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    MR Muh Jidding Aspergilloma

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    azraeni_629166196
    The morning report lists the duty doctors for the emergency room, ward, and chief for the day of December 25th, 2023. The vision and mission statements of the Pulmonology and Respiratory Medicine program aim to become a center of education, research, and pulmonary and respiratory services. The mission includes providing quality evidence-based pulmonary education, developing high-quality pulmonary research, serving as a referral center for lung health in East Indonesia, and upholding professionalism and ethics. The patient report documents a 61-year-old male with chief complaint of coughing up blood for 1 month. His history includes pulmonary mycosis, massive hemoptysis, diabetes, and 30 years of smoking. Physical exam

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    MR Muh Jidding Aspergilloma

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    azraeni_629166196
    11 views11 pages
    The morning report lists the duty doctors for the emergency room, ward, and chief for the day of December 25th, 2023. The vision and mission statements of the Pulmonology and Respiratory Medicine program aim to become a center of education, research, and pulmonary and respiratory services. The mission includes providing quality evidence-based pulmonary education, developing high-quality pulmonary research, serving as a referral center for lung health in East Indonesia, and upholding professionalism and ethics. The patient report documents a 61-year-old male with chief complaint of coughing up blood for 1 month. His history includes pulmonary mycosis, massive hemoptysis, diabetes, and 30 years of smoking. Physical exam

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    The morning report lists the duty doctors for the emergency room, ward, and chief for the day of December 25th, 2023. The vision and mission statements of the Pulmonology and Respiratory Medicine program aim to become a center of education, research, and pulmonary and respiratory services. The mission includes providing quality evidence-based pulmonary education, developing high-quality pulmonary research, serving as a referral center for lung health in East Indonesia, and upholding professionalism and ethics. The patient report documents a 61-year-old male with chief complaint of coughing up blood for 1 month. His history includes pulmonary mycosis, massive hemoptysis, diabetes, and 30 years of smoking. Physical exam

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    11 views11 pages

    MR Muh Jidding Aspergilloma

    Uploaded by

    azraeni_629166196
    The morning report lists the duty doctors for the emergency room, ward, and chief for the day of December 25th, 2023. The vision and mission statements of the Pulmonology and Respiratory Medicine program aim to become a center of education, research, and pulmonary and respiratory services. The mission includes providing quality evidence-based pulmonary education, developing high-quality pulmonary research, serving as a referral center for lung health in East Indonesia, and upholding professionalism and ethics. The patient report documents a 61-year-old male with chief complaint of coughing up blood for 1 month. His history includes pulmonary mycosis, massive hemoptysis, diabetes, and 30 years of smoking. Physical exam

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    MORNING REPORT Monday, Dec, 25th 2023

    Duty Junior on ER : dr. Chika


     Duty Junior on Ward : dr. Igha, dr.Anjar, dr.Moris
     Duty senior on ER : dr. Mega

     Duty senior on Ward : dr. Cesar


     Duty Chief : dr. Uci

    Supervisor : dr. Arif Santoso, Sp.P(K)


    VISI DAN MISI
    PROGRAM STUDI PULMONOLOGI DAN
    KEDOKTERAN RESPIRASI
    VISI

    Menjadi pusat Pendidikan, penelitian dan pelayanan


    Pulmonologi dan Kedokteran Respirasi yang
    menghasilkan lulusan Dokter Spesialis Pulmonologi
    yang berjiwa Maritim (Manusiawi, Arif, Religius,
    Integritas, Tangguh, Inovatif, dan Mandiri) berkualitas,
    professional dan kompeten pada tahun 2023.
    VISI DAN MISI
    PROGRAM STUDI PULMONOLOGI DAN
    KEDOKTERAN RESPIRASI
    MISI

    1. Menyelenggarakan Pendidikan berbasis pelayanan dan evidence based di bidang


    Pulmonologi dan Kedokteran Respirasi melalui pendekatan budaya MARITIM secara
    paripurna dan bermutu
    2. Mengembangkan ilmu dan penelitian bidang Pulmonologi dan Kedokteran Respirasi
    yang berkualitas
    3. Melaksanakan pelayanan medik dan menjadi pusat rujukan Kesehatan Paru dan
    Kedokteran Respirasi di Kawasan Timur Indonesia melalui pengembangan sumber daya
    manusia, sarana dan prasarana
    4. Memegang teguh profesionalisme, etika dan moralitas pada setiap langkah
    pengembangan keilmuan dan pelayanan medik
    accompanied by

    ANAMNESIS Tuesday | August 14, 2012

    Muhammad Jiding / 712699 / 2-6-192 (61 years old)


