PKB XXVI 2018
Pendidikan Kedokteran Berkelanjutan (PKB) XXVI
Ilmu Penyakit Dalam FK UNUD/RSUP Sanglah 2018
“Controversies in Internal Medicine”
PROCEEDING BOOK
Prime Plaza Hotel-
Gedung Angsoka Lantai 4 RSUP Sanglah Denpasar
1-3 November 2018
EDITORS :
Prof. DR. dr. I Made Bakta, Sp.PD-KHOM, FINASIM
Prof. DR. dr. I Dewa Nyoman Wibawa, Sp.PD-KGEH, FINASIM
Prof. DR. dr. Ketut Suastika, SpPD-KEMD
Prof. DR. dr. Tjok Raka Putra, SpPD-KR
Prof. DR. dr. K Tuti Parwati, SpPD-KPTI
Prof. DR. dr. IB Ngurah Rai, SpP (K)
Prof. DR. dr. Gde Raka Widiana, SpPD-KGH
DR. dr. Tuty Kuswardani, SpPD-KGer, MARS
DR. dr. K Rina, SpPD, SpJP
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KATA PENGANTAR
Ilmu Penyakit Dalam berkembang sangat cepat menuntut
klinisi untuk senantiasa memperbaharui keilmuan dan
keahliannya serta memiliki kualitas sesuai dengan standar
global untuk meningkatkan pelayanan medis. Informasi ilmu
pengetahuan dan teknologi kedokteran saat ini mudah
diakses oleh siapa saja, menciptakan masyarakat yang
semakin kritis dan tentunya memunculkan tantangan
tersendiri bagi klinisi.
Akses
komuniksi
memudahkan
dokter
mendapatkan
informasi terkini, namun akses forum ilmiah memberi
kesempatan untuk bertatap muka langsung dengan para ahli
sambil menjalin ikatan kekeluargaan.
Pendidikan Kedokteran Berkelanjutan (PKB) Ilmu Penyakit
Dalam FK UNUD/RSUP Sanglah adalah kegiatan ilmiah di
bidang Ilmu Penyakit Dalam yang diselenggarakan setiap
tahun sekali. Pada rangkaian kegiatan PKB XXVI Ilmu
Penyakit Dalam FK UNUD/RSUP Sanglah 2018 ini,
kontroversi manajemen penyakit di bidang Ilmu Penyakit
Dalam akan disajikan dalam bentuk pelatihan (workshop),
simposium, dan diskusi pakar sehingga kesempatan
interaksi peserta dan pakar menjadi optimal.
Denpasar, 2 Mei 2018
Ketua Panitia
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EDITOR
Prof. DR. dr. I Made Bakta, Sp.PD-KHOM, FINASIM
Prof. DR. dr. I Dewa Nyoman Wibawa, Sp.PD-KGEH, FINASIM
Prof. DR. dr. Ketut Suastika, SpPD-KEMD
Prof. DR. dr. Tjok Raka Putra, SpPD-KR
Prof. DR. dr. K Tuti Parwati, SpPD-KPTI
Prof. DR. dr. IB Ngurah Rai, SpP (K)
Prof. DR. dr. Gde Raka Widiana, SpPD-KGH
DR. dr. Tuty Kuswardani, SpPD-KGer, MARS
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SUSUNAN PANITIA
Panitia Pengarah
1. Ketua Bagian Ilmu Penyakit Dalam FK
Unud/RSUP Sanglah
2. Kepala-Kepala Divisi di Lingkungan Bagian
Ilmu Penyakit Dalam FK Unud/RSUP Sanglah
Ketua Pelaksana
Dr. dr. Made Ratna Saraswati, SpPD-KEMD
Wakil Ketua
dr. I Wayan Losen Adnyana, SpPD-KHOM
Sekretaris
dr. IGN Agung Tresna Erawan, SpPD
Bendahara
dr. Pande Ketut Kurniari, SpPD
dr. Ni Wayan Wina Dharmesti
PIC Kegiatan
dr. Kadek Wisnu Mataram
Seksi Kesekretariatan
dr. Gede Kambayana, SpPD-KR
dr. Gde Somayana, SpPD
dr. Dian Pritasari Jeger
dr. Trisna Yuliharti Tersinanda
dr. Amarisa Malik
dr. Prima Yogi
dr. Carissa Ayu Zebadiah
dr. Abigail
Seksi Acara
dr. Nyoman Paramita Ayu, SpPD
dr. Ary Wismayana
dr. Adi Suryana
dr. Anantika Riani
