Ike Rahayu Widuri and Iswan Abbas Nusi and Poernomo Boedi Setiawan and Herry Purbayu and Titong Sugihartono and Ummi Maimunah and Ulfa Kholili and Budi Widodo and Muhammad Miftahussurur and Husin Thamrin and Amie Vidyani (2017) A Patient with Acute Liver Failure Due to Acute Hepatitis A. In: Proceedings of the International Meeting on Regenerative Medicine. SCITEPREES-Science and Technology Publications, Lda., Surabaya, pp. 389-396. ISBN 978-989-758-334-6

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Abstract

A 21-year-old male patient was admitted to the Emergency room of Dr. Soetomo General Hospital with a chief complaint of decrease in consciousness. Jaundice and mental status changes were found. Laboratory testing showed hyperbilirubinemia, progressive rise in serum alanine and aspirate aminotransferase levels, rise in prothrombin time and International Normalized Ratio (INR), positive IgM anti HAV. Diagnosis of this patient was acute liver failure due to acute hepatitis A. The patient was treated treatment with O2 nasal 3-4 lpm, a low-protein diet, fluid therapy including NaCl 0.9%, dextrose 10% and Branch Chain Amino Acids (BCAA), inj. ranitidine 2x1 amp, vitamin K 3x1 amp, FFP transfusion 10 cc/kg (first hour) followed by 1 cc/hour, lactulose syrup 4x30 cc, L-ornithine-L-aspartate 4 ampoule/PZ 100 cc for 4 hours. The patient was discharged in good condition. Three weeks later, the patient was monitored at the outpatient clinic, and jaundice was not found.

Item Type:	Book Section
Uncontrolled Keywords:	Acute liver failure, BCAA, HAV, HBV, INR
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	01. Fakultas Kedokteran > Ilmu Penyakit Dalam
Creators:	Creators NIM Ike Rahayu Widuri UNSPECIFIED Iswan Abbas Nusi NIDN0028025003 Poernomo Boedi Setiawan NIDN8886900016 Herry Purbayu NIDN8884800016 Titong Sugihartono NIDN8836800016 Ummi Maimunah NIDN8896900016 Ulfa Kholili NIDN0004047511 Budi Widodo NIDN8804800016 Muhammad Miftahussurur NIDN0029097909 Husin Thamrin NIDN8825800016 Amie Vidyani NIDN0028018002
Depositing User:	arys fk
Date Deposited:	06 Dec 2019 02:48
Last Modified:	06 Dec 2019 02:48
URI:	http://repository.unair.ac.id/id/eprint/91966
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