Haemophilia part 2 (Diagnostic and therapy)

ANAMNESTIC Until now the family history is still the best way to do the first riddle of the cases of haemophilia, although there are 20-30% of cases of haemophilia, found X chromosome due to spontaneous mutation in the gene encoding F VIII / F IX. A boy - he allegedly suffered from haemophilia, if there is a history of recurrent bleeding (hemartrosis, hematoma) or a history of bleeding after trauma or stretching certain actions with or without...

Hemophilia part 1

Patient asks to Mbah Dukun Bagong: Mbah, i had a friend, he was died 2 months ago, he got bleeding after circumcised, is circumcised dangerous?Mbah Dukun Bagong answers: "mmmm i see, circumcised is not dangerous, its "sunnah" God commanded Abraham to circumcise his son, Ishmael. However, there is condition, which person can't be able to circumcised, its called HEMOPHILLIAHemophilia is a bleeding disease due to deficiency of blood-derived clotting...

Myasthenia Gravis

DEFINITION When Mbah Dukun surving on internet, he gets message from Nilla Gustian. Nilla wants information about Myasthenia Gravis. What is Myasthenia Gravis?Myasthenia Gravis (MG) is a chronic, autoimmune disease that causes muscle weakness and excessive muscle fatigue. The name comes from Greek and Latin words meaning "grave muscle weakness." But most cases of MG are not as "grave" as the name...

NEPHROTIC SYNDROME Part 2

COMPLICATIONS Patient asks to Mbah Dukun : "Mbah, what are complications of NS?"Mbah Dukun Bagong answers:1. Nitrogen balance.Massive proteinuria in the NS will cause a negative nitrogen balance. Decreased muscle mass is found but these symptoms are often found covered with new symptoms and edema anasarka looked after the edema disappeared. Loss of muscle mass by 10-20% of body mass (lean body mass)...

Nephrotic syndrome Part 1

DEFINITION Patient asks to Mbah Dukun: "Mbah, would you explain about Nephrotic Syndrome?"Mbah Dukun Bagong answers: " Sure, ok read the text below"Nephrotic syndrome (NS) is one of the clinical manifestations of glomerulonephritis (GN) are marked with anasarka edema, massive proteinuria ≥ 3.5 g / dl, hypercholesterolemia and lipiduria. At the beginning of the process...

Theraphy HIV AIDS

DEFINITIONPatient ask to Mbah Dukun: “Mbah! I have heard many people talk about AIDS, what is it?”Mbah Dukun Bagong answers:Acquired Immune Deficiency Syndrome (AIDS) is a collection of symptoms of disease or abbreviation for acquired imune deficiency syndrome caused by Human Immunodeficiency Virus (HIV).HIV virus can be found in body fluids, especially in blood, semen, vaginal fluids, breast milk....

SHOCK

DEFINITIONPatient ask to Mbah Dukun : "Mbah! what is the meaning of Shock?Mbah Dukun Bagong answers :Shock is a clinical syndrome resulting from hemodynamic and metabolic disorder characterized by circulatory failure to maintain adequate perfusion to the organs - the vital organs of the body. Adequate tissue perfusion depends on three main factors, namely cardiac output, blood volume, and peripheral vasomotor tone. If one of these three determinants...