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dr. Imayati
dr. Gusti Ayu Sri Bidani
dr. Karlina Isabela
dr. Bayu Prawira
Seksi Ilmiah
Prof. DR. dr. I Made Bakta, SpPD-KHOM
Prof. DR. dr. Ketut Suastika, SpPD-KEMD
Prof. DR. dr. Tjok Raka Putra, SpPD-KR
Prof. DR. dr. I DN Wibawa, SpPD-KGEH
Prof. DR. dr. K Tuti Parwati, SpPD-KPTI
Prof. DR. dr. IB Ngurah Rai, SpP (K)
Prof. DR. dr. Gde Raka Widiana, SpPD-KGH
DR. dr. K Rina, SpPD, SpJP
DR. dr. Tuty Kuswardani, SpPD-KGer, MARS
DR. dr. Ketut Suega, SpPD-KHOM
DR. dr. Wayan Sudhana, SpPD-KGH
DR. dr. Yenny Kandarini, SpPD-KGH
dr. Nyoman Astika, SpPD-KGer
dr. IGP Suka Aryana, SpPD-KGer
dr. I Made Siswadi Semadi, SpPD
dr. I Putu Sistawidyautama
dr. Ngurah Arika Fermiawan
dr. I Gede Agus Aprianta
dr. Gilang Bhaskara
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dr. I Komang Agus Wira Nugraha
dr. Kurniawan
Seksi Dana
Prof. DR. dr. K Suastika, SpPD-KEMD
Prof. DR. dr. I DN Wibawa, SpPD-KGEH
dr. Jodi S Loekman, SpPD-KGH
dr. I GA Suryadharma, SpPD-KGEH
DR. dr. Yenny Kandarini, SpPD-KGH
dr. Bayu Indratama
Seksi Perlengkapan
dr. Ketut Suardamana, SpPD-KAI
dr. I Ketut Mariadi, SpPD-KGEH
dr. IGP Hery Sikesa
dr. AAN Wistara Widya
dr. IGA Wilaja P
dr. Komang Realiska
dr. Kurniawan Adi Prabowo
dr. I Dewa Made Widya Sidharta
dr. Adrian Adinata Candra
dr. Eka Handrean
Seksi Pameran
dr. Nyoman Purwadi, SpPD-KGEH
dr. Made Pande Dwipayana, SpPD-KEMD
dr. Dewa Gede Teguh Krisna M
dr. Godfried EY Saragih
dr. Eko Radityo
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Seksi
Transportasi-Akomodasi
dr. Susila Utama, SpPD-KPTI
dr. Losen Adnyana, SpPD-KHOM
dr. Indra Adi Kusuma
dr. Made Suwarno
dr. Putu Oka Yudaswara Pande
dr. Arya Winangun
Seksi Registrasi
dr. Renny A. Rena, SpPD-KHOM
dr. Sajinadiyasa, SpPD
dr. Nadia
dr. Ni Wayan Ariani Vitriasari
dr. Juni Wulan
Seksi Konsumsi
dr. Tjok Istri Anom Saturti, SpPD
dr. IGA Ira Mahariani B
dr. Rose Vita Sari
dr. Ni Luh Putu Herawati
dr. Gusde Janardana
Seksi Kerohanian
dr. AAA Yuli Gayatri, SpPD
dr. Tjok Gde Darmayuda, SpPD-KHOM
dr. Putu Yuliani Widiasari
Seksi Humas
dan Publikasi
dr. Dewi Dian Sukmawati, SpPD
dr. Ni Ketut Rai Purnami, SpPD
dr. Aditya Saskara
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dr. Putu Pangestu Cendra Nata
Seksi Dokumentasi
dr. Putu Andrika, SpPD-KIC
dr. Reza Surahmanto
dr. Putu Shely
dr. Sandra
dr. Eko Radityo
Karyawan Sekretariat
Adi Swastika
Komang Rupawan
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DAFTAR ISI
KATA PENGANTAR
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KONTRIBUTOR
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DAFTAR ISI
viii
JADWAL ACARA
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MATERI
SYMPOSIUM
CONTROVERSIES IN MEDICINE: CHALLENGES AND
OPPORTUNITIES
I Made Bakta
1
GOAL ORIENTED IN HYPERTENSION: UNDER CONTROL
WITH SINGLE PILL COMBINATION: AMLODIPINE/
VALSARTAN
I Wayan Sudhana
11
CURRENT CONCEPTS IN CHRONIC HEPATITIS B
TREATMENT
I D N Wibawa
19
ANTIVIRAL THERAPY: SHOULD IT BE LIFELONG?
