case hepatitis b kronis - andrew 406151077
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7/25/2019 Case Hepatitis B Kronis - Andrew 406151077
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LAPORAN KASUSILMU PENYAKIT DALAM
RS BHAYANGKARA SEMARANG
Hepatitis B Kronis
Pembimbing:dr. Hdi S!"i#$%n$&' S(.PD' MH Ke#'
)INASIM
dr. *idi B!din$&' S(.PDAndre+ ,-ri#$in ,-ng
/0121/33
)K UNTAR
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Iden$i$# P#ien
. Nm "eng4( : Tn. M
b. Um!r : 5 $-!n
6. 7eni# Ke"min : L4i 8 "4i
d. A"m$ : 7$i !$r R$ //9 r+ //9 Dem4
e. Pe4ern : K!rir;. S$$!# Perni4-n : Meni4-
g. N&. Re4m Medi# : 10
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Anmne# >!$&nmne#?)LAMBOYAN
Tngg" : /3 7!ni 5/10P!4!" : 1.9/ *IB
P#ien d$ng 4e Uni$ G+$ Dr!r$RS B-%ng4r' $ngg" / 7!ni 5/10
Ke"!-n U$m : N%eri (er!$
Ke"!-n Tmb-n : Ken6ing #e(er$i$e-' M!"' M!n$-
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Kr&n&"&gi#
P#ien d$ng 4e RS B-%ng4r Semrng (d$ngg" / 7!ni 5/10 dengn 4e"!-n n%eri (er!$#e4 $ngg" 51 7!ni 5/10 >5 mingg!?' n%eridir#4n (d der- @!drn 4nn $# dn !"!
-$i. N%eri dir#4n #$ dim dn memb!r!4 #$berger4.
P#ien menge"!- !rine ber+rn #e(er$i ir $e-ber#mn dengn 4e"!-n n%eri (er!$. P#ien !g
menge"!- m!" #e4 -ri SMRS. M!n$- !gdi"mi (#ien $er!$m #e$e"- m4n dn min!m.
P#ien $id4 (ern- mengg!n4n r!m #!n$i4dn mend($4n $rn;!#i dr- #ebe"!mn%.
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Ri+. Pen%4i$ D-!"! : Ri+ 4e"!-n %g #er!( >
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Ri+%$ Kebi#n : P#ien $id4 meng&n#!m#i "4&-&"
P#ien $id4 d 4&n#!m#i &b$ #e$i(-rin%
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Pemeri4#n )i#i4)LAMBOYAN
Tngg": /3 7!ni 5/10 P!4!": 1.9/*IB
Pemeriksaan Umum:
Kedn Um!m : Tm(4 S4i$ Sedng
Ke#drn : ,&m( Men$i#
Tnd
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Pemeriksaan Sistem :
Ke(" : n&rm&6-e(" Rmb!$ : *rn -i$m' (en%ebrn mer$' dn $id4
m!d- di6b!$
M$: K&n!ng$iF nemi#
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KGB : Re$r&!ri4!"er' #!bmndib!"'6erFi6"' #!(r6"Fi6!"' 4#i"' dning!in" $id4 $erb membe#r.
Pr! In#(e4#i : #ime$ri#
P"(#i : $id4 $erb ben&"n' #$em ;remi$!##m 4!$
Per4!#i : #&n&r (d 4ed! "(ng (r!
A!#4!"$#i: Fe#i4!"er >=?' +-eeing >
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7n$!ng In#(e4#i : i4$!# 4&rdi# $id4 $m(4
P"(#i : i4$!# 4&rdi# $erb di 1 ri medi" I,S 'Line Mid ,"Fi6!" Sini#$r
Per4!#i : b$# n$!ng d"m b$# n&rm" A!#4!"$#i: S1
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E4#$remi$#: S!(eri&r : ber4ering$ >
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Pemeri4#n Pen!nng
Dr- Leng4(
Ser&"&gi HB#Ag
HB DNA
HBeAg
Bi&4imi -e(r SGPT
SGOT
Bi"iribin Urine r!$in
USG
Bi&(#i -$i
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Hematoloi Hasil Anka Normal Satuan
Hem&g"&bin 15./ 19'/
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USG
S$r!4$!r Pren4im -e(r $m(44#r' #!#( d (re# 4r&ni#
S"!dge Fe#i4 ;e"e
S("en&meg"i
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Digni# 4er: H*PA+I+IS B K-NIS
Digni# bnding: Per"em4n -$i
K&m("i4#i: Siri# He($i#
Kr#in&m He($e"!"r
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REN,ANA TERAPI
Non Farmakolois
I#$ir-$ $ir- bring
Min!m -ng$ mni#'!# b!-.
Usul Farmakolois:
Imm!n&m&d!"#i9b"n
PEG In$er;er&n >J/'1C/' 5/ g=mingg! S,?
Timin N!4"eid?
Ade;&Fir 1/ mg=-ri PO$! Ten&F&r 9//mg=-ri PO >N!4"e&$id?
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)rm4&"&gi#
In;!# N," = D2 5/ $(m
Die$ "!n4' min!m -ng$ mni#
In. Ondn#e$r&n Cmg = C m
In. T&(&" = 5 m In. ,e;$ri&ne 1 gr = 15 m>#4in $e#$ d!"!?
Per&r": An$#id #%r 5 1 , 6
U"#;$ #%r 9 1 , (6 Ne!r&(%r&n 9 1
He(m
Ri6&Fir 9//mg 1 1
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Ed!4#i
Tir- bring
Hindri 4&n#!m#i "4&-&"' m! (-i$' $(e4e$n' E$r
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PROGNOSIS
!& d Fi$m : d!bi db&nm
!& d #n$i&nm : d!bi db&nm
!& d ;!ng$i&nm : d!bi db&nm
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