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All Journal Jurnal Medika Hutama Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
M. Doli Reza Lubis
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Manajemen Pasien Kejang Demam Kompleks di Ruang Rawat Inap Anak RSUD Cut Meutia Aceh Utara M. Doli Reza Lubis; Mauliza Mauliza
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2994

Abstract

Febrile seizures are seizure episodes that occur in association with an elevation in body temperature (rectal temperature >38°C) caused by an extracranial process. Febrile seizures are classified into two types: simple febrile seizures and complex febrile seizures. The World Health Organization (WHO) estimated that in 2019 there were 18.3 million cases of febrile seizures worldwide, with approximately 154,000 resulting in death. This case report discusses a patient, An YZ, a 1 year and 5-month-old female, who was brought to the emergency department of Cut Meutia Hospital with a chief complaint of seizures. The seizures began two days prior to hospital admission, characterized by generalized tonic stiffening and clonic movements involving the entire body. Each episode lasted approximately 5 minutes. The seizures occurred twice, initially at 7:00 PM and subsequently at 9:00 PM. The patient was diagnosed with complex febrile seizures associated with morbilli and very mild microcytic hypochromic anemia due to iron deficiency anemia. Pharmacological management included cefotaxime, ranitidine, ondansetron, paracetamol, ambroxol, cetirizine, diazepam (Stesolid), and vitamin D. After three days of hospitalization, the patient showed clinical improvement and was discharged.
MANAGEMENT OF HYPERTENSION IN A 75-YEAR-OLD FEMALE PATIENT THROUGH A FAMILY MEDICINE APPROACH AT MUARA BATU PRIMARY HEALTH CENTER, NORTH ACEH REGENCY M. Doli Reza Lubis
Jurnal Medika Hutama Vol. 7 No. 3 April (2026): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66940/jmh.v7i3 April.793

Abstract

A 75-year-old female patient, Mrs. F, presented to the geriatric clinic at Muara Batu Primary Health Center with a chief complaint of headache for the past two days. The headache was predominantly located in the occipital region, described as a tightening sensation and occasionally throbbing in nature, intermittent, and of moderate intensity, often occurring during physical activity. The complaint was not accompanied by dizziness. The patient also reported pain and a sensation of heaviness in the nuchal region, along with neck stiffness. Additionally, she complained of pain in both legs during physical activity. The patient had been diagnosed with hypertension for the past 10 years and had been prescribed amlodipine 10 mg/day; however, she was non-adherent to the medication regimen. Primary data were obtained through autoanamnesis and physical examination during a home visit, along with documentation in the family folder and patient records. Assessment was conducted based on initial, process, and final holistic diagnoses using both quantitative and qualitative approaches. Interventions included providing education to the family regarding hypertension, lifestyle modification, and disease management, as well as explaining potential complications to improve treatment adherence and encourage preventive measures.
Co-Authors Mauliza Mauliza