I G A Suryadharma
28
ROLE OF KIDNEY IN GLUCOSE HOMEOSTASIS
I Gde Raka Widiana
ix
LINKING TYPE 2 DIABETES MEDICATION WITH
CARDIOVASCULAR OUTCOME
Ketut Suastika
58
DIAGNOSTIC MODALITY FOR LUNG TUBERCULOSIS
I Made Bagiada
ROLE OF IGRA IN DIAGNOSIS OF LUNG TUBERCULOSIS
Elva Aprilia Nasution
72
88
CONTROVERSION OF PHARMACOLOGIC THERAPY FOR
ANOREXIA IN ELDERLY
Tuty Kuswardhani
89
CHOOSING AMINO ACIDS FOR TREATING SARCOPENIA
IN ELDERLY: WHICH ONE IS BETTER?
I G P Suka Aryana
106
OVERVIEW OF OSTOEOARTHRITIS
Tjokorda Raka Putra
113
CURRENT TREATMENT OF OSTEOARTHRITIS
Gde Kambayana
127
CORTICOSTEROID HARMFUL EFFECTS ON SEPSIS
I Ketut Agus Somia
136
MANAGEMENT OF DIABETES: START WITH THE RIGHT
CHOICE
I Ketut Suastika
142
MANAGEMENT OF HYPERTHYROIDISM
Made Ratna Saraswati
x
REPLACEMENT THERAPY IN HYPOTHYROIDISM
Risa Anwar
160
INSULIN THERAPY IN THE DIABETES EMERGENCY:
WHAT'S THE GUIDELINE SAID TO IMPROVE PATIENT
OUTCOME
Ketut Suastika
165
THE ROLE OF RAPID INSULIN ANALOGUE IN DIABETES
MANAGEMENT: FOCUS ON GLULISINE CLINICAL
EVIDENCE
Made Ratna Saraswati
177
MECHANISM OF DRUG ALLERGY
Ketut Suryana
184
DIAGNOSIS AND MANAGEMENT OF DRUG ALLERGY
Ketut Suardamana
194
CURRENT DIABETES ORAL TREATMENT: ARE THEY STILL
EFFECTIVE AND SAFE?
Made Ratna Saraswati
207
IS GLYCEMIC CONTROL STILL AT THE CORE OF T2D
MANAGEMENT IN THE ERA OF CV OUTCOME STUDIES?
Ketut Suastika
217
LONG TERM BENEFITS ON INTENSIVE GLUCOSE
CONTROL FOR PREVENTING END-STAGE KIDNEY
DISEASES
A. A. Budhiarta
227
ANEMIA IN CHRONIC KIDNEY DISEASE: HOW TO
REVEAL THE TRUE CAUSE?
I Gde Raka Widiana
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ANEMIA IN CHRONIC KIDNEY DISEASE: IS IT
ERYTHROPOETIN RESPONSIBILTY?
Yenny Kandarini
238
THROMBOEMBOLIC EVENT PREVENTION: WHICH
PATIENT AND WHEN?
Renny Anggreni Rena
246
THROMBOSIS: TO PREVENT OR TO THREAT? WHICH
DRUG?