    Chief complain : Coughing up blood

    Allo-anamnesis/Auto-anamnesis:
    Referral patient from Tobadak with pulmonary mycosis + massive
    hemoptysis. Complaints of coughing up blood since 1 month ago,
    worsening 1 week ago, fresh red color and volume of about 1
    glass, history of coughing up blood since 2014. No shortness of
    breath, no history of shortness of breath. Chest pain, radiated to
    the back. History of chest pain. No fever, no history of fever is
    absent. No nausea and vomiting. Good appetite. History of weight
    loss is 6 kg for 1 month. No history of night sweats without
    activity. Defecation and urination within normal limits.
    ANAMNESIS Tuesday | August 14, 2012

    • History of ATD treatment since 2010 & 2013 (incomplete treatment), Nov 2021 -
    2022 (complete treatment for 1 year + 3 months injections)
    • No contact history with TB patients
    • History of DM since 2004, regular treatment, glimepirid 2mg
    • No history of HT, heart and kidney disease
    • No family history of malignancy
    • History of smoking 3 packs per day for 30 years
    • History of cooking with firewood exists for 15 years
    • No family history of malignancy
    • Occupational history of retired civil servant
    • Central mamuju domicile
    • History of being treated at the central mamuju hospital on 28/12/2023 for 1 week
    with a diagnosis of pulmonary mycosis + massive hemoptysis, can be treated with
    tranexamic acid 3x1, cefixime 2x200mg
    PHYSICAL EXAMINATION

    Moderate Pain / Compos Mentis Thorax: (erect, anterior)


    BW: kg BH: cm BMI: Inspection: Symmetrical on static and
    dynamic
    SpO2 98% without modality Palpation: tactile fremitus is the same on
    BP: 128/71 mmHg both hemithorax
    N: 100 X/min Percussion: Sonor on both hemithorax
    P: 18 X/min Auscultation: Bronchovesicular, no
    S: 36.6 C ronchi, no wheezing.

    Eyes: no pale of conjunctiva, no icteric Abdomen: convex, increased peristalsis,


    sclera. hepar and Lien not palpable.

    Neck: midline trachea, no lymph node Extremities: warm acral, pretibial edema.
    enlargement.
    Radiology ECG
    LABORATORY
    LAB 23-12-2023 Normal Range
    WS Hospital RMT Sputum 3 times 13/1/22
    RSWS
    WBC 9,5 4.00-10.00
    BTA 1 Negative
    HB 12,9 12.00-16.00
    BTA 2 Negative
    Platelet 200 150-400
    BTA 3 Negative
    Neutrophil 76 52.0-75.0
    Lympochyte 13,3 20.0-40.0 Bronchoscopy Chronic inflammation
    22/7/21 (RSWS)
    GDS 252 140
    SGOT/SGPT 16/22 <38/<41
    Ur/Cr 21/1,01 Ur 10-50/ Cr <1.3 Anatomic Pathology Inflammatory lesion
    Result 22/7/21 (RSWS)
    Albumin - 3.5-5.00
    Na/K/Cl 134/4.1/100 135-145/3.5-
    5.1/97-111
    Radiology Chest X- Ray

    Chest X- Ray …-…-2023 Chest X- Ray …-…-2023 Chest X- Ray …-…-2023


    …..Hospital …..Hospital …..Hospital
    ANALYSIS
    No Assessment Planning Therapy Monitoring
    Diagnosis
    1. Massive hemoptysis ec former pulmonary TB DD / • Check Rapid • Adona • Monitorin
    aspergilloma of the lung dextra Molecular 1amp/8jam/drips- g vital and
    S: Test • Vit K clinical
    coughing up blood since 1 month ago, worsening 1 1amp/8jam/drips- sign
    week ago, fresh red color and volume of about 1 glass, • Asam tranexamate
    history of coughing up blood since 2014. Chest pain, 500mg/8jam/div-
    radiated to the back. History of chest pain. History of • codeine
    weight loss is 6 kg for 1 month 10mg/8jam/oral
    O:
    Thoracic photo 7-12-2023 Central Mamuju Hospital
    Old active pulmonary TB with moderate lesions
    MSCT thorax with contrast 13/1/2022 RSWS
    Old active lung Tb with extensive lesions and
    aspergilloma

    2. Aspergilloma • Bronchoscopy Monitoring


    S: vital and
    History of being treated at the central mamuju hospital Clinical signs
    on 28/12/2023 for 1 week with a diagnosis of
    pulmonary mycosis + massive hemoptysis, can be
    treated with tranexamic acid 3x1, cefixime 2x200mg
    O:
    Thoracic photo 17-4-2022 Central Mamuju Hospital
    Suspected lung mass dextra dd/round specific
    pneumonia
    MSCT thorax with contrast 13/1/2022 RSWS
    Old active lung Tb with extensive lesions and
    aspergilloma
    THANK YOU

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