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Istiqomah, Dinni
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Education Medicine & Pharmacology Neuroscience Public Health

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Laporan Kasus: Primigravida Sebagai Faktor Risiko Preeklampsia Istiqomah, Dinni; M, Faisal Abdul Aziz; Sari, Poppy Monika; Siregar, Wanda Feranti; Zulfadli, Zulfadli
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1086

Abstract

Hypertension in pregnancy (HDK) is one of the main causes of maternal death and is a significant cause of maternal and child morbidity. Preeclampsia is the presence of specific hypertension caused by pregnancy accompanied by disorders of other organ systems at a gestational age of more than 20 weeks. There are several risk factors for preeclampsia, namely nullipara (primigravida), age ≥ 40 years, BMI ≥ 35, family history of preeclampsia, multifetal pregnancy and pregnancy interval > 10 years. This study is a case report. Data was obtained from a 22 year old woman who came with complaints of being at term pregnant with complaints of heartburn accompanied by headaches, shortness of breath, nausea and vomiting since 3 weeks  before hospital admission. The patient has suffered from hypertension since 7 months of pregnancy, but the patient does not regularly take medication. On physical examination, blood pressure was found to be 152/112 mmHg and urinalysis examination showed positive nitrite, protein 500 mg/dl. The patient was diagnosed with severe preeclampsia. Primigravida is the most important risk factor found in these patients. Several previous studies have shown that there is a relationship between primigravida and the incidence of preeclampsia, where preeclampsia occurs more often in primigravida than multigravida. There are various theories that explain the process of preeclampsia in primigravida, but no theory is considered absolutely correct to date. Therefore, intervention is needed for early prevention and early management of preeclampsia, especially in primigravida.
Holistic Management with Family Doctor Approach in a 65-Year-Old Woman With Allergi Contact Dermatitis Istiqomah, Dinni; Utama, Winda Trijayanthi
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1634

Abstract

Allergic contact dermatitis is a skin inflammation caused by exposure to antigens that causes a type IV hypersensitivity reaction and can be experienced by everyone from all ages, races, and genders. The definitive treatment of the disease is to find and avoid the allergen that causes dermatitis. This is a case report study. Data were obtained from anamnesis, physical examination, and patient’s medical records.  Mrs. P, 65 years old, came to the Kebon Jahe Community Health Center with complaints of red spots appearing with itching between the fingers of the patient’s right hand since 7 days ago since patient was wearing a metal ring that the patient had used for the first time. The patient was diagnosed with allergic dermatitis based on the history and physical examination. Non-medical and medical interventions were carried out on patients and their families with education regarding the patient’s illness during three home visits. Holistic management with a family doctor approach has been carried out for Mrs. P, 65 years old with allergic contact dermatitis, which is adjusted based on initial holistic diagnostics.
Co-Authors M, Faisal Abdul Aziz Sari, Poppy Monika Siregar, Wanda Feranti Winda Trijayanthi Utama, Winda Trijayanthi Zulfadli Zulfadli