I Wayan Losen Adnyana
253
RATE CONTROL FOR ATRIAL FIBRILATION
Adelia Yasmin
264
RHYTM CONTROL FOR ATRIAL FIBRILATION
I Made Putra Swi Antara
268
WORKSHOP
OVERVIEW: GENERAL CONSIDERATION OF LOCAL
INJECTION IN MUSCULOSKELETAL PROBLEM
Gede Kambayana
272
ROLE OF CORTICOSTEROID (TRIAMCINOLONE) IN
MUSCULOSKELETAL INJECTION
Pande Ketut Kurniari
280
ROLE OF ULTRASONOGRAPHY-GUIDED INJECTION IN
JOINT PAIN: PLANTAR FASCIITIS, KNEE, SHOULDER,
AND LOW BACK PAIN
Arif Soemarjono
288
OVERVIEW OF PLEURAL EFFUSION: ETIOLOGY,
DIAGNOSIS, AND TREATMENT
IGNB Artana
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MANAGEMENT OF PLEURAL EFFUSION USING MINI
WATER SEALED DRAINAGE (MINI WSD)
I Gede Ketut Sajinadiyasa
327
CLINICAL REASONING OF CONTINUOUS AMBULATORY
PERITONEAL DIALYSIS (CAPD)
Yenny Kandarini
332
TEHNIQUE OF CONTINUOUS AMBULATORY
PERITONEAL DIALYSIS (CAPD)
I Gusti Ngurah Agung Tresna Erawan
346
RECENT INFECTION COMPLICATION MANAGEMENT IN
PERITONEAL DIALYSIS PATIENTS
Nyoman Paramita Ayu
362
PRE TRAVEL PREVENTIVE CARE
Ni Made Dewi Dian Sukmawati
371
VACCINATION SAFETY AND VACCINE RELATED ADVERSE
REACTION
I Made Susila Utama
372
VACCINE HANDLING AND PREPARATION
Ni Made Dewi Dian Sukmawati
374
MANAGEMENT OF THYROID NODULE: MEDICAL
ASPECT PRE AND POST OPERATION
I Made Siswadi Semadi
375
FINE NEEDLE ASPIRATION BIOPSY (FNAB): METHOD
AND PATHOLOGY ANATOMY RESULT INTERPRETATION
Luh Putu Iin Indrayani Maker
381
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JADWAL ACARA
SYMPOSIUM Day 1, Friday 2
ndNovember 2018
Time Agenda 7.30 - 08.00 Registration 8.00 - 08.30 Opening: Ballroom
8.30 - 9.30 Moerdowo Memorial Lecture Supported by Pfizer
Controversies in Medicine: Challenges and Opportunities
Speaker: Prof. Dr. dr. I Made Bakta, SpPD, K-HOM
9.30 - 10.00 Coffee Break: Exhibition Room 10.00 - 11.00 Symposium debate 1
Nephrology and Hypertension Division Supported by: Novartis
Goal Oriented in Hypertension Venue: Ballroom
Symposium debate 2
Gastro Hepatology and Enterology Division
HBe Negative on Chronic Hepatitis B on Antiviral Therapy: Lifelong or Finite duration/Demand
Venue: Negara room 10.00 - 10.05 Brainstorming by moderator Dr. Jodi S. Loekman, SpPD, K-GH, FINASIM Brainstorming by moderator Dr. I Ketut Mariadi, SpPD, K-GEH, FINASIM 10.00 - 10.20 What’s New in Hypertension Guideline ESC/ESH 2018 and AACE 2017? Prof. Dr. dr. Ketut Suwitra, SpPD, K-GH,FINASIM Current Concepts in Chronic Hepatitis B Treatment Prof. Dr. dr. I D N Wibawa, SpPD, K-GEH, FINASIM 10.20 - 10.40 Goal Oriented in Hypertension: Under Control with Single Pill Combination: Amlodipine/Valsarta n Dr. dr. I Wayan Sudhana, SpPD, K-GH, FINASIM
Antiviral Therapy: Should It Be Lifelong? Dr. I G A Suryadharm a, SpPD, K-GEH, FINASIM
10.40 - 11.00 Discussion and wrap up Discussion and wrap up 11.00 - 12.00 Lunch Symposium 1
Nephrology and Hypertension Division join with Endocrinology and Metabolism Division Supported by: Boehringer Ingelheim
Oral Anti Diabetes in The Era of Cardiovascular Outcome Trial: Focus on Sodium Glucose Co- Transporter 2 Inhibitor (SGLT2i)
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Venue: Ballroom11.00 - 11.05 Brainstorming by moderator dr. I Made Pande Dwipayana, SpPD, K-EMD, FINASIM
11.05 - 11.25 Role of kidney in glucose Homeostasis Prof. Dr. dr. I Gde Raka Widiana, SpPD, K-GH, FINASIM
11.25 - 11.45 Linking type 2 Diabetes Medication with cardiovascular outcome
Prof. Dr. dr. Ketut Suastika, SpPD, K-EMD, FINASIM
11.45 - 12.00 Discussion and wrap up 12.00 - 13.00 Lunch Break and Exhibition
13.00 - 14.00 Symposium debate 3 Pulmonary Division
Supported by: Prodia Laboratory Advance Diagnostic of Lung Tuberculosis Venue: Ballroom
Symposium debate 4 Geriatric Division Supported by: Fahrenheit Malnutrition in elderly Venue: Negara Room
13.00 - 13.05 Brainstorming by moderator dr. Putu Andrika, SpPD, K-IC, FINASIM Brainstorming by moderator dr. Nyoman Astika, SpPD, K-Ger, FINASIM 13.05 - 13.25 Diagnostic Modality for Lung Tuberculosis dr. I Made Bagiada, SpPD, K-P, FINASIM Controversion of pharmacologic therapy for anorexia in elderly Dr. dr. Tuty Kuswardhani, SpPD, K-Ger, MARS, FINASIM 13.25 - 13.45 Role of IGRA in Diagnosis of Lung Tuberculosis
Elva Aprilia Nasution, S.Farm
Choosing amino acids for treating sarcopenia in elderly: which one is better?
