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All Journal Medula Jurnal Pengabdian Kepada Masyarakat (JPKM) Tabikpun Prosiding Konferensi Nasional PKM-CSR NUTRIENT JURNAL GIZI Majority
ari wahyuni
universitas lampung
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Journal : Medula

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Tatalaksana Anestesi pada Mandibulektomi Rekonstruksi pada Adenokarsinoma Mandibula ari wahyuni; Brandon Caesario
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.246

Abstract

Metastatic carcinoma on mandibula is a very rare lesion, contributing to <1% of all oral malignancies. Usually metastatis originate from breast, lungs, prostate, followed by kidney, thyroid, liver, etc. Carcinoma type lesion is more common than sarcomas. Mandibular metastation from thyroid tumors were very rare, and follicular type was the most common. In maxillofacial surgeries, airway management is very important considering difficult airway is commonly present. Either caused by altered surrounding tissues, organ immobilities, or organ enlargements. A 58-year old woman, weighing 45 kgs, and 159 cm in height was admitted to Dr. dr. H. Abdoel Moeloek Hospital of Lampung Province with a lump on right jaw from 1 year ago. On physical examination, the tumor was 7x5 cm in size, immobile, with firm consistency. Histopathology examination reveal an adenocarcinoma. Patient was diagnosed with mandibular adenocarcinoma and reconstructive mandibulectomy was performed.
Laporan Kasus : Ruptur kornea + katarak traumatik OD dengan General Anestesi Sukma Nugroho; ari wahyuni
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.247

Abstract

Ocular trauma is one of the main causes of visual impairment. Ocular trauma can be divided into sharp trauma, blunt trauma, chemical trauma and thermal trauma. Ocular trauma can cause cataracts called traumatic cataracts, which can result from penetrating or blunt trauma to the eyeball. Prompt and appropriate treatment can improve visual acuity. In this case report, an 8-year-old female patient came to the ER Abdul Moeloek Hospital with complaints of blurred vision in the right eye accompanied by sudden red eyes. This complaint was felt due to the patient playing with the simcard opening tweezers and the tweezers fell into the patient's eye in a piercing position. patient. In addition, the patient complained of vision in the right eye that felt like seeing fog and was dazzled when he saw light. Then the right eye felt watery, sore and felt lumpy. On physical examination, ocular ophthalmology with cloudy cornea and visible tears, shallow anterior ocular camera, uneven cloudy lens. This patient was diagnosed as right ocular corneal rupture with traumatic cataract and cataract extraction was planned with some prior anesthetic considerations. Complete preoperative, intraoperative, and postoperative management will improve the success of the operation.
Gagal Ginjal Akut Akibat Rabdomiolisis yang Diinduksi Status Epileptikus Fahmi Ikhtiar; riskita fiannisa; evi kurniawati; ari wahyuni
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.292

Abstract

Status epilepticus is any type of epileptic seizure that fails to stop and lasts for more than 30 minutes. This condition is an emergency in the field of neurology. In adults, almost 50% of status epilepticus is caused by acute cerebrovascular disease, hypoxia, metabolic disorders, and inadequate epilepsy treatment. While in children caused by infection of the central nervous system, metabolic disorders, trauma, and anoxia. If the seizures do not stop and last for a long time, they can lead to complications such as rhabdomyolysis. Rhabdomyolysis is a syndrome that can be life-threatening due to the breakdown of skeletal muscle cells. Skeletal muscle cells release toxic substances such as myoglobin which will clog the tubules in the kidneys, interfere with urinary excretion, and cause acute renal failure. Diagnosis is based on clinical signs and symptoms, and laboratory tests. Early signs are non-specific. Symptoms may include muscle weakness, increased body temperature and local or generalized muscle pain. Laboratory tests are carried out to confirm the diagnosis, namely looking at the amount of creatine kinase. The incidence of acute renal failure due to rhabdomyolysis is around 10% - 40%. In addition, antiepileptic drugs such as phenytoin have been reported to have an association with acute kidney failure.
Co-Authors Brandon Caesario evi kurniawati Fahmi Ikhtiar Helmi Ismunandar Lailatut Toriqoh Rani Himayani Rasmi Zakiah Oktarlina Retno Ariza Soeprihatini riskita fiannisa Rizki Hanriko Sharlene Sabrina Azzahra Sofyan Musyabiq Wijaya Sukma Nugroho Sutarto Sutarto Trixie Almira