi ginjal dan aterosklerosis. Diagnosis melalui tiga tahapan yaitu skrining, tes konfirmasi dan analisis subtipe. Tatalaksana meliputi non-farmakologi, medikamentosa dan pembedahan. Obat golongan antagonis mineralokortikoid seperti spirolonakton dan eplerenon merupakan pilihan utama untuk hiperaldosteronisme primer. Based on its etiology, hypertension can be subdivided into primary and secondary. Primary hyperaldosteronism is secondary hypertension with specific treatment and may be curable. The disease is associated with renal, metabolic, brain and cardiovascular complications. Primary hyperaldosteronism affects multi organs such as reduced insulin sensitivity on muscle and adipose tissue, systolic dysfunction, myocardial hypertrophy, inflammation in the kidney and atherosclerosis. Diagnosis of primary hyperaldosteronism consists of three steps i.e. case-finding, a confirmatory test, and subtype evaluation. The management comprises non-pharmacology, medication, and surgery. Mineralocorticoid antagonists such as spironolactone and eplerenone are the drug of choice for primary hyperaldosteronism.

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