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All Journal Medula JK Unila (Jurnal Kedokteran Universitas Lampung)
Anggi Setiorini
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Agriculture, Biological Sciences & Forestry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : Medula

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Fibromyalgia: Tinjauan Pustaka Maula Al Farisi; Muhartono; Anggi Setiorini; M. Praditia Ansor
Medula Vol 11 No 1 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i1.184

Abstract

Musculoskeletal chronic pain is characterized by pain and loss of function in the joints, tendons, ligaments, bones, and or muscles lasting for greater than equal to three months. There are several diseases caused by rheumatic disorders that have been identified, such as osteoarthritis, gout, rheumatoid arthritis, fibromyalgia. However, until now, chronic rheumatic disorders have become a world problem, namely “fibromyalgia”. Fibromyalgia is a syndrome characterized by generalized chronic musculoskeletal pain, hyperalgesia in specific points and psychosomatic symptoms, such as fatigue, sleep disturbances, anxiety, depression, cognitive dysfunction, headache, and gastrointestinal disorders. The prevalence of fibromyalgia in the world is higher in women than in men, which is between 2,4% to 6,8% with the ratio between women and men is 2:1. The etiology of fibromyalgia is idiopathic, but it is suspected that psychosocial factors play a role in the development of fibromyalgia. Currently, the diagnose of fibromyalgia can only be made by a comprehensive clinical examination according to the ACR (American College of Rheumatology) criteria. Therapy of fibromyalgia requires an optimal approach to the success of treatment. Therapies that can be done in patients with fibromyalgia include pharmacological therapy, complement therapy, cognitive behavioural therapy, psychotherapy and physical therapy.
A Tumor Ampulla Vater pada Pasien Dewasa Muda Aleya Yostha Kaban; Risal Wintoko; Anggi Setiorini
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.315

Abstract

Ampullary tumors are known as tumors that grow at the end of the common bile duct that passes through the duodenal wall of the papilla ampullaris of the pancreatic duct and the common bile duct which then coalesces and exits through the duodenal ampulla. The most common symptoms of this tumor are signs of biliary obstruction. Tumors in the gallbladder and bile ducts are generally asymptomatic early in the course of the disease and only manifest when the tumor is at an advanced stage so that the possibility of curative resection decreases. Malignancy of the ampulla of vater often manifests at an early stage so the prognosis is likely to be better. Etiological factors include smoking and previous partial gastrectomy. There is no established association between tumors of the ampulla of Vater and drinking coffee or alcohol. This case was found in a male patient, aged 33 years who came to Dr. H. Abdoel Moelok with complaints of abdominal pain on the right side accompanied by thick tea-colored urine, enlarged stomach, shortness of breath. The results of examination and support in the form of abdominal ultrasound led to the diagnosis of an ampulla of Vater tumor. The treatment given to the patient was supportive treatment in the form of a blood transfusion of three kolf to increase the hemoglobin level before being carried out in the form of a whipple operation procedure.
Co-Authors Aleya Yostha Kaban M. Praditia Ansor Maula Al Farisi Muhartono Risal Wintoko