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All Journal Berkala Kedokteran IJRETINA - International Journal of Retina
Andhika Yudistira
Department Of Orthopaedics
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Low Back Pain Patient Distribution in Malang's Secondary Referral Private Hospital: A Single-Center Study Filberto Filberto; Abdul Azis; Istan Irmansyah Irsan; Andhika Yudistira
Berkala Kedokteran Vol 18, No 2 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v18i2.14479

Abstract

The number of occurrences of Low back pain (LBP) in patients, especially the elderly, who still doubt the results of a treatment or surgery. Our study aims to review and summarize the latest literature on the distribution of LBP patients who come to specialist doctors by looking at the purposes of referral and use of BPJS (Indonesian Health Insurance). This data provides an overview of the LBP roadmap in a secondary referral hospital. We took Medical Record data from all patients who came to the Specialist polyclinic at Lavalate Hospital Malang as a Type B Referral from 2018 – 2021 (n= 644). The incoming data is grouped based on Gender, Patient Origin, Medical Expense Guarantee, Designated Medical Specialist, and Medication. The study was conducted descriptively and processed with a statistical program. The majority of the number of patients who came were dominated by the age of 51 – 70 years (25%), with more women (68.3%) than men (31.7%). The most choices for patients with LBP came to Orthopedics Specialists and Neurologists who had the same number of patients, namely 239 patients (36.1%). Most of the patients who came to the specialist clinic received therapy (81.9%) with NSAIDs as the most choice (69.3%) as the choice of medication. Antispasmodic and antiepileptic were followed as the next most popular choice, but each specialty has its uniqueness in treating LBP patients.
DIAGNOSING VON HIPPEL LINDAU DISEASE BY RETINAL CAPILLARY HAEMANGIOBLASTOMAS Yurike Mandrasari; Wino Vrieda Vierlia; Andhika Yudistira; Nadia Artha Dewi
International Journal of Retina Vol 5 No 2 (2022): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2022.vol005.iss002.194

Abstract

Introduction: Von Hippel-Lindau (VHL) syndrome is a disease characterized by the formation of tumors or cysts in many different parts of the body caused by germline. The prevalence of this autosomal dominant condition is very rare. Understanding of clinical manifestasion and diagnostic criteria is needed. Case Report: Female, 22-year-old was reffered from orthopaedic department suffered from blurred and misalignment of the left eye since 3 months ago . Based on indirect funduscopy examination, we found disc swelling with exudative retinal detachment on her left eye and orange-reddish retinal mass concluded as Retinal Capillary Hemangioblastoma (RCH) with tortuosity and dilatation of blood vessel on her right eye. The MRI showed multiple masses in cervical to lumbar vertebrae and multiple cyst on pancreatic gland. Discussion: This patient had 1 ocular RCH, multiple spinal tumor and multiple pancreatic cysts with no confirmed family history, therefore almost fulfilling the diagnostic criteria of VHL. To further confirm the diagnosis, it was necessary to find other common comorbids of VHL such as gene testing of VHL heterozygous germline mutation. Interdisciplinary approach consists of not only diagnostic and treatment plans from one speciality department, but also the ones from other related divisions and departments. Conclusion: Screening and interdiciplinary approach in managing Von Hippel-Lindau syndrome are required to be performed promptly.
Co-Authors Abdul Azis Filberto Filberto Istan Irmansyah Irsan Nadia Artha Dewi Wino Vrieda Vierlia Yurike Mandrasari