Mr. Heru came to the health clinic complaining of anorexia, jaundiced eyes, fever, upper right abdominal discomfort. He had a history of drug use and rehabilitation. He reported feeling unwell and tired for over a month and having brown urine. A physical exam showed jaundice, enlarged liver, pulse of 100, respiration of 24, and blood pressure of 120/82. Lab tests showed low hemoglobin and hematocrit, high white blood cell count, low platelet count, and positive results for HBsAg, HBV-DNA, bilirubin in urine and stool, indicating hepatitis B infection.
Mr. Heru came to the health clinic complaining of anorexia, jaundiced eyes, fever, upper right abdominal discomfort. He had a history of drug use and rehabilitation. He reported feeling unwell and tired for over a month and having brown urine. A physical exam showed jaundice, enlarged liver, pulse of 100, respiration of 24, and blood pressure of 120/82. Lab tests showed low hemoglobin and hematocrit, high white blood cell count, low platelet count, and positive results for HBsAg, HBV-DNA, bilirubin in urine and stool, indicating hepatitis B infection.
Mr. Heru came to the health clinic complaining of anorexia, jaundiced eyes, fever, upper right abdominal discomfort. He had a history of drug use and rehabilitation. He reported feeling unwell and tired for over a month and having brown urine. A physical exam showed jaundice, enlarged liver, pulse of 100, respiration of 24, and blood pressure of 120/82. Lab tests showed low hemoglobin and hematocrit, high white blood cell count, low platelet count, and positive results for HBsAg, HBV-DNA, bilirubin in urine and stool, indicating hepatitis B infection.
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