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Medula
Published by Universitas Lampung
ISSN : -     EISSN : 97726154     DOI : -
Core Subject : Health, Science, Education,
Education Medicine & Pharmacology Neuroscience Public Health
Medical Profession Journal of Lampung didirkan pada tahun 2013. Medula hadir memenuhi kebutuhan publikasi jurnal bagi mahasiswa Fakultas Kedokteran, Dosen ataupun klinisi dan profesi lain dibidang kedokteran. Medula diterbitkan dengan frekuensi 4 kali dalam setahun yang tiap nomornya mencakup 30 jenis artikel ilmiah seperti artikel penelitian, laporan kasus, tinjauan pustaka dan lain-lain. Medula sudah memiliki nomor ISSN media cetak sejak tahun 2013
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 906 Documents
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Tatalaksana Anestesi pada Mandibulektomi Rekonstruksi pada Adenokarsinoma Mandibula ari wahyuni; Brandon Caesario
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.246

Abstract

Metastatic carcinoma on mandibula is a very rare lesion, contributing to <1% of all oral malignancies. Usually metastatis originate from breast, lungs, prostate, followed by kidney, thyroid, liver, etc. Carcinoma type lesion is more common than sarcomas. Mandibular metastation from thyroid tumors were very rare, and follicular type was the most common. In maxillofacial surgeries, airway management is very important considering difficult airway is commonly present. Either caused by altered surrounding tissues, organ immobilities, or organ enlargements. A 58-year old woman, weighing 45 kgs, and 159 cm in height was admitted to Dr. dr. H. Abdoel Moeloek Hospital of Lampung Province with a lump on right jaw from 1 year ago. On physical examination, the tumor was 7x5 cm in size, immobile, with firm consistency. Histopathology examination reveal an adenocarcinoma. Patient was diagnosed with mandibular adenocarcinoma and reconstructive mandibulectomy was performed.
Laporan Kasus : Ruptur kornea + katarak traumatik OD dengan General Anestesi Sukma Nugroho; ari wahyuni
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.247

Abstract

Ocular trauma is one of the main causes of visual impairment. Ocular trauma can be divided into sharp trauma, blunt trauma, chemical trauma and thermal trauma. Ocular trauma can cause cataracts called traumatic cataracts, which can result from penetrating or blunt trauma to the eyeball. Prompt and appropriate treatment can improve visual acuity. In this case report, an 8-year-old female patient came to the ER Abdul Moeloek Hospital with complaints of blurred vision in the right eye accompanied by sudden red eyes. This complaint was felt due to the patient playing with the simcard opening tweezers and the tweezers fell into the patient's eye in a piercing position. patient. In addition, the patient complained of vision in the right eye that felt like seeing fog and was dazzled when he saw light. Then the right eye felt watery, sore and felt lumpy. On physical examination, ocular ophthalmology with cloudy cornea and visible tears, shallow anterior ocular camera, uneven cloudy lens. This patient was diagnosed as right ocular corneal rupture with traumatic cataract and cataract extraction was planned with some prior anesthetic considerations. Complete preoperative, intraoperative, and postoperative management will improve the success of the operation.
Laporan Kasus: Hematokolpos et Hematometra e.c Septum Vagina Transversal Km Allan Wahyu Permana; Ghaaliya dyah adheline; Nurul Islamy; Marzuqi Sayuti
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.249

Abstract

Transverse vaginal septum is rare mullerian duct anomaly, the incidence was report around 1 : 70.000 in every birth, transverse vaginal septum occures due to failure of canalization of vaginal plate in junction point of urogenital sinus and mullerian duct, usually with obstruction symtoms during menstruation. Classification of mullerian duct anomaly divide into 7 class, hypoplasia or agenesis, unicomuate, didelphys, bicornuate, septate, arcuate, and diethulstillbestrol related anomaly. Diagnosis of transverse vaginal septum was made on basis of medical sign and symtoms, physical examination, and ultrasound examination, CT Scan, or MRI. Treatment of septum vaginal transversal is surgical resection of septum vagina. This study is a case report at Abdul Moeloek Hospital in Bandarlampung. It has been reported the case of a female patient aged 10 years, patient compained of pain in lower abdomen since september, pain felt every month, patient has not had menarche. Physical examination shows swelling in suprapubic with no pain in palpation. Gynecology examination with sonde show length of vagina is 4 cm.  In rectal touche there was impression of mass in anterior to the rectum. On ultasound examination show hematocolpos and hematometra, CT scan examination show the impression of hematocolpos and hydrosalping bilateral. Patient was diagnosed with Hematocolpos et hematometra e.c. septum transversal
HUBUNGAN PERILAKU PERSONAL HYGIENE DENGAN KERACUNAN PESTISIDA MELALUI PENGUKURAN KADAR CHOLINESTERASE DALAM DARAH PADA PETANI DI PEKON SRIKATON KECAMATAN ADILUWIH KABUPATEN PRINGSEWU TAHUN 2017 Devi Liani Octiara; fitria saftarina
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.256

