"A Man can't make a mistake can't make anything"

Friday 27 March 2015

HYPERTROPIC SCAR BY HERRY SETYA YUDHA UTAMA

CHAPTER 1
INTRODUCTION
Scar formation after injury is a normal process. It is the body's natural way of healing, by creating a connective tissue fibers such as collagen and deposits on the skin to close the wound. However in some cases the wound tends to swell, become swollen and sometimes red. These scars are known as hypertrophic scars. Scar hypertrophy is due to several reasons such as burns, scrapes, injections and tattoos. Another reason for the occurrence of hypertrophic scarring can be simple things like that can lead to the formation of acne scars, insect bites and accidents. Hypertrophic scarring can occur in individuals of all ages. However, in some cases, individuals tend to get hypertrophic scarring because they are genetically prone to it. Individuals with lighter skin is more susceptible to injury because the scars are more visible and prominent.
Scar hypertrophy is characterized by erythematous, pruritic, raised fibrous lesions that typically do not grow beyond the boundaries of the initial injury and may undergo partial spontaneous resolution. Scar hypertrophy often occurs after thermal injury and other injuries involving the deep dermis.
Hypertrophic scar looks like a keloid. Hypertrophic scars are more common. They do not get as large as keloids, and may fade with time. They occur in all racial groups. Keloids considered a benign tumor, but they are mainly cosmetic nuisance and never become malignant. Operates in keloid scarring usually stimulate more to form, so that people with keloids may have been told that nothing can be done to get rid of them.






case perineal tumor by herry setya yudha utama

I.      IDENTITY

Name                                 : Mrs. YI
Age                                    : 23 years
Gender                              : female
Occupation                       : Merchant
Address                             : Battembat
Sign Rs date                      : March 2, 2015

II.    HISTORY (ALLOANAMNESIS)

Main complaint          : Lumps in the groin
Additional complaints: -

History Disease Now:
Ny.YI 23 years, the patient complained of a lump in the groin there since 10 years ago, the lump is felt arise and getting bigger. Bumps also felt pain when sitting too long and quite disturbing activity. Complaints urination and defecation denied.

Formerly Disease history:
The patient had never performed the operation. The patient denied any history
high blood pressure and diabetes. Previous patient also never had the same complaint.

Family disease history:
Patients admitted in the family no one has ever experienced the same thing as a patient.

III.  PHYSICAL EXAMINATION

OLGA SyAhPUTRA MENINGGAL DUNIA DI RUMAH SAKIT DI SINGAPURA KARENA MENINGITIS

Innalillahi wa inalillahi rojiun. Komedian Olga Syahputra meninggal dunia pada sore ini, Jumat (27/3/2015). Sang manajer, Mak Vera memastikan kabar Olga tutup usia.

"Innalillahi wa inalillahi rojiun telah berpulang kesayangan mak olga syahputra di jam 5.17 sore di hari jumat. minta doa buat kesayangan mak," tulis Mak Vera lewat pesan berantai via BlackBerry Messenger.

Kabar ini ramai sejak sore hari tadi. Olga meninggal di Rumah Sakit Mount Elizabeth, Singapura dalam usia 32 tahun.

Olga diketahui hampir setahun menjalani perawatan di rumah sakit tersebut. Komedian itu selama ini diketahui menderita penyakit meningitis DAN ada beberapa benjolan di lehernya.. ya sudah lah tak perlu dibahas penyakitnya , yang penting kita doakan biar almarhum diterima disisiNya.


salam,  herry setya yudha utama