dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20...

70
dr. Setyo Trisnadi, Sp.K.F., S.H.

Transcript of dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20...

Page 1: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

dr. Setyo Trisnadi, Sp.K.F., S.H.

Page 2: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Caranya :

Wajar◦ Penyakit◦ Usia tua

Tidak Wajar◦ Pembunuhan◦ Bunuh diri◦ Kecelakaan

Prosesnya :

Mendadak Expected Unexpected

Tidak mendadak

Page 3: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Kematian yang terjadi dalam waktu 48 jamsejak timbulnya gejala (umumnya karenapenyakit)

Page 4: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Cardiovascular diseases :◦ Atheroschlerotic H.D◦ Hypertensive H.D◦ Other type (Congenital, Valvular, Myocarditis, Cardiomyopathy)

Other Vascular diseases :◦ Ruptured Cerebral Aneurysma◦ Pulmonary Thromboemboli◦ Ruptured Aortic Aneurysma◦ Acute Aortic dissection

Respiratory◦ Infection (Elderly, infant, immunocompromissed, AIDS, Cancer,

TBC) Central Nervus System

◦ Tumor◦ Colloid cyst◦ Meningitis◦ Seizure

Chronic Alkoholism Unditermined Natural Cases

Page 5: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Perdarahan : tbc, kanker, bronkiektasis, abses Asfiksia : pneumonia, asma/ppok, spasme Pneumothoraks

Page 6: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Infark miokard dini:-perdarahan penampang otot jntung-makroskopis:

>8jam: edem, kasar>18jam:brownish purple24-48jam: kuning dg tepi hiperemi

-mikroskopis: >6jam: pmn eosinofil, ototmemendek, sembab, membran sel kabur,sel intersisiel banyak

Page 7: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Infark lama:-makroskopis: fibrosis-scar-mikroskopis: nekrosis, pmn basofil,disintegrasi inti sel

Penyempitan a. koronaria-insufisiensi-infarkmiokard

Page 8: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is

Perdarahan: apopleksi, ruptur, neoplasma Sumbatan sirkulasi: trombosis, emboli,

infeksi, malaria serebral

Page 9: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 10: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 11: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 12: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 13: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 14: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 15: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 16: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 17: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 18: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 19: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 20: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 21: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 22: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 23: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 24: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 25: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 26: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 27: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 28: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 29: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 30: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 31: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 32: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 33: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 34: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 35: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 36: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 37: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 38: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 39: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 40: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 41: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 42: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 43: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 44: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 45: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 46: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 47: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 48: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 49: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 50: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 51: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 52: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 53: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 54: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 55: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 56: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 57: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 58: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 59: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 60: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 61: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 62: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 63: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 64: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 65: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 66: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 67: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 68: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 69: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is
Page 70: dr. Setyo Trisnadi, Sp.K.F., S.H....FIGURE 5.22 Normal mitral valve. See next photo. FIGURE 3.20 valve. Definisi kematian mendadak FIGURE 5.19 wall (arrows' in this cross-section is