Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal Jurnal Ilmu Kedokteran dan Kesehatan Cermin Dunia Kedokteran
Octavallen, Andri
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search
Journal : Cermin Dunia Kedokteran

 1 
Misdiagnosis of Acute Aortic Dissection in Emergency Room Octavallen, Andri; Setiawan, Anthony
Cermin Dunia Kedokteran Vol 49 No 10 (2022): Oftalmologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v49i10.308

Abstract

Acute aortic dissection is a life-threatening condition requiring rapid recognition and treatment. The immediate mortality rate in aortic dissection is as high as 1% /hour over the first several hours. The typical presentation of acute aortic dissection is the abrupt onset of severe pain in the chest, back, or abdomen, often described as tearing or ripping. This case concerns a 67-year-old woman who lost consciousness one and a half hours before being presented to the emergency room without chest pain. Since there was left hemiparesis, a stroke was suspected. However, a chest x-ray showed wide mediastinum, and a thorax CT-Scan with contrast showed aortic dissection. Aortic dissection may manifest in various symptoms without typical presentation.   Diseksi aorta akut adalah kondisi mengancam nyawa yang membutuhkan diagnosis cepat dan tepat disertai penatalaksanaan adekuat. Tingkat kematian langsung pada diseksi aorta sebesar 1% /jam selama beberapa jam pertama. Gejala utamanya adalah nyeri akut seperti dirobek terutama di dada, punggung, atau perut. Kasus pada seorang wanita usia 67 tahun, dengan gejala utama penurunan kesadaran satu setengah jam sebelum ke instalasi gawat darurat. Didapatkan hemiparesis sinistra tanpa nyeri dada. Pasien diduga stroke, namun ada pelebaran mediastinum pada x-ray dada; CT-scan dada dengan kontras didapatkan adanyadiseksi aorta. Klinisi harus selalu waspada terhadap kasus diseksi aorta dengan manifestasi tidak khas.
Co-Authors Ardo Sanjaya Fanny Rahardja Gunadi, Julia Windi Setiawan, Anthony Tanuwijaya, Farrell