Abstract

Pesticides are very popular chemicals used to control the development or growth of pests, diseases, and weeds. Farmers are the largest working group in Indonesia to improve optimal agricultural output, farmers apply various technologies, including the use of chemicals. This study aims to analyze the relationship of personal hygiene behavior with pesticide poisoning in the blood of farmers in Pekon Srikaton Adiluwih Pringsewu District. This research used cross sectional research design with sampling technique such as consecutive sampling. The samples of this research are 86 farmers in Pekon Srikaton Adiluwih Pringsewu District. The statistical analysis was calculated using fisher exact test with a significance value a<5%. The statistical test showed that 20 farmers (91,9%) is pesticide poisoning and not pesticide poisoning is 7 farmers (8,1%), 20 farmers has work experiences less than 10 years (23.3%) and 66 farmers (76,7%) more than 10 years work experiences. Fisher test results obtained p value 0.508. There isn't  a relationship between work experiences and pesticide poisoning in blood to farmers in Pekon Srikaton Adiluwih Pringsewu District. This study conclude that there isn’t a relationship between work experiences and pesticide poisoning in the blood of farmers in Pekon Srikaton Adiluwih Pringsewu District.
Vasopressin pada Manajemen Syok Septik Iswandi Darwis; Rizka Humardewayanti Asdie; Neema Putri Prameswari
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.288

Abstract

Sepsis is a systemic inflammatory response caused by an infection, which can involve multiple organs. Sepsis and multiple organ dysfunction syndrome (MODS) are the main causes of death in the intensive care unit of a hospital. In sepsis, septic shock, defined as sepsis-induced persistent hypotension despite adequate fluid resuscitation causing tissue hypoperfusion, can occur. Norepinephrine and dopamine are the vasopressors of choice for initial treatment septic shock, but the use of high-dose catecholamine vasopressors can cause adrenergic side effects that can increase mortality. Therefore, a septic shock patient with increased heart rate, it is necessary to use a vasopressor that does not cause adrenergic side effects. Vasopressin is a hormone secreted by the posterior pituitary. In hypotensive condition, vasopressin physiologically helps maintain blood pressure by acting as a potent vasoconstrictor. Vasopressin administration does not cause side effects caused by adrenergic stimulation such as increased tissue oxygen demand, decreased renal and mesenteric flow, increased pulmonary resistance and arrhythmias. This literature review also discusses the effects of vasopressin on blood pressure, the cardiovascular system, the immune system, the coagulation system, the respiratory system, the urinary system and the central nervous system in patients with septic shock.
Gagal Ginjal Akut Akibat Rabdomiolisis yang Diinduksi Status Epileptikus Fahmi Ikhtiar; riskita fiannisa; evi kurniawati; ari wahyuni
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.292

Abstract

Status epilepticus is any type of epileptic seizure that fails to stop and lasts for more than 30 minutes. This condition is an emergency in the field of neurology. In adults, almost 50% of status epilepticus is caused by acute cerebrovascular disease, hypoxia, metabolic disorders, and inadequate epilepsy treatment. While in children caused by infection of the central nervous system, metabolic disorders, trauma, and anoxia. If the seizures do not stop and last for a long time, they can lead to complications such as rhabdomyolysis. Rhabdomyolysis is a syndrome that can be life-threatening due to the breakdown of skeletal muscle cells. Skeletal muscle cells release toxic substances such as myoglobin which will clog the tubules in the kidneys, interfere with urinary excretion, and cause acute renal failure. Diagnosis is based on clinical signs and symptoms, and laboratory tests. Early signs are non-specific. Symptoms may include muscle weakness, increased body temperature and local or generalized muscle pain. Laboratory tests are carried out to confirm the diagnosis, namely looking at the amount of creatine kinase. The incidence of acute renal failure due to rhabdomyolysis is around 10% - 40%. In addition, antiepileptic drugs such as phenytoin have been reported to have an association with acute kidney failure.
Penatalaksanaan Holistik Pada Pasien Tuberkulosis Anak Usia 2 Tahun Di Puskesmas Pasar Ambon Melalui Pendekatan Kedokteran Keluarga ASY SYADZALI; Reni Zuraida
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.293

Abstract

Tuberculosis (TB) is a disease caused by infection with the bacterium Mycobacterium tuberculosis in the lungs. This disease usually attacks the lungs (pulmonary TB) but can also affect other organs (extrapulmonary TB). This study is a case report with analysis of primary data obtained through history taking, physical examination and home visits to complement family data, psychosocial and environmental data. Secondary data were obtained from the patient's medical record at the puskesmas. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. Patient An. N, 2 years old with TB and poor nutritional status, so there needs to be an intervention to improve the patient's nutritional status to support the success of TB treatment. In this case, a diagnosis of tuberculosis was made in accordance with the theory and technical guidelines for the management and management of TB in children, the Ministry of Health of the Republic of Indonesia. The management of category 1 pulmonary tuberculosis given was in accordance with evidence based medicine. After the intervention, there was a decrease in clinical symptoms and behavioral changes in the patient's family, seen after the family was given the intervention and finally understood better to motivate the patient and always remind and accompany the patient when taking medication, as well as providing food with balanced nutrition to the patient. The management given to the patient was in accordance with the technical instructions for the management and management of TB in children, the Ministry of Health of the Republic of Indonesia.  
Penatalaksanaan Holistik Asma Eksaserbasi Pada Pasien Perempuan Usia 39 Tahun dengan Pendekatan Kedokteran Keluarga Hanifa Yuniasari; fitria saftarina
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.295

