RADIOLOGI.ppt
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Transcript of RADIOLOGI.ppt
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Praktikum GI Tract
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ESOFAGUS
FOTO POLOS.– Pada keadaan normal tak tampak
FOTO KONTRAS.
-Foto esofagus dgn menelan bahan kontras Barium Sulfat- Esofagogram
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Prosedur pemeriksaan
Memulai pemeriksaan floroskopik dan spot film dgn pasien dgn posisi bisa tiduran atau berdiri
Radiolog meminta pasien menelan barium sulfat yang sebelumnya ada didalam mulut sehingga gerak deglutition dapat diobservasi untuk menentukan apakah terdapat ketidak normalan dari esofagus.
Kemudian difoto dgn beberapa posisi
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Posisi pemotretan
Foto AnteroPosterior (AP) Lateral Kadang disertai posisi oblig kiri dan kanan
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Posisi PA
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Posisi lateral Gambaran normal
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Posisi Oblig
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Kriteria evaluasi
Esofagus bagian terendahleher sampai lambung
Besar dan bentuk esofagus Peristaltik esofagus Apakah ada filling defeks atau indentasi Mukosa esofagus
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Kelainan kelainan yang diobservasi
Kelainan kongenital Inflamasi(peradangan) Tumor: jinak atau ganas Gangguan neuromuskular(achalasia) Varises esofagus
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Foto plos abdomen
Nama lain: BNO(Buik nier overzicht) KUB(Kidney,Ureter and Bladder) Plain foto abdomen
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Posisi foto
AP/supine Tegak (erect) LLD(Left lateral dekubitus)
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Kriteria evaluasi
Skletal ( vertebrae dll) Psoas line Preperitoneal fat Kontour ginjal Ada atau tidak nodul onkremen opak
sepanjang traktus urinarius Distribusi udara dalam abdomen/usus
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Supine (AP)
Maksudnya agar supaya dengan posisi ini bayangan extra luminer terutama yang terdapatdidaerah preperitoneal dan yang berada diantara loop usus dapat dilihat dengan jelas
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Posisi tegak (erect) atau setengah duduk
Maksudnya agar supaya dgn posisi ini:– Udara akan mencarai tempat tertinggi didalam
rongga perut,sehingga udara bebas dalam rongga abdomen akan tampak dibawah diafragma kanan (subdiafragma) dan kiri
– Dapat melihat adanya air fluid level (permukaan cairan)yang rata atau bentuk meniskus.
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Posisi LLD
Maksudnya,tujuan posisi ini:– Untuk meliht dara bebas(free air) dalam jumlah
sedikit yang pada posisi erect tidak terlihat.– Untuki melihat adanya air fluid level yang
mungkin pada posisi erect belum jelas terlihat
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Ileus
Suatu keadaan dimana terjadi intestinal stasis atau intestinal dysfunction
Dibagi atas:– Ileus obstrukstif/ mekanik– Ileus paralitik
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Gambaran umum ileus
Distensi usus Multiple fluid level Step ladder appearance Herring bone apperance Kadang bisa ada free air disubdiafragma
kanan jika sudah terjadi perforasi Preperitoneal fat kadang menghilang
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Foto BNO dgn gambaran ileus obstrukif
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Dgn gambaran ileus paralitik
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Lambung dan duodenum
Methode pemeriksaan lambung dan duodenum.– Foto polos abdomen daerah lambung
Untuk pemeriksaan rutin sebelum dilakukan dgn kontras Keadaan tertentu seperti HPS atau atresia duodeni
Foto maagduodenografi
pemeriksaan ini dilakukam dgn memakai kontras Barium sulfat atau dg tambahan gas
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Cara melakukan MD foto
Penderita diberi minum kontras Barium,kemudian penderita disuruh berguling beberapa kali,lalu dilakukan pemotretan dgn beberapa posisi:– AP/supine utk melihat gaster– Spot diduodenum daerah bulbus dan C.Loop– Dilakukan posisi erect/tegak dengan membuat
posisi alat radiologi jadi tilting tegak lurus dan dilakukan pemotretan
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Posisi AP/supine
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Spot daerah duodenum/posisi oblig
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Posisi tegak/erect
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Lateral
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Kriteria evaluasi
Besar dan bentuk gaster Mukosa gaster dan ulkus gaster Ada tidak filling defek atau indentasi Ada tidak hipersekresi Bagaimana bulbus duodenum Bagaimana C loop duodenum Bagiamana mukosa duodenum
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Kelainan kelainan gaster
Kongenital: hypertrofic pyloric stenosis Radang/inflamasi: gastritis Tumor: jinak atau ganas Ulkus ventrikuli: jinak atau ganas Kelainan ektrinsik: penekanan tumor atau
organ sekitar gaster: limpa,kandung empedu,pankreas ,ginjal dll
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Kelainan kelainan duodenum
Kelainan kongenital: atresia duodenum Radang :duodenitis Tumor: jinak atau ganas Ulkus duodeni Kelainan yang merubah gambaran C loop
duodenum,seperti massa/tumor organ diluar duodenum.
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Daftar kepustakaan
Deninis cyntia,May christ,Esienberg ronald. Radiografic positioning. Saunders 1993
Sutton david,Buku ajar radiologi,hipokrates 1995 Margulis R Alexander,Burchenne joachim,practical alimentary tract
radiology,MOSBYST LOUIS 1993 Harsanto,learning worksheet Atro depkes jakarta,2001 Palmer.PES,Cockshott,Hegedeus,Samuel,Petunjuk membaca foto untuk dokter
umum,EGC jakarta1995 Levy, Hawkins, Barsan. Radiology in Emergency Medicine. Mosby Company.
Toronto.1986. Weir Jamie, Abraham Peters. Imaging Atlas of Human Anatomy.
Mosby.Philadelphia.2003. Meshan,Ishodore. Normal Radiographic Anatomy. Saunders Company.
Philadelphia. 1951. Farman Jack. Gastrointestinal Radiology. Lippincott. Philadelphia. 1991.