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All Journal Jurnal Ilmu Kedokteran Keluarga
Nurrakhma Arum Kurnia, Siti
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Computer Science & IT Health Professions Physics Public Health Social Sciences

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A 69-Year-Old Male with Right Hemiparesis, Type II Diabetes Mellitus, Uncontrolled Stage I Hypertension with Psychosocial, Cultural, Lifestyle, Low Education Level, and Low Economic Status Risk Factors Hafidah, Qonitatun; Nurrakhma Arum Kurnia, Siti; Nur Rakhmani, Alidha
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

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Abstract

This article discusses the case of a 69-year-old male with right hemiparesis, Type II Diabetes Mellitus, and uncontrolled Stage I hypertension, accompanied by multiple risk factors including psychosocial, cultural, lifestyle, low education level, and low economic status. A multidisciplinary approach was implemented to manage the patient holistically, focusing on blood sugar and blood pressure control, physical therapy for hemiparesis recovery, and family empowerment to support treatment adherence. This study highlights the importance of comprehensive interventions that address social determinants of health to improve the patient’s quality of life and reduce the risk of further complications.
Case Report : Scabies in a Child with a History of Tuberculosis and Severe Short Stature with Environmental Risk Factors Aqil Fq Faerobby, Mohammad; Nurrakhma Arum Kurnia, Siti; Arifin, Samsul
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.v4i2.58

Abstract

Background: Scabies is a contagious skin disease that is a public health problem, especially in environments with poor sanitation and high population density. The condition can be more complex in pediatric patients with comorbidities and significant environmental risk factors. Objective: This case report aims to describe the management of scabies in a 1-year and 7-month-old child with a history of tuberculosis and severe short stature, using a holistic family medicine approach. Method: This study is a case report. Data were obtained through heteroanamnesis with the mother, physical examination, and home visits. A comprehensive assessment was conducted using a holistic diagnosis (five axes), family assessment tools (Genogram, Family APGAR, SCREEM), and the Mandala of Health framework. Results: The patient was diagnosed with scabies (ICD-10 B86) and severe short stature (severely stunted). Significant risk factors identified included a crowded living environment in an extended family, poor housing conditions with inadequate ventilation and sunlight, low socioeconomic status, and exposure to passive smoking from three family members. Comprehensive management included pharmacotherapy (Permethrin 5% cream and Cetirizine syrup) and non-pharmacological interventions focused on the patient, family, and community, including simultaneous treatment for all family members and education on environmental hygiene. Follow-up during home visits showed significant clinical improvement. Conclusion: A holistic and comprehensive family medicine approach that addresses biomedical, individual, family, and environmental factors is essential for the effective management of scabies in vulnerable pediatric patients with complex health and social issues.
Pulmonary Tuberculosis and Microcytic Hypochromic Anemia in a 10- Year-Old Girl : A Family Medicine Approach Wynne Deanita, Teresa; Nurrakhma Arum Kurnia, Siti; Rosita, Rita
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/zz5jcs24

Abstract

Pulmonary tuberculosis (TB) in children remains a significant public health problem, particularlyin low- and middle-income countries, where it often coexists with malnutrition and anemia. Thiscase report presents a 10-year-old girl with pulmonary TB and hypochromic microcytic anemia,exacerbated by poor nutritional intake, inadequate parenting supervision, exposure to cigarettesmoke, and suboptimal environmental conditions. The patient’s condition was complicated byrecurrent weakness, weight loss, and palpable lymphadenopathy. Laboratory results confirmedsevere anemia, while chest radiography revealed infiltrates consistent with TB. A holistic familymedicine assessment identified biomedical, psychosocial, environmental, and behavioral riskfactors. Comprehensive management included pharmacological therapy (first-line anti-tuberculosis drugs, iron, folic acid, multivitamins), nutritional interventions, health education, andfamily counseling. Family-focused and community-oriented strategies were emphasized,including TB contact screening, parental smoking cessation, and community health workerinvolvement. This case highlights the importance of holistic and comprehensive care in managingTB and comorbid anemia in children, underlining the role of family medicine in addressing bothclinical and contextual determinants of health.
Co-Authors Aqil Fq Faerobby, Mohammad Hafidah, Qonitatun Nur Rakhmani, Alidha Rita Rosita Samsul Arifin Wynne Deanita, Teresa