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Putri , Pratiwi Hendro
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Cedera Kepala Sedang setelah Kecelakaan Lalu Lintas (KLL) Tunggal : Sebuah Laporan Kasus Putri, Intan Utami; Putri , Pratiwi Hendro; Agiestya, Milla Monica; Fa’dlillah, Dwi Noor; Paranggai, Elhi Andi; Windiyani, Firly
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.863

Abstract

According to the Brain Injury Association of America, a head injury is damage to the head, not congenital or degenerative, but caused by an external physical attack or impact, which can reduce or change consciousness which can cause damage to cognitive abilities and physical function. Traffic accidents are the main cause of head trauma or head injuries. A 23 year old man came to the emergency room at Jendral Ahmad Yani Metro Hospital accompanied by his family with complaints of a single post-KLL headache in the Pekalongan area, East Lampung on August 20 2023, because he hit a monument and fell from a motorbike without wearing a helmet. History of fainting for 30 minutes, vomiting without spraying 3x after waking up. Complaints accompanied by difficulty opening the left eye, swelling and pain. On physical examination, vulnus excoriation, vulnuslaceratum and vulnuscontussum were found. The diagnosis of moderate head injury (CKS) accompanied by secondary injury and sinistra oculi hematoma can be confirmed by history taking, physical examination, neurological examination, and supporting examinations in the form of laboratory examinations, CT scans and MRI. Management in this case includes primary survey, secondary survey, observation of general condition and vital signs. The patient received further treatment in the Neurology ward for 3 days.
Stroke Hemoragik dengan Riwayat Hipertensi Tidak Terkontrol: Sebuah Laporan Kasus Aisyah, Putri; Putri , Pratiwi Hendro; Pangestu, K Widhi Indra; Salsabila, Salsabila; Rahma, Balqist Ar; Putri, Siti Fhatima Novariani
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.873

Abstract

Stroke is a functional disorder of the brain that occurs suddenly with clinical signs and symptoms, both focal and global, that last more than 24 hours, or can cause death, caused by impaired cerebral blood circulation. Hemorrhagic stroke is a rupture of a brain blood vessel causing blood to leak into the brain parenchymal tissue, cerebrospinal fluid space around the brain or a combination of both. A 62 year old man came to the emergency room at Jendral Ahmad Yani Metro Hospital accompanied by his family with complaints of sudden loss of consciousness since 3 hours ago. Previously, the patient complained of severe, sudden headaches, which did not decrease at rest or after taking headache medication, vomited twice, vomited without nausea, and finally the patient fainted. Vomiting contains liquid with food. The patient has a history of uncontrolled hypertension since 10 years ago. Brain pons bleeding was found with an estimated bleeding volume of +1.75 ml, but the family refused surgery. The patient's general condition continued to decline so that after 3 days of treatment in the ward of the Department of Neurology, the patient was declared dead.