Dr. I Gusti Putu Suka Aryana, SpPD, K-Ger, FINASIM
13.45 - 14.00 Discussion and wrap up Discussion and wrap up 14.00 - 15.00 Symposium debate 5
Rheumatology Division
What is new Osteoarthritis Treatment
Symposium debate 6
Tropical and Infectious Disease Division Supported by: Fahrenheit
Corticosteroids and sepsis: do
corticosteroids reduce death or improved recovery in sepsis 14.00 - 14.05 Brainstorming by moderator dr. Pande Ketut Kurniari, SpPD, FINASIM Brainstorming by moderator dr. Ida Bagus Putrawan, SpPD, FINASIM 14.05 - 14.25 Overview of Ostoeoarthritis Prof. Dr. dr. Tjokorda Raka Putra, SpPD, K-R, FINASIM Corticosteroid harmful effects on sepsis Dr. dr. I Ketut Agus Somia, SpPD, K-PTI, FINASIM 14.25 - 14.45 Current Treatment of Osteoarthritis dr. Gde Kambayana, SpPD, K-R, FINASIM Corticosteroid beneficial effects dr. I Made Suslila Utama, SpPD,
K-xvi
on sepsis PTI, FINASIM
14.45 - 15.00 Discussion and wrap up Discussion and wrap up 15.00 - 16.00 Kompyang Memorial Lecture
Controversies in Medicine: How to Deal with Iron Deficient Anemia Properly
Speaker: Dr. dr. Ketut Suega, SpPD, K-HOM
Venue: Ballroom 16.00 - 17.00 Rehearsal
Preparation for Dinner Symposium 17.00 - 18.00 Dinner symposium (by invitation)
Endocrinology and Metabolism Division Supported by: PT. Merck Tbk
Diabetes and Thyroid: Old Friend
17.00 - 17.05 Brainstorming by moderator Dr. dr. Wira Gotera, SpPD, K-EMD, FINASIM
17.05 - 17.20 Management of Diabetes: Start with The Right Choice
Prof. DR. Dr. I Ketut Suastika, SpPD, K-EMD, FINASIM
17.20 - 17.35 Management of Hyperthyroidism Dr. dr. Made Ratna Saraswati, SpPD, K-EMD, FINASIM
17.35 - 17.50 Replacement Therapy in Hypothyroidism Dr. Risa Anwar
17.50 - 18.00 Discussion and wrap up
18.00 - 21.00 Dinner and Perdana Gathering Party 21.00 Closing
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SYMPOSIUM Day 2, Saturday 2
ndNovember 2018
Time Agenda 7.30 - 8.00 Registration 8.00 - 8.30 Special Case
8.00 - 8.05 Moderator: dr. Ketut Rai Purnami, SpPD
8.00 – 8.10 Special Case in Hepatology dr. Gede Somayana, SpPD
8.10 – 8.20 Special Case in Allergy and Immunology
dr. Vincentius Donnie Pramudita, SpPD
8.20 – 8.30 Discussion and wrap up 8.30 - 9.30 Symposium debate 7
Endocrinology and Metabolism Division
Supported by: Sanofi
Reaching Further Glycemic Control With Rapid Acting Insulin Analogues Venue: Ballroom
Symposium debate 8
Allergy and Immunology Division Drug Allergy
Venue: Negara room 8.30 - 8.35 Brainstorming by moderator dr. Made Pande Dwipayana, SpPD, K-EMD, FINASIM
