RADIOGRAFI_ABDOMEN_radiologi_abdomen_.pptx

radiografi abdomen

1. RADIOGRAFI ABDOMEN

2. Indikasi permintaan radiografi abdomen Nyeri perut Nyeri pinggang /flank Tidak bisa BAB Perut membesar

3. Normal Gas Pattern Organ Normalnya berisi gas Normalnya Air-Fluid level Gaster Ya Ya Usus halus Ya (2-3 loop) Ya Usus besar Ya ( terutama rectosigmoid) Tidak Ingat aturan 3-6-9 <3cm untuk ukuran normal usus halus <6cm untuk ukuran normal usus besar <9cm untuk ukuran normal rectum Untuk bayi , ukuran usus = jarak interpedikel V. Lumbalis

4. SMALL BOWEL OBSTRUCTION

5. Volvulus Sigmoid Volvulus sigmoid adalah penyebab obstruksi usus besar dan terjadi ketika kolon sigmoid terpelintir pada mesenteriumnya , mesokolon sigmoid. Pada radiografi akan tampak gambaran “coffee bean sign”

6. Hipertrophic Pyloric Stenosis Duodenal Atresia

7. Radiographic findings Necrotizing enterocolitis (NEC)  can be staged into three groups, to guide appropriate treatment based on the work of Bell et al. stage I : I ntestinal dilatation stage II : intestinal dilatation, portal venous gas , pneumatosis intestinalis stage IIIa:  shock as in stage II ascites stage IIIb:   perforation Pneumoperitoneum Mildly dilated loops of bowel with pneumatosis intestinalis and portal venous gas

8. free gas within the abdomen. On the lateral decubitus film, the volume is free gas is clearly demonstrated.

9. Abdominal radiograph Free gas within the peritoneal cavity can be detected on an abdominal radiograph. The signs created by the free intraperitoneal air can be further divided by anatomical compartments in relation to the pneumoperitoneum: bowel-related signs ​​ double wall sign  (also known as  Rigler sign  or bas-relief sign) telltale triangle sign  (also known as the triangle sign or telltale triangle)  peritoneal ligament-related signs football sign falciform ligament sign lateral umbilical ligament sign  (also known as  inverted "V" sign ) urachus sign right upper quadrant signs cupola sign fissure for ligamentum teres sign hepatic edge sign lucent liver sign Morison pouch sign  ( doge cap sign ) periportal free gas sign

10. RADIOLOGI MSK Post trauma Benjolan di tungkai Low back pain

11. RADIOGRAFI TULANG Rules of TWO Paling tidak memperlihatkan 2 sendi Difoto dalam 2 posisi 2 waktu (pre/post Tindakan)

12. Case 26 Fraktur transversal extraarticular 1/3 distal metafise radius kanan dengan dorsal angulation Fraktur avulsi procesus styloideusos ulna kanan Colles Fracture

13. Case 27: Fraktur Galleazi fracture of the distal third of the radius and disruption of the distal radioulnar joint.

14. Case 28 Lesi osteolitik permeative Zona transisi luas Matriks osteoid Destruksi korteks dan medulla Sunburst dan codman triangle Soft tissue involvement Osteosarcoma

15. Case 29: Exostosis tipe pedunculated ( menjauhi sendi ) Zona transisi sempit Reaksi periostesal : (-) Matrix: ring and arc chondroid Osteochondroma

16. TERIMAKASIH