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Salsabila Nurislami
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Pielonefritis Akut: Diagnosis dan Tatalaksana Salsabila Nurislami; Exsa Hadibrata; Bayu Anggileo Pramesona; Rasmi Zakiah Oktarlina
MAJORITY Vol 11 No 2 (2023): MAJORITY
Publisher : Majority

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Abstract

Acute pyelonephritis is a severe urinary tract infection (UTI) in the upper urinary tract. The incidence of acute pyelonephritis in the world has increased. Each year, it is estimated that 1 in 830 people in the UK develop pyelonephritis. Approximately 80-90% of cases of acute pyelonephritis are caused by Escherichia coli bacteria. Catheter insertion predisposes to infection with gramnegativebacteria such as Proteus, Klebsiella, Serratia, or Pseudomonas. The onset of symptoms can vary for each individual from hours to days and the severity of the disease also varies. Symptoms of acute pyelonephritis are flank pain, fever and nausea. The results of the physical examination of the patients also varied from looking sick and uncomfortable to looking healthy, there was bilateral costovertebral angle pain, and suprapubic pain with or without off pain. Examination to confirm the diagnosis is a urine culture with results showing the growth of uropathogens of 10,000 colony units per milliliter of urine. The management of pyelonephritis includes three pillars, namely supportive care with fluid and drug resuscitation, effective antibiotic therapy, and control with imaging in indicated patients.
Laporan Kasus: Nyeri Punggung Bawah Akibat Kerja pada Pekerja Pemanen Sawit Salsabila Nurislami; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1751

Abstract

Work-related diseases in the agricultural sector have shown a rising trend in recent years. Heavy physical activities involving non-ergonomic postures, heavy lifting, and repetitive movements increase the risk of injuries and musculoskeletal disorders. Low back pain is one of the most common musculoskeletal complaints among workers in this sector. This case report aims to analyze low back pain in an oil palm harvester using the application of the seven-step occupational diagnostic approach. The seven-step occupational diagnosis was applied to determine the causal relationship between occupational exposure and the patient’s symptoms. Clinical diagnosis and management were conducted in accordance with clinical guidelines.The patient was an oil palm harvester with recurrent episodes of low back pain. Occupational analysis showed that the patient worked in prolonged non-ergonomic postures—standing with neck extension, frequent forward bending, and repetitive heavy lifting—for 15 years, with daily work durations of 8–10 hours. Based on the seven-step occupational diagnostic assessment, the patient’s condition was classified as an occupational disease. Management included pharmacological therapy and ergonomic education. This case highlights that non-ergonomic working postures, the use of non-ergonomic tools, repetitive movements, and heavy lifting significantly contribute to the development of low back pain among agricultural workers. Pharmacological treatment must be accompanied by preventive strategies through ergonomic education. This case report underscores the importance of physicians’ competency in establishing occupational diagnoses and providing comprehensive management for workers with occupational diseases
Co-Authors Bayu Anggileo Pramesona Exsa Hadibrata Rasmi Zakiah Oktarlina Winda Trijayanthi Utama, Winda Trijayanthi