Brainstorming by moderator dr. Tjokorda Istri Anom Saturti, SpPD, FINASIM 8.35 - 8.55 Insulin Therapy in The Diabetes Emergency: What's The Guideline Said To Improve Patient Outcome Prof. Dr. dr. Ketut Suastika, SpPD, K-EMD, FINASIM
Mechanism of Drug Allergy Dr. dr. Ketut Suryana, SpPD, K-AI, FINASIM
8.55 - 9.15 The Role of Rapid Insulin Analogue in Diabetes Management: Focus On Glulisine Clinical Evidence Dr. dr. Made Ratna Saraswati, SpPD, K-EMD, FINASIM
Diagnosis and Management of Drug Allergy
dr. Ketut Suardamana, SpPD, K-AI, FINASIM
9.15 - 9.30 Discussion and wrap up Discussion and wrap up 9.30 - 10.00 Coffee Break: Exhibition Room
10.00 - 11.00 Symposium debate 9
Endocrinology and Metabolism Division
Supported by: Aztra Zeneca Current and Future Challenging of Diabetes Type 2 Treatment Venue: Ballroom
Symposium debate 10
Endocrinology and Metabolism Division Supported by: Servier
Addresing the Challenges Beyond Diabetes Boundaries
Venue: Negara room
10.00-10.05 Brainstorming by moderator
Dr. dr. Wira Gotera, SpPD,
Brainstorming by moderator dr. Made Pande
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K-EMD, FINASIM Dwipayana, SpPD, K-EMD, FINASIM 10.00-10.20 Current Diabetes Oral treatment: Are They still Effective and Safe? Dr. dr. Made Ratna Saraswati, SpPD, K-EMD, FINASIMIs glycemic control still at the core of T2D management in the era of CV outcome studies?
Prof. Dr. dr. Ketut Suastika, SpPD, K-EMD, FINASIM 10.20-10.40 Are the innovative
Oral Therapy will replace current diabetes treatment? Dr. Putu Moda Arsana, SpPD, K-EMD,FINASIM
Long term benefits on intensive glucose control for preventing end-stage kidney diseases
Prof. Dr. dr. A. A. Budhiarta, SpPD, K-EMD, FINASIM 10.40-11.00 Discussion and wrap up Discussion and wrap up
11.00-12.00 Lunch Symposium 2
Nephrology and Hypertension Division Supported by: Etana
Anemia on Chronic Kidney Disease Venue: Ballroom
11.00-11.05 Brainstorming by moderator Dr. dr. Wayan Sudhana, SpPD, K-GH, FINASIM
11.05-11.25 Anemia in Chronic Kidney Disease: How to Reveal the True Cause?
Prof. Dr. dr. I Gde Raka Widiana, SpPD, K-GH
11.25-11.45 Anemia in Chronic Kidney Disease: Is It Erythropoetin Responsibilty?
Dr. dr. Yenny Kandarini, SpPD, K-GH, FINASIM
11.45-12.00 Discussion and wrap up 12.00-13.00 Lunch Break and Exhibition
13.00-14.00 Symposium debate 11
Hematology and Oncology Division Thrombosis: To Prevent or to Threat? Venue: Ballroom
Symposium debate 12 Cardiology Division
Management of Acute Presentation of Atrial Fibrilation
Venue: Negara Room 13.00-13.05 Brainstorming by moderator dr. Tjok Gde Darmayuda, SpPD, K-HOM, FINASIM
Brainstorming by moderator dr. Nyoman Wiryawan, SpJP
13.05-13.25 Thromboembolic Event Prevention: Which Patient and When?
