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All Journal Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Avisa Jinan Azura
Fakultas Kedokteran Universitas Lampung
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Ischialgia ec Susp. Bone Metastasis pada Wanita Usia 52 tahun : Laporan Kasus Avisa Jinan Azura; Fitriyani Fitriyani
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 11 No. 1 (2024): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v11i1.pp91-99

Abstract

Low back pain atau nyeri pinggang bawah adalah rasa nyeri dan tidak nyaman yang terjadi di punggung bagian bawah. Low back pain dapat memberikan gejala nyeri dan rasa kesemutan yang menjalar dari punggung bawah sampai kaki yang disebut dengan Ischialgia. Ischialgia terjadi akibat adanya penjepitan saraf ischiadicus. tujuan penulisan laporan kasus ini adalah untuk meningkatkan pengetahuan mengenai manifestasi klinis, pemeriksaan fisik yang diperlukan, dan tatalaksana pada kasus pasien Ischialgia. Laporan kasus ini berisi penjelasan mengenai Wanita usia 52 tahun yang dating dengan keluhan nyeri pinggang menjalar hingga kedua kaki, memberat sejak 7 hari sebelum masuk rumah sakit. Keluhan bersifat kronik, karena sudah dirasakan sejak 4 bulan lalu. Dalam upaya penegakan diagnosis, penulis sudah melakukan pemeriksaan fisik secara menyeluruh dan dilakukan pemeriksaan penunjang berupa x-ray thoraks, x-ray humerus dextra, x-ray lumbosacral, dan USG Abdomen sehingga didapatkan adanya keabnormalan pada tulang vertebra dan humerus yang memberikan gambaran metastasis. Pasien di diagnosis dengan ischialgia ec susp. bone metastasis dan diberikan tatalaksana farmakologis dan non farmakologis.
Holistic Management of A 55-year-old Female Patient with Benign Paroxysmal Positional Vertigo through Family Medicine Approach Avisa Jinan Azura; Diana Mayasari
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 12 No. 1 (2025): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v12i1.pp123-136

Abstract

Vertigo is defined as a postural awareness disorder and can be a feeling of spinning in oneself or the surrounding environment. According to WHO, vertigo often occurs at the age of 18-79 years with a global prevalence of 7.4% and an annual incidence of 1.4%. This study employs a holistic and comprehensive family medicine approach to identify risk factors, clinical issues, and to guide patient management, grounded in evidence-based practices. The approach integrates a family-focused, patient-centered, and community-oriented perspective. The analysis is presented in the form of a case report. Primary data were collected through anamnesis and physical examination, while secondary data were sourced from the patient's medical records at the Health Center. The evaluation was conducted using a holistic diagnostic framework, encompassing the initial, processual, and concluding phases of the study, with both quantitative and qualitative assessments. Patient Mrs. H, 55 years old, has internal risk aspects in the form of gender, age factor >50 years, lack of knowledge about vertigo, curative treatment patterns, fatigue and excessive stress. External risk aspects of the patient are lack of family knowledge about vertigo, curative family treatment patterns, and lack of emotional and practical support from the family for the patient's daily activities. After the intervention, there was improvement in the clinical symptoms of vertigo in patients, increased patient knowledge about vertigo, and changes in patient treatment patterns. Keyword: Benign Paroxysmal Positional Vertigo, Family Medicine
Co-Authors Diana Mayasari Fitriyani Fitriyani