Iron deficiency anemia can be the first manifestation of colon cancer. However, iron deficiency anemia is also common in other benign conditions, which may cause a longer delay for referral decisions to get a definitive diagnosis. This is a case of 40-year-old male patient who had only iron deficiency anemia as a manifestation of colon cancer. Colonoscopy revealed intraluminal mass in transverse colon. After resection of the tumor, histopathology showed well-differentiated mucinous adenocarcinoma, invasion of sub-serous, and one node positive (pT3pN1pM0). After resection, we administered XELOX as adjuvant chemotherapy every 3 weeks for 8 cycles.
Graves Oftalmopati juga dikenal dengan, Tyroid Associated Ophtalmopathy (TAO) , penyakit mata tyroid, dan penyakit Basedow’s (dalam bahasa Jerman), orbitopaty dystiroid, orbitopaty tiroid adalah gangguan inflamasi autoimmune dengan pencetus yang berkesinambungan. Dengan gambaran klinis karakteristiknya satu atau lebih gambaran berikut yaitu retraksi kelopak mata, keterlambatan kelopak mata dalam mengikuti gerakan mata (lid lag), proptosis, myopati ekstraokuler restriksi dan neuropaty optik progresif. Laporan kasus: penulis melaporkan 1 laporan kasus oftalmopati pada penyait graves pada pasien perempuan berusia 31 tahun. Pasien mengeluhkan kedua mata menonjol, mata kering, benjolan pada leher, mudah lelah, mudah lapar dan haus, berkeringat, tubuh terasa panas, dan berdebar-debar. Pada pemeriksaan fisik didapatkan proptosis pada kedua mata denan menggunakan eksoftalmometer hertel. Pasien juga dilakukan pemeriksaan kadar TSH. Pasien ditatalaksana dengan pemberian artificial tears dan kelopak diplester waktu tidur serta tatalaksana untuk kondisi hipertiroidnya.
Herpes genitalis disebabkan oleh virus herpes simpleks (Herpes Simplex Virus atau HSV) tipe 1 (HSV-1) atau oleh tipe 2 (HSV-2). HSV tipe 1 lebih sering berhubungan dengan kelainan oral, dan HSV tipe 2 berhubungan dengan kelainan genitalia. Rute primer penularan infeksi HSV-2 ialah melalui kontak seksual (genital-genital) dengan partner seksual yang terinfeksi. Laporan kasus : penulis melaporkan 1 laporan kasus herpes genitalis pada pasien usia 19 tahun dengan G2P1A0H0 32-33 minggu. Pada pemeriksaan didapatkan vesikel berisi cairan seropurulen dan ulkus dangkal tertutup cairan purulen, dasar eritema disertai nyeri dan hangat pada perabaan. Pemeriksaan penunjang yang dilakukan yakni tzank test untuk mengetahui secara sitologi. Pasien ditatalaksanai dengan antiviral, analgetika, roborantia, serta edukasi. Katakunci herpes genitalis, kehamilan
Background: The hospital is a central care facility that is important as a central referral point for the lower care centers. Therefore, the hospital is required to provide adequate facilities and infrastructures, good quality and equity for all patients. The 2011 annual report of Provincial General Hospital West Nusa Tenggara indicated that the quality of health services in this hospital was low. It was felt necessary to undergo a research study to find out the inpatients perception of health care. Methods: A cross-sectional study was performed using stratified random sampling. The participants chosen were all inpatients of the Provincial General Hospital West Nusa Tenggara. A sample of inpatients was thus obtained of which questionnaires were usable for data analysis. A validity and reliability tested self administered questionnaire was used. Data was analysed with descriptive analysis, bivariate analysis using spearman method, and multivariate analysis using multiple linear regression to determine the effect on the health care quality toward hospital’s image. Results: Multivariate analysis showed that variables of health care quality (medical service, nurses, administration, supporting examination, pharmaceutical, nutritional, and physical facilities) significantly effected the image of the hospital. Based on the results of anova test, p value obtained was 0.000. Adjusted R2 value obtained was 0.966, indicating that the equation was good discrimination. Conclusion: There is a relationship between the quality of medical service, nursing, administration, supporting examination, pharmaceutical, nutritional, and physical facilities and the image of the Hospital. Keywords: Perception, Inpatients, Health Care Quality, Image, Hospital.
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