foto.pptx
TRANSCRIPT
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Pengantar Skill Lab Foto Rontgen
Dr.Surjadi Sujana Sp.RadFK UKRIDA
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Radiografi konvensional
Gambaran pada foto yang dinilai : warna nya :
Putih = radioopak, dan
Hitam = radiolusen.
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Radiografi
Pemeriksaan meliputi : Thorax : PA/AP/Lat/Oblik/top lordotikAbdomen : AP/Lat/erect/supine /LLD/RLDCranium : AP/Lat/tangential Extermitas : AP / Lat.Pemeriksaan radiografi dpt menggunakan
bahan kontras Positif ( radioopak) dan kontras negatif ( radiolusent )
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thorax Foto
Yang dinilai :1.Cor : besarnya lazim dgn CTR.2.Pulmones : Hilusnya : ukuran , kalsifikasi,berbenjol ? trachea : lurus ditengah / deviasi ? parenchym paru : ada gambaran infiltrat/nodul
/konsolidasi / kesuraman /hyperluscent ? corakan bronchovaskuler: meningkat/ kasar. pleura : normal tak tampak, kalau tampak harus disebut bagian distalnya apa hyperluscent/ opak .3.diafragma /sinus : letak, permukaan, sinus lancip/tumpul4.tulang2 nya ; ada fracture/ malformasi.
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Pembesaran jantung :lazimnya diukur dgn CTR(cardiothoracis ratio)
•Rumusnya :•A + B : C X l00 % •Hasilnya :•< 50% = normal.(dewasa).•<55 % = normal 9anak2)•= 50% : susepct cardiomegali.•> 50%, = cardiomegali.
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Foto Polos Abdomen (BN0)
Yang dinilai :Distribusi udara usus dalam abdomen :Psoas line dan properitoneal fat line.Kontour kedua ginjal.: besar, letak, ada
batu opak /tidak.Tulang2 : ada fracture
/dislokasi/spondylosis.
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Foto BNO 3 Posisi
Dibuat posisi supine / erect / L.L.D.Biasa untuk melihat adanya ileus /
pneumoperitoneum. ( perforasi viscus )Tanda2 Pneumoperitoneum :1. adanya Cupolla sign.2. Riglers sign.3. trapped air.4. udara di ductus billiaris.NB : distensi usus tanpa multiple air fluid level =
meteorismus. distensi usus dgn multiple air fluid level = ileus.
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Radiografi tulang
Biasanya dibuat posisi AP dan lateral /oblik
Yang dinilai :Soft tissuenya : ada swelling
kalsifikasi/ossifikasi /emphysema subcutis.Periosteum : ada reaksi periost ?Cortex tulang : ada diskontinuitas /
fracture /destruksi tulang (lytik/sklerotik)(lusent/opak)
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Oedema pulmonum
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Pleural efusi sinistra.
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Pneumothorax
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konsolidasi
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Thorax foto (infiltrat)