vertigo pasca-trauma

A woman aged 47 years complained of headache, with nausea and vomiting since 3 days ago. Complaint if the patients gain weight aktivities. Patients also complain that often feels left leg cramps, legs feel heavy, if the right to run, and right eye views have slowly fading land since 5 years ago. This patient had 22 years ago the patient had fallen drop with the back of the head hit the floor. Start at that time the patient does not feel left eye can see, can not be driven and easy to forget. 15 years ago the patient had settled with a drop toehold waist left, never rotgen: results obtained sit bones cracked. Patients also suffered from high blood pressure since 10 years ago. results obtained from the examination data: blood pressure 140/90 mm Hg, pulse 78, temperature 36C, respiration 24, weight 46 kg. CT Scan examination not done. From this data may be very patient this diagnosis was vertigo because of post-trauma. So we give the medicine:
1. flunarizin 2X 5mg
2. ranitidin 2X 150mg
both drugs are enough to overcome the symptoms of this patient. While for hypertension, the patient does not give us medicine because it is still in early stages, so only need to diet modification. On this patient we suggest that when the patient does not wake up sleeping directly conducting activities, which will aggravate the condition of the patient, such as diet modification and reduction of salinity in the kitchen of the patient.

psikosomatis

A child aged 10 years came with his mother complained often feel left on the stomach feels sore, especially at the time of the morning, and always want to urinate. Anamnesa from information obtained from the child that a few days will be held in his school exams. Examination of data obtained from the blood pressure 120/80 mm Hg, pulse 78, temperature 36C, respiration 24, weight 32 kg. Laboratory examination is not done. Additional data obtained: the first is a child of 2 brothers. Information is obtained from the conclusion that this child may experience symptoms psikosomatis. So we use a form of treatment diazepam 2X 2mg, which is given each morning and afternoon in the bed. Treatment is done for 1 week because the child undergo the test for 1 week. We also give advice to educate children so that his mother was quite hard, not too intimate. First child is a child first.

vaginitis bacterial

A mother aged 40 years complained of itchyin vagina, stomach pain a bit down with the right frequency 10X dispose of urine a day. Complaints are sometimes accompanied by vertigo, no nausea, smooth movement. According to this mother, the complaint since there are already 2 weeks ago. Examination of data obtained from the blood pressure 120/80 mm Hg, pulse 90, temperature 36C, respiration 24, weight 45 kg. Laboratory examination is not done. Retrieved information secret colored nodes, smell fishy.
with at least some data that we may obtain the patients diagnosis of disease is enteritis bacterial with vaginosis bacterial, although not close the possibility of other diseases that mainly because of vaginitis infection trikomonas. Therefore, we give drugs:
1. 3X amoxicillin 500mg
2. metronidazol 4X 500mg
3. diazepam 1X 5mg
all the medicine we give for 7 days with the requirements of the brochure to see the medicine. When you feel you want to vomit then discontinued the use of metronidazole. The use amoxicillin should be discontinued for 10 days. In addition we give advice, so that during the sex associated with delayed first husband. When you feel better and relapse again, because of the possibility of her husband.

tetanus disease

A man aged 33 years complained difficult to open the mouth, stomach pain, tense, sore waist, since 2 days ago. 1 week before the patient is stuck on the drawing right feet. Complaint accompanied by nausea and feeling of difficulty breathing. dispose of urine smooth, slightly soft faeces. No cramps and other complaints. There are data on the examination of blood pressure 130/80 mmHg, pulse 84, temperature 39.2, 20 respiration, body weight 56 kg, with a number lekosit 9000, visible wounds on the right foot black.
treatment and the explanation
with at least some data that we got the diagnosis of disease is likely the patient is tetanus, although not close the possibility of other diseases. therefore we give drugs:
1. infuse D5% 20 drops per menit
2. neurodex 3X 1 tablet
3. diazepam 3X 1 ampule
4. anti tetanus 60,000 UI / day with the 30,000 and 30,000 UI iv UI im
This man proposed to treated in the hospital. All our drugs for use during the symptoms disappear. After that we give advice to the father to be in a quiet, not many families he visited, the place is dark, and report when there is a strain.

cases of the pharyngitis disease

A child with his mother came with complaints of fever since 2 days ago after drinking ice water. have not been treated previously. the child to feel pain swallow, snot out of nose color colors. history does not have convulsions, cough, and other functions normally. examination of known weight 4 kg, temperature of 38C, shown in the mucosa faring redness, whereas the tonsil is not visible sign of inflammation.
treatment and the explanation
with at least some data that we got the diagnosis of disease is likely the patient is pharyngitis, although not close the possibility of other diseases. therefore we give drugs:
1. paracetamol 3X 40mg as antipiretic
2. dexametason 3X 0.05 mg of anti-inflammation
3. 3X 80mg amoxicillin as antibiotic
we make all drugs in the form of puyer to be more easy in use, and made to be used for 7 days.
after that we give advice to the mother of the child's food consumption to maintain the child, with the snack, water, ice, and keep the children good sanitation.