Abstract

Asthma is a chronic respiratory disease with a complex multifactorial disorder and its etiology is associated with the interaction between genetic susceptibility, host factors, and environmental exposures. Asthma can be considered a significant public health problem. Recurrent asthma symptoms often cause difficulty, daytime fatigue, reduced activity and productivity, and increase absenteeism from school and work. Asthma management must be with continuous monitoring to achieve controlled asthma, so it is necessary to manage patients holistically and comprehensively to improve patients’ quality of life. This study is a case report of asthma exacerbation in a woman who has various internal and external risk factors that influence the patient's disease. Primary data were obtained through history taking, physical examination and support during home visits. Secondary data obtained from the patient's medical record. Management of patients with asthma exacerbations is carried out comprehensively with the concept of a patient-centered, family-focused, and community-oriented approach. Medical management is in the form of relieving drugs and asthma control drugs. Non-medical management is in the form of education about asthma, including explaining and asking patients to identify and avoid asthma triggers. The results of the evaluation showed changes in attitudes in reducing the risk of exacerbations and improvements in asthma control as assessed by the Asthma Control Test.
Frozen Shoulder Anggun Budi Wardani; Risal Wintoko
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.297

Abstract

Frozen shoulder or also known as adhesive capsulitis is a shoulder pain disorder that It is caused by thickening and tightening of the connective tissue capsule around the shoulder joint. The most common risk factors are age > 40 years, women > men as much as 70%, recent trauma such as surgery or fracture of the arm can cause immobility during recovery. Typical in frozen shoulder, there is progressive shoulder stiffness, severe pain (especially at night) and almost complete loss of passive and active external rotation of the shoulder. In the history, it is necessary to know the onset and duration of symptoms, location, function, and previous trauma. On physical examination, deltoid and supraspinatus atrophy can be found in the old case, the arm can be adducted and turned inward and painful when pressed. Plain radiography, ultrasound, and MRI investigations. Management is carried out both non-operatively to help relieve pain and relieve inflammation in the early phase by administering NSAIDs, corticosteroids (oral/injection), physiotherapy and cryotherapy. Surgical management may be considered if previous conservative efforts have failed.
Wanita 37 tahun P3A0 post-SSTP Atas Indikasi Hidrocephalus dengan Polihidramnion dan Presentasi Bokong veny anisya; Nurul Islamy; Efriyan Imantika; Rizki Dwi Prasetia; Caesaria Sinta Zuya; Imraatul Husniah; Maharani Amanulloh
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.298

Abstract

Hydrocephalus is an enlargement of the ventricle of the brain as a result of an increase in the amount of cerebrospinal fluid (CSS) caused by an imbalance between its production, circulation and absorption. Sectio caesaria can also be selected for fetal deformity in the form of hydrocephalus because itcan risk tearing of the uterus if the delivering is done by pervaginam. Sectio Caesarea is a surgicalprocedure that aims to deliver a baby by opening the abdominal wall and uterus of the mother. Sectio caesarean sectional is more commonly chosen compared to pervaginam delivery for breech presentation management, where the cause of the incidence of breech presentation is still unknown, but there are several risk factors other than prematurity, namely structural abnormalities of the uterus, polyhidramnion, placenta previa, multiparitas, fetal anomaly (anencephaly, hydrocephalus), and previous history of breech presentation. Hydrocephalus is a health problem that affects the retirement system. Polyhidramnions is a term used to describe the accumulation of excess amniotic fluid, this clinical condition is associated with a high risk of poor pregnancy outcomes. Mrs. S's 37-year-old patient came to give birth with contraction that felt increasingly frequent, 37 weeks pregnant, with the results of ultrasound are polyhydramnion and hydrocephalus. From the physical examination obtained general state: moderate pain; temperature: 36.7 oC; blood pressure: 120/80 mmHg; heart rate: 92x/min; respiratory rate: 18 x/min. On leopold I examination obtained a height of fundus uteri is 40 cm, palpable round, hard, head impression. Leopold II palpable flat long part on the right side of the back impression. Leopold III palpable soft round part, the breech impression. Fetal heart rate 155x/min, fetal estimated weight 4.300 grams. In patients performed secio caesarea on indications of hydrocepalus, polyhydroamnion and breech persentation, so that this patient is diagnosed with P3A0 post sectio caesarea on indications of hypocephalus with polyhidramnion and breech presentation. treatment in these patients post SC is seftriaxone, ketorolac and oxytocin drip.

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