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Mr Heru datang ke Puskesmas dengan keluhan

Anorexia, Jaundice Eyes,Fever,Upper Right Abdominal


Discomfort, and Mr Heru was a drugs user and have
been done rehabilitation

Mengeluh tidak enak badan dan kelelahan lebih


dari 1 bulan yang lalu dan urine berwarna coklat

Pemeriksaan fisik: Pemeriksaan Laboratorium:

pulse 100x/min, Hemoglobin : 11.7 g/dl,


respiration 24x/min, Hematocrite : 35% ,
blood pressure Leukocyte 4500/mm3,
120/82mmHg.
Thrombocyte : 400.000/mm3
Head and neck
examination showed HBSAg (+)
Jaundice on both of his HBV-DNA(+),
conjunctivae.
Anti HBS (-),
Abdominal examination
enlargement of the liver 3 IgM Anti HBC (-),
cm below arcus costae
Albumin 1.2mg/dl
Urine analysis :
Bilirubin (+),
Urobilinogen (+).
Stool : Stercobilim (+)
HEPATITIS – B INFECTION

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