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Aswan, Naufal Rasyid
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Education Medicine & Pharmacology Neuroscience Public Health

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Radikulopati Lumbal e.c. Herniasi Nukleus Pulposus (HNP) Fitriyani; Aswan, Naufal Rasyid
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.887

Abstract

Radiculopathy is a disease involving the spinal nerve roots resulting from compression associated with the intervertebral discs; bone trauma; bone disease; and other conditions. Its prevalence is estimated to reach 3% -5% of the total population in the world. Age is the main risk factor, because it occurs due to degenerative processes in the spine. Men are often affected in their 40s while women are affected in their 50s and 60s. Clinical manifestations include radicular pain, weakness, and sensory loss referring to the structures innervated by the involved nerve root. The most common cause of lumbar radiculopathy is nerve root compression. Usually caused by disc herniation and spondylosis. This study aims to systematically assess patients diagnosed with lumbar radiculopathy. The method used is a Case Report with analysis of primary data obtained through anamnesis, physical examination and supporting examinations. It was reported that a female patient, aged 72 years, came to Dr. Hospital. H. Abdul Moeloek with complaints of pain in the back that radiates to both thighs, accompanied by numbness and weakness of the lower extremities. Denied history of trauma, history of hypertension, controlled with medication. On physical examination, he was aware of compos mentis and appeared to be in moderate pain, with vital signs and generalist status within normal limits. On neurological examination, he found decreased sensory and motor abilities in both thighs and positive results on the Lasegue sign examination. The supporting examination that was carried out was a lumbar MRI, which revealed diffuse posterior herniation of the nucleus pulposus L4-S1. Patients are given anti-pain and anti-hypertension therapy.
Laporan Kasus : Multipel Kolelitiasis dan Kolesistitis Akut Moderat pada Laki-Laki 68 Tahun dengan Hipertensi Kronis Aswan, Naufal Rasyid; Wintoko, Risal
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1589

Abstract

Kolelitiasis (gallstones) is the deposition of crystals in the pacifier sac or in the pacifier duct, consisting of cholesterol, bilirubin, and pacifier. Although often asymptomatic and found incidentally, gallstones can cause right upper abdominal pain, nausea, vomiting, obstruction, cholangitis, and pancreatitis, especially after consuming oily or spicy foods. Obstruction of the cystic duct, either by stones or functional problems, can cause acute inflammation of the gallbladder (cholecystitis). Typical symptoms are usually biliary colic, including post-meal cramping pain in the right upper quadrant or epigastric pain radiating to the back or scapula, especially seen after eating high spicy foods, often accompanied by nausea and vomiting, while typical symptoms of cholecystitis are pain that does not go away, and a palpable mass in the right upper quadrant, causing congestion that is edematous and thickened. This disease occurs due to an imbalance involving lipids and bile salts in the bile stored in the gallbladder. Patient Mr. I, aged 68 years old have several risk factors and comorbid associated with Kolelitiasis and cholecystitis and the following case report presents a discussion of the patient's clinical features and laboratory test results related to the onset of this disease. The management given to this patient is operative management (Laparoscopic Cholecystectomy), drug management (analgesics), and non-drug management (education on lifestyle changes).
Co-Authors Fitriyani Risal Wintoko