Article Per Year (5 Year)
p-Index From 2021 - 2026
1.116
P-Index
This Author published in this journals
All Journal Medula Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Tutik Ernawati
Universitas Lampung
Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 6 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search
Journal : medula

 1 
Tinea Corporis pada Pasien Obese Grade II: Laporan Kasus Sifa’ Syaharani Fairuz Hanan; Tutik Ernawati
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.2007

Abstract

Tinea Corporis is a superficial fungal infection caused by dermatophytes affecting the skin, excluding the palms, soles, and groin. Tinea Corporis is a recurrent and potentially spreading disease; therefore, it requires a holistic management approach. Family physicians play an important role in providing comprehensive care by identifying risk factors, clinical problems, and implementing evidence-based management through a patient-centered, family-oriented, and community-oriented approach. This study is a case report. Primary data were obtained through history taking, physical examination, and home visits, while secondary data were collected from the patient’s medical records. Assessment was based on a holistic diagnosis at the beginning, during the process, and at the end of the study using qualitative and quantitative evaluations. A 42-year-old woman presented with erythematous patches accompanied by itching beneath both breasts for six days. Family members had experienced similar complaints. Based on the history and physical examination, the patient was diagnosed with Tinea Corporis. The patient also had grade II obesity, which is a risk factor for dermatophyte infection due to increased skin folds, moisture, and friction that may promote fungal growth and increase the risk of recurrence. Non-pharmacological and pharmacological interventions, including patient and family education regarding the disease, were provided through three home visits. The outcome of this case demonstrated clinical improvement, as indicated by the reduction of symptoms and positive behavioral changes. Family support and involvement remained essential components in the treatment and recovery process.
Perempuan Usia 24 tahun dengan GERD : Laporan Kasus Muhammad Ihsan Fariqy; Tutik Ernawati
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.1997

Abstract

Gastroesophageal Reflux Disease (GERD) is a disorder caused by the reflux of gastric contents into the esophagus and is influenced by biological, behavioral, psychological, and social factors, requiring a comprehensive family medicine approach. We report the case of a 24-year-old woman who presented to Kalirejo Primary Health Center with worsening epigastric pain for two days, accompanied by abdominal fullness, heartburn, nausea, and vomiting. She had experienced similar symptoms for the previous two years, with risk factors including irregular eating habits, frequent consumption of spicy foods, skipping breakfast, overweight, and psychological stress related to family financial problems. The diagnosis was established based on history taking, physical examination, and a GERD-Q score of 11. Management consisted of pharmacological therapy with omeprazole, antacids, and domperidone, combined with non-pharmacological interventions using a patient-centered, family-focused, and community-oriented approach through health education, dietary modification, stress management, and active family involvement. Follow-up after three home visits demonstrated clinical improvement, increased patient and family knowledge (pre-test score 50 to post-test score 80), better treatment adherence, and positive behavioral changes, including regular meal patterns, reduced consumption of trigger foods, and stronger family support. A comprehensive family medicine approach plays an important role in controlling risk factors, improving quality of life, and preventing GERD recurrence.
Diabetes Melitus Tipe 2 pada Pasien Neurodermatitis: Laporan Kasus Syahrani Alya Murfi; Tutik Ernawati
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.2008

Abstract

Neurodermatitis is a cutaneous manifestation that may exacerbate the clinical course of type 2 diabetes mellitus (T2DM); however, reports on the comprehensive management of these coexisting conditions in the primary healthcare setting remain limited. This case report aims to describe the successful implementation of an integrated management approach in a 55-year-old male patient with T2DM accompanied by neurodermatitis. The patient presented with paresthesia in both lower extremities, polyuria, polydipsia, and a chronic pruritic lesion with lichenification on the left upper arm. Random blood glucose measurement of 240 mg/dL supported the diagnosis of T2DM accompanied by neurodermatitis. Management included metformin therapy, appropriate topical treatment, intensive education on T2DM dietary management, lifestyle modification, increased physical activity, and family involvement to enhance treatment adherence. During follow-up evaluation, the patient's paresthesia, hyperglycemic symptoms, and cutaneous pruritus improved, fasting blood glucose decreased to 117 mg/dL, and the knowledge scores of both the patient and family increased from a pre-test score of 70 to a post-test score of 100. This case demonstrates that optimal glycemic control, accompanied by appropriate neurodermatitis management and family-based education, can lead to clinical improvement and enhance patient adherence to treatment. A comprehensive approach in the primary healthcare setting is essential for controlling cutaneous manifestations while preventing the progression of complications associated with T2DM.
Co-Authors Anita Muhammad Ihsan Fariqy Reinita Aulia Sifa’ Syaharani Fairuz Hanan Syahrani Alya Murfi Tasya Nadia Putri Via Jasinda Neola