Saturday, June 18, 2011

Discharge summary № 44333 Great AA born in 1975, was in the gastroenterological department of OKB № 1 from 19.12.2005 to 28.12.2005. DIAGNOSIS: Chronic active hepatitis C viral origin, (anti HCV floor, PCR HCV +10 5 gene / ml), moderate activity. Dannge tests: Full blood erythrocytes 20/12/2005 4.63 h1012 / l: hemoglobin 145 g / l, leukocytes 5.6 x 10 * 9 / L, platelets 262 x 10 * 9 / L, ESR 4 mm / h, lymph 46,5%, Mon 12% gran. 40,7%. Blood biochemistry 12/20/2005: bilirubin con. 25.0 umol / L, AST 40.0 U / L, ALT 41.0 U / L, GGTP 73 U / l, protein - 74 g / L, alkaline phosphatase 90.0 U / L, sugar 4.4 mmol / l, amylase 75.0 U / liter. Immunology 20.12.05g: Ig G 13,0 g / l, IgM 0, b g / l, IgA 2,4 g / l, the CEC 59ed, Coagulogram 12/21/2005: PTI 96%, fibrinogen 3.66 g / liter, thrombin time 33 sec., blood clot retraction 10%, platelets 154 x 10 * 9 / L, OAM 21.12.0S: St. yellow, protein and sugar neg, Lake. neg, eritr.otr, pH 6.5; density 1010; nitrite salt. {Coprogram 21/12/2005. starch in large quantity - ve I / worms, c / Giardia not upd. Ultrasonography of the abdomen 12/21/2005: Concluding.: Moderate diffuse changes in the liver parenchyma. Markers of hepatitis B from 12/21/2005: A / T Position HCV., HBsAg neg, A / T HIV neg, PCR HCV +10 5 gene / ml, genotype 1b, Blood Type: 0 (1) Rh + ECG 12/21/2005 Concluding : sinus rhythm of 68 to min.EKG without severe pathology. Fluorography lungs from 20/12/2005: Heart and Lung without pathology. Treatment: Table № 5, Ursosan a kap.h 2 times Recommended: 1.Dieta 5, contraindicated alcohol consumption, insolation, hard work. 2.Ursosan, 1 cap. x 2 times. 3 Control b / s blood 1 every 3 months. 4.Nablyudenne hepatologist,

Respond Tatyana Stepanova, a gastroenterologist, hepatologist In your case that would decide whether to treat your drugs interferon and ribavirin is necessary puncture of the liver. Similar question: ... back to the U.S.: mild diffuse changes of the liver-type ...

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