dr. Reni Anggreni Rena, SpPD, K-HOM, FINASIM
Rate Control for Atrial Fibrilation dr. Adelia Yasmin, Sp.JP 13.25-13.45 Thrombosis: To Prevent or To Threat? Which Drug? dr. I Wayan Losen Adnyana, SpPD, K-HOM, FINASIM
Rhytm control for Atrial Fibrilation
dr. I Made Putra Swi Antara, SpJP (K), FIHA
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13.45-14.00 Discussion and wrap up Discussion and wrap up 14.00 - 15.00 Kaler Memorial Lecture
Controversies in Medicine: Diabetes is it genetic, metabolic, of lifestyle disorder
Speaker: Prof. Dr. dr. Dwi Sutanegara, SpPD, K-EMD, FINASIM
Venue: Ballroom 15.00 - 15.30 Closing
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SCHEDULE WORKSHOP, Thursday 1 November 2018Angsoka Building level 4th Sanglah Hospital
Time Agenda
7.30-08.00 Registration for workshop 1, 2, and 3
8.00-08.30 Opening attend by all workshop participant (Venue: Meeting Room 1) 8.30-12.00 Workshop 1
Rheumatology Division
Pain Intervention in Musculoskeletal Problem Venue: Meeting Room 1
Workshop 2 Pulmonary Division
Management of Pleural Effusion Venue: Library Room 2
Workshop 3 Nephrology Division
Basic Continuous Ambulatory Peritoneal Dialysis (CAPD) Venue: Meeting Room 2
8.30-9.10 Overview: General Consideration of Local Injection in Musculoskeletal Problem dr. Gede Kambayana, SpPD, K-R,FINASIM 8.30-9.30 Overview of Pleural Effusion: Etiology, Diagnosis, and Treatment dr. IGNB Artana, SpPD
Clinical Reasoning of Continuous Ambulatory Peritoneal Dialysis (CAPD) Dr. dr. Yenny Kandarini, SpPD, K-GH, FINASIM 9.10-9.50 Role of Corticosteroid (Triamcinolone) in Musculoskeletal Injection dr. Pande Ketut Kurniari, SpPD, FINASIM Tehnique of Continuous Ambulatory Peritoneal Dialysis (CAPD)
dr. I Gusti Ngurah Agung Tresna Erawan, MBiomed, SpPD
9.50-10.30 Role of Ultrasonography-guided Injection in Joint Pain: Plantar Fasciitis, Knee, Shoulder, and Low Back Pain dr. Arif Soemarjono, SpKFR 9.30-10.30 Management of Pleural Effusion using Mini Water Sealed Drainage (Mini WSD) dr. I Gede Ketut Sajinadiyasa, SpPD, K-P, FINASIM
Recent Infection Complication Management in Peritoneal Dialysis Patients
dr. Nyoman Paramita Ayu, SpPD, K-GH
10.30-11.30 Hands on/Discussion Hands on/Discussion Hands on/Discussion 11.30-12.00 Wrap up and closing Wrap up and closing Wrap up and closing 12.00-13.00 Lunch break
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12.30-13.00 Registration for workshop 4 and 5 13.00-16.30 Workshop 4
Tropical and Infectious Disease Division Vaccination and Travel medicine Venue: Meeting Room 1
Workshop 5
Endocrinology and Metabolism Division Management of Thyroid Nodule Venue: Library Room
13.00-13.40 Pre travel preventive care dr. Ni Made Dewi Dian Sukmawati, SpPD, FINASIM
Management of Thyroid Nodule: Medical Aspect Pre and Post Operation
Dr. I Made Siswadi Semadi, MBiomed, SpPD
13.40-14.20 How to tailored individual vaccination strategy
dr. A. A. A Yuli Gayatri, SpPD, K-PTI 14.20-15.00 Vaccination safety and vaccine
related adverse reaction
dr. I Made Susila Utama, SpPD, K-PTI, FINASIM
Fine Needle Aspiration Biopsy (FNAB): Method and Pathology Anatomy Result Interpretation
Dr. Luh Putu Iin Indrayani Maker, SpPA (K)
15.00-16.00 Hands on: Vaccine handling and preparation dr. Ni Made Dewi Dian, Sukmawati, SpPD
Hands on/Discussion
Pendidikan Kedokteran Berkelanjutan XXIV 2018
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STUDI EPIDEMIOLOGI SARKOPENIA PADA ORANG USIA LANJUT DI
DESA PEDAWA, KECAMATAN BANJAR, BULELENG
Nadia Pramita Dewi
1, IGP Suka Aryana
2, Wayan Giri Putra Semaradana
1,
RA Tuty Kuswardhani
2, I Nyoman Astika
2, IB Putrawan
2, Rai Purnami
21
PPDS-1 Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Udayana
2
