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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%.

7/25/2019 Case Hepatitis B Kronis - Andrew 406151077

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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$ >

7/25/2019 Case Hepatitis B Kronis - Andrew 406151077

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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