Sad News from a Friend

Written on 07.58 by angga

Yesterday I got the sad news from a friend , one of my friends named Melinda was getting disaster , his father had died in hospital as a result bekasi enlarged liver disease . Today , he is buried in a common grave officer , north jakarta . Many family and close friends who come to his house Melinda to give encouragement .

Actually disease liver enlargement ( hepatomegaly ) that what the heck ? Enlarged Liver ( Hepatomegaly ) is enlargement of the liver exceeds its normal size .


CAUSE

The cause is often found :
- Alcoholism 
- A Hepatitits 
- Hepatitis B
- Congestive heart failure ( CHF , congestive heart failure )
- Leukemia
- Neuroblastoma
- Reye's syndrome
- Hepatocellular Carcinoma
- Niemann 
- Pick Disease
- Congenital fructose intolerance
- Diseases of glycogen accumulation
- Metastatic Tumors
- Primary biliary cirrhosis
- Sarcoidosis 
- Sclerotic cholangitis
- Hemolytic 
- uremic syndrome. 

SYMPTOMS
Enlarged liver usually does not cause symptoms . But if the great magnifying power , can cause discomfort in the stomach or abdomen feels full .If the enlargement occurs rapidly , can be painful when touched .
DiagnosisThe size can be touched / felt through the abdominal wall during a physical examination.If the tender palpable liver , usually caused by acute hepatitis , fatty infiltration , blockage by blood or initial blockage of the bile duct.


Hearts will be felt hard and irregular shape , if the cause is cirrhosis .Real lump is usually suspected a cancer.


Other tests that can be done to help determine the cause of enlargement of the liver are :

- Abdominal X
- rays
- CT scan of the abdomen
- Liver function tests .

TREATMENT  
Treatment depends on the cause .

Sumber : http://medicastore.com/penyakit/472/Pembesaran_Hati_Hepatomegali.html

Make Replies Of 4 Letter That You Have Made In The Last Meeting

Written on 04.14 by angga


SAMPLE REPLYOF INQUIRY LETTER 

PT. PRIMA SENTOSA

Jl. KrakatauBlok A7 No.43
BekasiTimur

18 October, 2011
PT. JAYA PERSADA
Jl. Ujung Harapan Raya No. 57
Kab.Bekasi

Dear Mr Angga Saputra,
We thank you for you inquiry of 15 October, 2011. As requested, we enclose our illustrated catalogue which gives complete details of our shoes, together with the prices and the models.
We expect that our catalogue, prices, and the terms give all information requested.
We are looking forward to receiving your order soon.

Yours sincerely,
Andika putra
Chief  Manager


SAMPLE REPLY OF ORDER LETTER

Dear Mr. Angga

Thank you for ordering our products, to the payment you can transfer it to my account number.
0889-277-468-3 BCA on behalf of Rudi Setiawan.
After you transfer, its items will be sent directly to your home.

Yours sincerely,

Rudi Setiawan

SAMPLE REPLY OF COMPLAINT LETTER

Cool Sports, LLC
8423 Green Terrace Road
Asterville, WA 65435

July 2, 2004
65 Market Street
Val Haven, CT 95135

Dear Mr. Ken Thomas

Thank you for your letter dated June 30. I as the manager of the company representing apologize for any unintentional errors we made. For that sir ken thomas please send back the item to us, then we will replace the item with a new item.

Once again we apologize for disappointing you. Please do not hestitate to buy our product again.

Sincerely


Tony Hawk
manager

SAMPLE REPLY  OF APPLICATION LETTER 

October 27, 2013
22 Hilton Street
Don Pepe, Balanga City

Dear Erica J. Navarro

Thank you for your letter Ms Erica J. Navarro, We appreciate your interest in applying to our company. Our personnel will only give you a call or send a message as soon as we have a job opening that fits your skill lines.

For that I would suggest that you check your email frequently.


Thank you very much

Ms. Norbe