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rizdanti, fezagustia
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HERPES ZOSTER DEXTRA FACIAL Panonsih, Resati Nando; Valentine, Amelia; Rizdanti, Fezagustia; Rachmawati, Endah; Risdinar, Risa Rismaya; Imalambasi, Nada Nisrina; Faatin, Nafiisa Nur; Prayoga, Muhammad Fachmi; Ningrum, Dewi Wahyu Setia; Fitriani, Anisa
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.v14i5.1017

Abstract

Herpes zoster is a manifestation of reactivation of latent endogenous infection of the varicella zoster virus in the neurons of the dorsal root sensory ganglion, cranial nerve ganglion or autonomic nerve ganglion which spreads to nerve tissue and skin in the same segment. Herpes zoster occurs sporadically throughout the year without knowing the season. The incidence of herpes zoster reaches two to three cases per thousand population each year. The incidence and severity of the disease increases with age. More than half of all cases reported occur in people over 60 years of age and complications occur in almost 50% of people in old age. Herpes zoster is rarely found at an early age (children and young adults), but when it occurs, it is likely due to maternal varicella during pregnancy. The incidence of herpes zoster in men and women is the same. The risk of disease increases with the presence of malignancy, or with bone marrow/kidney transplantation or HIV infection. There is no gender predilection. Herpes zoster is contagious but its transmission capacity is small compared to varicella. The treatment received by the patient was observing bleeding, checking vital signs periodically, and providing pharmacological treatment in the form of acyclovir 400mg tablets and acyclovir cream. Patients are advised to check in a week later. The prognosis for this patient is dubia ad bonam.
Amenore Sekunder Shariff, Fonda Octarianingsih; Rizdanti, Fezagustia
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.v14i5.1022

Abstract

Primary amenorrhea is a condition where menstruation does not occur in women aged 16 years. This situation occurs in women of reproductive age 0.1-2.5%. Meanwhile, secondary amenorrhea is the absence of menstruation for three cycles or 6 cycles after previously having a normal menstrual cycle. The incidence rate is around 1 to 5% in women of reproductive age. Treatment or management of amenorrhea depends on the cause. If the cause is drastic weight loss or obesity, sufferers are advised to follow an appropriate diet. If the cause is excessive exercise, sufferers are advised to reduce it. If the cause is a tumor, then surgery is performed to remove the tumor. So basically treating amenorrhoea always requires the help of a doctor to help diagnose or find the cause. The patient came to the Pertamina Bintang Amin Husada Hospital polyclinic on February 6 2024 with complaints of no menstruation since 4 months accompanied by lower abdominal and back pain. The treatment obtained by the patient was observation of bleeding, checking vital signs regularly, norelut tab twice a day, 2 tablets for 5 days, the patient was advised to diet. The prognosis for this patient is dubia ad bonam. The working diagnosis in this case is secondary amenorrhea based on clinical considerations, physical examination findings, and supporting examinations.
Co-Authors Endah Rachmawati Faatin, Nafiisa Nur Fitriani, Anisa Imalambasi, Nada Nisrina Ningrum, Dewi Wahyu Setia Panonsih, Resati Nando Prayoga, Muhammad Fachmi Risdinar, Risa Rismaya Shariff, Fonda Octarianingsih Valentine, Amelia