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Upaya Pendekatan Kedokteran Keluarga pada Wanita 62 Tahun dengan Hiperkolesterolemia di Aceh Utara Noviana Zara; Azman Bripo
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2025): Juni : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i2.1656

Abstract

Mrs. Km visited the Integrated Health Post (Posbindu) in Alue Keureunyai Village with complaints of throbbing neck pain that had occurred intermittently over the past two weeks and worsened in the last day. The pain intensified after consuming fatty or coconut milk-based foods and improved with rest or cholesterol-lowering medication. She also experienced a persistent, heavy, throbbing headache for two weeks and ongoing fatigue for the past three weeks, despite minimal physical activity. These symptoms led to reduced motivation in daily activities. Physical examination showed: BP 160/100 mmHg, HR 88 bpm, RR 20 breaths/min, T 36.8°C. Laboratory results revealed a total cholesterol level of 250 mg/dL. Data were gathered through auto-anamnesis, physical and laboratory examinations, home visits, completion of the family folder, and patient documentation. Assessment was based on holistic diagnosis at the initial, ongoing, and final stages of the visit, using both qualitative and quantitative approaches. Interventions included education on the causes of hypercholesterolemia, the importance of taking medication regularly, and awareness of complications due to high cholesterol levels.
Herpes Zoster + Scabies Krustosa Pada Pasien Diabetes Militus Azman Bripo; Muhammad Mimbar Topik
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 3 (2025): Juli: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i3.1680

Abstract

Herpes zoster and crusted scabies are dermatological conditions that pose a higher risk and clinical severity in immunocompromised patients, particularly those with chronic comorbidities such as diabetes mellitus and hypertension. This case report presents a 55-year-old woman with painful vesicular eruptions on the right neck and generalized thick, crusted, itchy plaques across the body. She had a longstanding history of type 2 diabetes mellitus and hypertension. Clinical diagnosis of herpes zoster and crusted scabies was confirmed through physical examination and KOH microscopic testing, which identified Sarcoptes scabiei. The patient was treated with oral acyclovir, topical permethrin, and supportive therapy to manage pain and prevent secondary infections. The coexistence of herpes zoster and crusted scabies in a diabetic patient highlights the role of impaired immunity in disease severity and presentation. Early recognition and integrated management are essential to improve prognosis and prevent complications.
Studi Kasus Balita Usia 23 Bulan dengan Berat Badan Kurang di Desa Ulee Nyeu Puskesmas Banda Baro Tahun 2025 Azman Bripo; Puan Nassya Amalia Islmay; Nadia AlKhalifa; Noviana Zara
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.383

Abstract

Undernutrition is a severe nutritional deficiency condition caused by inadequate daily intake of energy and protein, which occurs over a considerable period of time. Malnutrition generally affects children under five years old and is influenced by various factors. According to the National Basic Health Research Report (Riskesdas) in 2018, the national proportion of children aged 6–24 months with undernutrition and severe malnutrition was recorded at 17.7%. This study is a case report of a 23-month-old boy living in a village in 2025. The case was observed over a three-week period using a home visit approach. The diagnosis of undernutrition was established based on national guidelines, specifically the Regulation of the Indonesian Minister of Health No. 2 of 2020 concerning child anthropometric standards. Anthropometric measurements showed the child had a height of 81 cm and a weight of 8.12 kg. The child’s nutritional status was classified as underweight based on the Weight-for-Age (W/A) Z-score. Following diagnosis, the patient received nutritional education, supplementary food, appetite-stimulating vitamins, and growth monitoring. The study concluded that several determinants contributed to the underweight condition in this 23-month-old patient, including behavioral factors, incomplete immunization, and recurrent infections.