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Dasa Novita, Khuznita
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Computer Science & IT Health Professions Physics Public Health Social Sciences

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Acute Suppurative Otitis Media With Spontaneous Tympanic Membrane Perforation in a School-Aged Child : A Comprehensive Family Medicine Case Report Dasa Novita, Khuznita; Barasabha, Thareq; Ogan, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.54

Abstract

Background: Acute otitis media (AOM) is one of the most frequent infections in children and may progress to acute suppurative otitis media (ASOM) with tympanic membrane perforation when treatment is delayed. This report presents a holistic, family medicine–based assessment and management of a pediatric patient with ASOM complicated by spontaneous perforation, triggered by an antecedent upper respiratory tract infection. Case Presentation: An 8-year-old girl presented with acute left ear pain, irritability, reduced hearing, fever, and subsequently otorrhea occurring one day after symptom onset. The episode followed a week-long history of cough, rhinorrhea, and nasal obstruction. Examination revealed left-sided mucopurulent otorrhea, loss of light reflex, and clinical features consistent with ASOM in the perforation stage. Family, environmental, and behavioral factors, including cold exposure, crowded sleeping arrangements, and delayed healthcare seeking, contributed to disease progression. Treatment included amoxicillin, analgesics, antihistamines, an expectorant, and ear care education, accompanied by structured family-centered and community-oriented interventions. Rapid improvement was observed within three days. Conclusion: This case highlights the importance of early recognition of upper respiratory infections, timely management, and a comprehensive family medicine approach to prevent complications of ASOM in children.
Hypertension, Type 2 Diabetes Mellitus, and Stroke History in a 70-Year-Old Woman Dasa Novita, Khuznita; Zulfikri Febriansyah, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.56

Abstract

Hypertension and type 2 diabetes mellitus are major contributors to cardiovascular disease in older adults, especially when combined with multiple risk factors. This report describes a 70-year-old woman with uncontrolled hypertension, newly diagnosed type 2 diabetes mellitus, obesity, and a previous ischemic stroke eight months prior. A holistic assessment using the Family Health Care Project (FHCP) framework was performed to identify factors contributing to poor control, including dietary habits, physical activity, medication adherence, sleep quality, and family support. Although the patient believed she had adopted a healthier lifestyle, evaluation revealed excessive carbohydrate intake, irregular meal patterns, and inadequate sleep. Physical examination showed a BMI of 35.9 kg/m² and blood pressure of 166/76 mmHg, while laboratory results indicated elevated fasting glucose. Family assessment demonstrated strong emotional support but limited health literacy. Management focused on lifestyle counseling, medication review, stopping unnecessary allopurinol, and strengthening family involvement. Follow-up home visits showed improved understanding, better eating habits, and improved blood pressure control. This case highlights the importance of addressing multiple risk factors through a family medicine approach to optimize chronic disease management in elderly patients.
Stress-Linked Tension Type Headache and Uncontrolled Diabetes: A Family Medicine Approach Firmaniyah, Ulfa; Dasa Novita, Khuznita; Hevy Purwaningtyas, Nuretha
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/qcxgcr98

Abstract

Tension-Type Headache (TTH) is a common headache disorder that may worsen when associated with uncontrolled Type 2 Diabetes Mellitus (T2DM) and its complications. This case describes a 51-year-old woman with chronic TTH, uncontrolled T2DM, diabetic neuropathy, and suspected retinopathy, compounded by stress, overweight, and excessive sugar intake. The objective was to present a holistic family medicine approach to address biomedical, psychological, and social aspects of her condition. The patient was assessed through comprehensive anamnesis, physical examination, laboratory evaluation, and family function assessment. Interventions included pharmacological therapy, dietary modification, stress management, and active family support. The results showed reduced headache frequency, better glycemic awareness, and improved coping through family engagement. In conclusion, a holistic family medicin e approach can enhance disease control and well-being in patients with TTH and uncontrolled T2DM by integrating lifestyle modification, psychosocial support, and continuous care.
Adhesive Capsulitis in the Elderly with Diabetes Mellitus and Hypertension: A Reflection of Multimorbidity and the Importance of Family-Centered Care Dasa Novita, Khuznita; Nur Cahyani, Aulia; Rico Abdul Karim, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/35dzm382

Abstract

Adhesive capsulitis is a common musculoskeletal disorder in older adults and is often associated withchronic diseases such as diabetes mellitus (DM) and hypertension (HT). A 76-year-old womanpresented with shoulder pain and restricted motion. She had type 2 DM with neuropathy and long-standing HT, with a family history of cardiovascular disease. Examination showed marked limitationof active and passive shoulder movement, consistent with the frozen stage of adhesive capsulitis. Thepatient received NSAIDs and physiotherapy, along with caregiver education on exercises, routinefamily screening for DM and HT, and reinforcement of self-care. Community interventions includedgroup exercise promotion, free health screenings, and counseling on chronic disease management.This case highlights the value of comprehensive management for adhesive capsulitis in elderlypatients, emphasizing family- and community-based interventions to improve adherence, preventcomplications, and maintain quality of life.
Co-Authors Alhabsy, Muzna Aprilia, Nisa Barasabha, Thareq Dwi Rahayu, Indriati Fadhelia Arta, Evelyna Fairuz Adani, Safira Firmaniyah, Ulfa Gina Prabawati, Nirmala Hevy Purwaningtyas, Nuretha Istiqomah, Rosyida Muhammad, Athaya Rahmanardi Nanik Setijowati Nur Cahyani, Aulia Nur Rakhmani, Alidha Nurrakhma Arum, Siti Ogan, Muhammad Rafidah, Rif'ah Rico Abdul Karim, Muhammad Rita Rosita Rusnianah, Farida Santika Oktaviana, Dea Siswati, Bella Sri Andarini Wakhdatul Lubbi, Yusniya Farida Zulfikri Febriansyah, Muhammad