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All Journal The International Journal of Medical Science and Health Research
Zahra, Nabila Luthfiyyah
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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A Case Report of Dextrocardia with Hypertensive Emergency and Congestive Heart Failure: A Rare Condition Ramadhani, Fikar; Zahra, Nabila Luthfiyyah
The International Journal of Medical Science and Health Research Vol. 3 No. 1 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/gagdxd23

Abstract

Introduction : Dextrocardia is a rare congenital anomaly affecting the heart. The range of cardiac problems linked to dextrocardia is extensive. This case report seeks to enhance the current knowledge by providing a clinical description of dextrocardia accompanied by hypertensive emergency and congestive heart failure. Case Presentation : A 39-year-old woman came to the Emergency Department of RSI Sultan Hadirin Jepara, having vomitted more than ten times since last night. Vomiting was preceded by nausea. The patient has been experiencing shortness of breath for three years, particularly when sleeping with only one pillow, necessitating the use of multiple pillows. Through additional physical and supporting examinations, the patient was diagnosed with dextrocardia with hypertensive emergency and congestive heart failure. Conclusion : Dextrocardia is a rare birth defect characterized by a variety of complicated structural abnormalities in the heart. There is no difference in symptoms and signs in patients with congestive heart failure in dextrocardia or levocardia. So that the approach to managing congestive heart failure in our patient is identical. Gaining a comprehensive understanding of this uncommon ailment is essential for delivering suitable medical treatment and effectively managing any problems in affected persons. 
Effectiveness of Physical Activity Combined with Medical Rehabilitation in Cervical HNP Patient Post Radiofrequency Ablation (RFA) Procedure: A Case Report Zahra, Nabila Luthfiyyah; Ramadhani, Fikar
The International Journal of Medical Science and Health Research Vol. 1 No. 1 (2024)
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/29amx963

Abstract

Introduction : Cervical disc herniation most likely happens in people over 30-years-old-age with a job that need holding a posture that can make body alignment easily diverge. Case presentation : A 48-year-old male presented with radiate pain from the wrist going upward to the neck. He also felt numbness or tingling sensation on the right side of the arm. MRI showed protrusion of intervertebral disc C5-6 and C6-7 with narrowing of right and left neural foramen.  The patient was diagnosed with C5-C6 cervical disc herniation, Radiofrequency Ablation (RFA) was performed twice. An Anterior Cervical Discectomy and Fusion (ACDF) procedure was suggested but the patient declined it and then he received 3 months of physical therapy, and he performed physical activity regularly. Eventually the patient reported resolution of all the symptoms after. Conclusions : This case report emphasizes the effectiveness of combining physical activity with medical rehabilitation in a patient with cervical herniated nucleus pulposus after RFA procedure. The combination of these approaches yielded positive results measured by NPRS and ROM examination, with the patient experiencing reduced pain, improved daily function, and return to their daily activities.
Co-Authors Ramadhani, Fikar