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Fadhila, Syifa Rahmi
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Education Medicine & Pharmacology Neuroscience Public Health

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Osteogenesis Imperfekta dengan Bronkopneumonia: Sebuah Laporan Kasus Meidayanti, Devi; Apriyana, Ninike; Fadhila, Syifa Rahmi; Syafni, Alma Nazelia; Ivytha, Ivytha; Ismail, Ismi Citra
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1068

Abstract

Osteogenesis imperfecta (OI) or what is known as brittle bone disease (brittle bone disease) is a group of rare disorders that are hereditary. Prenatal diagnosis of pregnancies at risk for OI with fetal ultrasonography in the early 2nd trimester is feasible and allows treatment. The patient, a 2 month 23 day old baby, came to Abdoel Moeloek Hospital accompanied by his family with crooked legs since birth and shortness of breath since 1 day before entering the hospital. Other complaints experienced by patients include fever, weight loss since birth, broken bones. On physical examination, it was found that the general condition looked seriously ill, compos mentis consciousness, pulse 162x/minute, breathing 70x/minute, temperature 37.6˚C, SpO2 95% with Nasa cannula 1 lpm, the patient's nutritional status seemed poor, with body length 39 cm, upper body 26 cm, lower body 13 cm, and arm span 24 cm. According to the WHO growth chart, namely BB/U-2–0SD (normal); PB/U <-3 SD (severly stunted), the conjunctiva is not anemic, the blue sclera is positive, there is no visible breathing in the nostrils, the lips are not cyanotic, the thorax shows subcostal retraction, the breath sounds sound vesicular, there are fine wet crackles and there is no wheezing while heart within normal limits. A complete blood test showed that hemoglobin decreased by 8.8 g/dL, and hematocrit decreased by 28%, MCV 87fL, MCH 28 pg, MCHC 32 g/dL, suggesting normochromic normocytic anemia. Babygram showed the impression of osteogenesis imperfecta. The patient was diagnosed with osteogenesis imperfecta with bronchopneumonia and normochromic normocytic anemia.
Holistic Management of a 9 Year Old Boy Patient with Pulmonary TB Through a Family Doctor Approach in the Rajabasa Indah Community Health Center Area Fadhila, Syifa Rahmi; Khairunissa Athira Nauli Siregar; Tuti Malindasari; Fitria Saftarina; Belinda Apriannanti Beauty
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1122

Abstract

TB is a disease that is still difficult to complete. The estimated of the number of TB cases in children reaches 99,000 cases or 12% of the total case. The analysis of this study is case report. Assessment is carried out based on a holistic diagnosis from the start, process, and end of the study quantitatively and qualitatively. An. L, 9 years old, has a main complaint of coughing up phlegm. The patient also experienced complaints of not gaining weight, looking thin, and the patient's mother said her child had become less active since she was sick. The patient is a TB patient who has been undergoing OAT treatment for almost 4 months. Some of the factors that can influence the patient's condition are internal and external risk factors. In this case, a diagnosis of tuberculosis was carried out in accordance with current theories and research. After the intervention, there was a decrease in clinical symptoms and changes in the behavior of the patient and his family. The management given is in accordance with the guidelines, it can be seen that changes in behavior and knowledge of the patient and the patient's family are seen after intervention based on evidence-based medicine which is patient-centered, family approach.
Co-Authors Apriyana, Ninike Belinda Apriannanti Beauty Fitria Saftarina Ismi Citra Ismail, Ismi Citra Ivytha, Ivytha Khairunissa Athira Nauli Siregar Meidayanti, Devi Syafni, Alma Nazelia Tuti Malindasari