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ASMA BRONKIAL EKSASERBASI RINGAN-SEDANG PADA PASIEN PEREMPUAN USIA 46 TAHUN Puspa Rosfadilla; Ayu Permata Sari
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol.8 : No.1 (Mei 2022)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v8i1.7115

Abstract

Asma bronkial adalah gangguan inflamasi kronik pada saluran nafas. Asma bertanggung jawab atas 21,6 juta DALYs (Disability-Adjusted Life Year) pada tahun 2019, yang merupakan 20,8% dari total DALYs dari penyakit pernapasan kronis. Berdasarkan hasil Survey Kesehatan Rumah Tangga (SKRT) tahun 2017, asma merupakan penyebab kematian (mortalitas) keempat di Indonesia atau sebesar 5,6%. Laporan kasus ini didapatkan dari data primer melalui anamnesis, pemeriksaan fisik dan pemeriksaan penunjang. Pasien mengeluh sesak nafas ketika malam hari dengan nafas berbunyi. Sesak bersifat terus-menerus dan memberat. Sebelumnya sesak sudah pernah muncul ketika terhirup asap dan cuaca dingin. Pemeriksaan laboratorium darah didapatkan peningkatan nilai kadar eosinofil. Pada pasien ini dilakukan penanganan berupa penatalaksanaan non farmakologi dan farmakologi berupa nebulisasi kortikosteroid dengan long acting bronchodilator (LABA).
Tuberkulosis Paru Relaps Gina Sonia Rahmah; Puspa Rosfadilla
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 1 (2025): Januari : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i1.1068

Abstract

Relapsing Pulmonary Tuberculosis is a patient with pulmonary TB who has received TB treatment and has been declared cured or finished treatment, then re-diagnosed as positive pulmonary TB through BTA examination or sputum culture by Mycobacterium tuberculosis. In high incidence settings, this figure is as high as 7850 cases/100000 person-years. A 66 year old patient came to the emergency room at Cut Meutia Hospital with complaints of coughing up blood which had been felt since 3 days SMRS, and worsened after 1 day SMRS, phlegm was fresh red, blood was mixed with phlegm when coughing. Previously the patient had been coughing up phlegm without blood since 2022 coughing felt to come and go. The patient also complained of chest pain on the right side, shortness of breath when doing activities, the patient also complained of night sweats that soaked clothes and bed, denied nausea, vomiting, defecation and urination. there were no complaints, the patient had a history of DM. On physical examination it was found that the patient's general condition appeared to be moderately ill, consciousness was compos smentis, blood pressure was 110/70 mmHg, pulse rate was 66x/minute, respiration was 22x/minute, with a body temperature of 36.7°C and SpO2 98% on room air. Auscultation revealed vesicular breathing sounds (+/+), rhonchi (-/-), wheezing (-/-). Blood laboratory examination: HB decreased (12.00), MCV decreased (76.78 fL), MCH decreased (23.2 pg), MCHC decreased (30.30 thousand/uL).
Pneumothoraks : Definisi Hingga Penatalaksanaan Khania Atika; Puspa Rosfadilla
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 1 (2025): Januari : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i1.1071

Abstract

Pneumothorax is a condition where free air is present in the pleural cavity. Pneumothorax is a life-threatening respiratory emergency that requires immediate treatment. Pneumothorax is classified into 2, namely spontaneous pneumothorax and traumatic pneumothorax. Based on the mechanism of occurrence, namely, open pneumothorax and tension pneumothorax. In general, all types of pneumothorax have almost the same pathophysiological basis. Patients usually come with complaints of shortness of breath, which is sudden and localized in onset. In establishing a diagnosis, anamnesis, physical examination and fast and accurate supporting examinations are needed where the aim is for the management actions given to the patient. General management of pneumothorax is primary survey airway, breathing, circulation. Mortality due to pneumothorax is high if appropriate action is not taken.
Studi Kasus Pria 71 Tahun dengan Pneumonia Puspa Rosfadilla; Rifqa Sahirah
Inovasi Kesehatan Global Vol. 2 No. 2 (2025): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i2.1501

Abstract

Pneumonia is a lung infection that causes inflammation in the lung parenchyma. Pneumonia is the third leading cause of death globally. In Indonesia, in 2018, the prevalence of pneumonia among all age groups reached 2.21%. This case report was obtained from primary data through anamnesis, physical examination, and supporting tests. The patient complained of shortness of breath. The shortness of breath occurred during moderate physical activity and improved with rest. The shortness of breath was not affected by the weather. The patient also complained of left chest pain, productive cough, fever, diarrhea, and weakness. Upon physical examination, the general status showed vesicular breath sounds and rhonchi in the left lung field. Chest X-ray revealed diffuse consolidation in the bilateral paracardial pulmonary areas, suggesting pneumonia. Laboratory tests showed elevated white blood cell count. The patient was given pharmacological and non-pharmacological management in the form of respiratory fluoroquinolone.