Right Heart Failure (RHF) as a rapidly progressive syndrome with systemic congestion in the setting of impaired RV filling and/or decreased RV outflow output. A 28-year-old male patient, a photographer, lived in North Aceh was admitted to the ED of Cut Meutia Hospital. He was admitted with worsening dyspnea since 2 days before, initiated after a periode of fever. He also complained of fatigue, palpitations in ordinary activities and chest pain occasionally. He had history of presyncope and syncope. He denied any history of hypertension, type 2 diabetes, allergies, and active smoking. He had no congenital or family history of heart disease. Physical examination revealed full of conciousness with slightly abnormal vital sign. He had malar rash, dilated jugular vein. The apex of the heart shifts to the axilla anterior line, S1>S2 with systolic murmur (+). ECG showed complete RBBB with RAD and chest x-ray showed cardiomegaly. The transthoracic echocardiogram revealed severe TR (Tricuspid Regurgitation), dilatation of RARV (Right Atrium Right Ventricle), with severe PH (Pulmonary Hypertension). The patient was diagnosed with RHF (Right Heart Failure) caused by primary PH. The patient was placed on intravenous furosemide, spironolacton, digoxin, and sildenafil. Treatment and lifestyle modification were expected to improve the quality of life.

Rheumatic heart disease (RHD) is damage of the heart valves due to acute rheumatic fever (ARF) which results from the body’s autoimmune response to Streptococcus pyogenes (group A Streptococcus bacteria) infection which is a throat infection. Acute rheumatic fever is one of the most important causes of cardiovascular morbidity and mortality in the developing countries. A 25-years-old male patient, domiciled in Alue Dalam, Darul Aman, East Aceh, admitted to emergency department of Cut Mutia hospital, the patient was brought to the hospital by his family at 05.0o pm on January 27th, 2022. Patient referred from Graha Bunda hospital. Patient was admitted to the hospital with complaints shortness of breath. Shortness of breath is felt during activity and worsens at night. Shortness of breath since yesterday. The patient also complained of pounding. The pounding has been felt for five days before arriving at the hospital. The patient also has chest pain, and tired easily. Past medical history such hypertension and diabetes mellitus are denied. Physical examination before treatment was obtained: the patient looked restless, weakness, and akker. Echocardiography examination showed the MR Severe, MS moderate, AR moderate, TR moderate, PH mild, AML calsification, all chamber dilatation, and thrombus LV. The patient was given initial treatment in Cut Mutia General Hospital.

Esophageal foreign bodies are sharp or blunt objects or food that gets stuck and wedged in the esophagus due to being swallowed either intentionally or accidentally.A 53-year-old male patient arrived complaining of constant, worsening swallowing pain that has persisted for the past four days. The discomfort was initially experienced above the throat, but after attempting several traditional procedures to remove the bones, the pain was felt to shift to the region below the throat. Before going to the hospital, Patient has a history of consuming tuna bones. A fishbone was found in the esophagus area after an esophagoscopy was done.

Tuberkulosis adalah suatu penyakit kronik menular yang disebabkan oleh bakteri Mycobacterium tuberculosis. Bakteri ini berbentuk batang dan bersifat tahan asam sehingga sering dikenal dengan basil tahan asam. Sebagian besar bakteri tuberkulosis ditemukan menginfeksi parenkim paru dan menyebabkan tuberkulosis paru, namun bakteri ini juga memiliki kemampuan untuk menginfeksi organ tubuh lainya seperti kulit, tulang, sendi, selaput otak, usus serta ginjal yang sering disebut sebagai tuberkulosis ekstrapulmonal. Pasien laki-laki berusia 44 merupakan pasien terkonfirmasi TB klinis yang berobat jalan di Poli Umum Puskesmas Kuta Makmur sejak ± 1,5 bulan terakhir. Pasien saat ini sedang mengkonsumsi obat OAT KDT fase intensif sebanyak 3 tablet. Pasien juga merupakan penderita DM sejak 4 tahun terakhir. Hasil pemeriksaaan fisik didapatkan keadaan umun baik, TD : 130/80 mmHg, HR: 83 x/i, RR: 22 x/i, Suhu: 37,3°C. Data primer diperoleh melalui autoanamnesa dan alloanamnesa. Dilakukan kegiatan berupa kunjungan rumah, mengisi family folder, dan mengisi berkas pasien. Penilaian dilakukan berdasarkan diagnosis holistik awal, proses, dan akhir kunjungan secara kuantitatif dan kualitatif. Dilakukan analisis holistik dan tatalaksana komperhensif terhadap pasien.

Banyak bukti menyatakan bahwa saluran pernafasan atas dengan saluran pernafasan bawah merupakan sebuah “single functional unit”, dengan ditemukan adanya kesamaan karakteristik histologis dan peradangan. Memburuknya pernyakit disalah satu bagian saluran pernafasan, akan mempengaruhi bagian lain disaluran pernafasan. Begitu juga sebaliknya, ketika penyakit disalah satu bagian saluran pernafasan dikelola secara baik dan efektif, makan akan memperbaiki penyakit disaluran pernafasan lain, konsep ini disebut dengan The Unified Airway. The Unified airway atau dalam banyak literatur sering disebut dengan United Airway Disease (UAD) merupakan suatu konsep yang menjadikan nasofaring dan paru sebagai saluran yang berhubungan secara anatomis, patofisiologis, dan imunologis yang disebut dengan “one airway, one disease”.  Dari berbagai penyakit yang terdapat di saluran pernafasan, konsep UAD umumnya digunakan untuk menjelaskan hubungan rinitis alergi dan asma, dimana semakin parah rinitis yang diderita, maka akan semakin parah juga asma yang diderita, begitu pun sebaliknya.