Bimbingan Coas

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Bimbingan coass radiologi

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    LATIHAN COAS

    Dr. Abd. Haris

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    POST PRIMARY TBC

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    ABSES PARU

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    PNEUMONI LOBARIS

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    PNEUMONIA LEFT LOWER LOB

    Lk/42 th

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    EFUSI PLEURA

    Lk/31 th

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    EFUSI PLEURA SINISTRA

    BRONCHOPNEUMONI DEXTRA

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    ATELEKTASIS

    Pr/42 th

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    Lk/28 th

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    No.932/Pr/34 th Klinis : AtelektasisKESAN : DESTROYED LEFT LUNG ( ATELEKTASIS LOBUS

    SUPERIOR KANAN EC. SPESIFIK )

    TAMPAK PERSELUBUNGANINHOMOGEN PADAHEMITHORAX KIRI YANGMENYEBABKAN ORGANMEDIASTINUM SHIFT KE KIRIDAN PERSELUBUNGAN

    INHOMOGEN PADA LAPANGANATAS PARU KANAN YANGMENYEBABKAN FISSURAMINOR SHIFT KE ATAS

    TAMPAK BERCAK-BERCAKBERAWAN PADA LAPANGANTENGAH DAN BAWAH PARU

    KIRI DISERTAI BINTIK-BINTIKKALSIFIKASI DAN GARIS-GARISFIBROSIS

    DIAFRAGMA KIRI LETAKTINGGI

    Pr/34 th

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    HIDROPNEUMOTHORAX

    LK/46 TH

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    Hidropneumothorax Dextra

    TB Milier Dextra

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    PNEUMOTHORAX DEXTRA

    Hyperlusent avasculer

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    PNEUMOTHORAX SINISTRA

    PR/25 TH

    Hyperlusent Avasculer

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    SPONDYLITIS TB

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    Fr.Colles

    fr.radius bagian

    distal (sampai 1

    mm dibagian

    distal) denganangulasi ke

    posterior, dislokasi

    ke posterior dandeviasi fragmen

    distal ke radial

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    Fr. Galeazzi

    Fracture 1/3 distal Radius with distal

    Radioulnar joint dislokasi

    Fr. MonteggiaFracture 1/3 proximal ulna with

    Radial head displacement

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    Fr. Monteggia

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    Fr. Galeazzi

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    OSTEOSARKOMA 1

    PERIOSTEAL REACTION

    SUNRAY APPEARANCE

    CODMAN TRIANGLE

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    OSTEOSARKOMA 2

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    OSTEOSARKOMA

    UMUR 5-20 TAHUN

    AREA TUMOR METAFISE/DIAFISE

    DESTRUCTION CORTEX & INVASI

    KEJARINGAN LUNAK

    NEW BONE FORMATION

    PERIOSTEAL REACTION

    CODMAN TRIANGLE

    SOFT TISSUE SWEELING

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    METASTASE TUMOR

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    EFUSI PLEURA SINISTRA MASSIF

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    TUMOR PARU

    EFUSI PLEURA DEXTRA

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    TUMOR MEDIASTINUM

    POSTERIOR

    LK/66 TH LK/66 TH

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    HYPERTENSIV HEART DISEASE

    Konfigurasi aorta

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    MITRAL HEART DISEASE

    Konfigurasi mitral

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    MITRAL HEART DISEASE

    Pr/14 th Pr/ 14 th

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    SESUAI DENGAN GAMBARAN MITRAL STENOSIS

    PLEURAL REACTION BILATERAL

    Corakan bronchovaskuler

    Kedua paru meningkat

    COR : Membesar ke kiri

    dengan apex terangkat

    (RVH, Main Bronchus Kiriterangkat (LAE)

    Conus Pulmonalis

    Menonjol dan aorta kecil

    Kedua Sinus Tumpul dan

    kedua diafragma baik

    Tulang-tulang intakPr/24th

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    TETRALOGY FALLOT

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    BRONCHITIS KRONIS DISERTAI

    EMPYSEMATOUS (ppok)

    Pr/52 th

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    PNEUMOTHORAX, PNEUMOMEDIASTINUM DAN

    EMPHYSEMA SUBKUTIS

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    HYPERTROPHY PROSTAT

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    ACHALASIA OESOPHAGUS

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    ACHALASIA OESOPHAGUS

    MULAI DARI UJUNG DISTAL

    OESOPHAGUS (Tempat Obstruksi)

    SAMPAI KE PROXIMAL MENGALAMI

    DILATASI DAN ELONGASI

    SMOOTH CONTOUR

    MOUSE TAIL APPEARANCE

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    No. 500 Pr/40 th

    Klinis Tumor Anorectum Susp. Malignancy Kontras masuk melalui

    rectosigmoid sampai dicaecum

    Tampak bayangan fillintg

    defect bentuk irregulerdan gambaran applecoredi daerah rectum

    Tampak dinding colonsigmoid irreguler (rose

    thorn) Kesan : Tumor Rectum

    disertai colitis sigmoid

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    HISTEROSALPINGOGRAFI

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    HYSTEROSALPINGOGRAPHY

    * Gambaran yg terlihat dari foto HSG :1. Keadaan canalis cervicis uteri .

    2. Keadaan cavum uteri

    3. Kaadaan kedua tuba : adanya tanda-2

    salpingitis kronik ( paratubal filling )atau hidrosalping / pyosalping.

    4. Apakah tuba masih patent atau nonpatent

    ( adanya penyebaran kontras di dalam

    cavum Douglasi ).

    Spill (+) : tuba masih patentSpill (-) : tuba nonpatent

    * Contras yang dipergunakan adalah Urografin atau Endografin 10 cc

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    TRANSLOKASI IUD

    Klinis : Penderita perempauan (28thn) dgn nyeri perut bawah. Penderitaadalah peserta KB

    Foto HSG, kontras urografin 76%, 10cc, tampak :

    Cavum uteri terisi baik dengankontras

    Bentuk/besar/permukaan cavumuteri tampak normal

    Tidak tampak filling defect didalam cavum uteri

    Ke-2 tuba tidak terisi kontrasmulai dari cornu uteri. Spill keduatuba negatif

    Tampak bayangan IUD (jenisLippes Loop=Spiral) berada diluar( di caudal dan di kanan) cavumuteri

    Kesan : cavum uteri masih tampaknormal, kedua tuba non patent,Translokasi IUD

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    ILEUS OBSTRUKTIF

    Air fluid level

    Distended intestinal

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    KARDIOVASKULER

    ANATOMI

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    ANATOMIKARDIOVASKULER

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    RADIOANATOMI

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    RADIOANATOMI

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    RV ENLARGEMENT

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    LA ENLARGEMENT

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    LV ENLARGEMENT

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    RA ENLARGEMENT

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    LV OR RV ENLARGEMENT

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    MITRAL INSUFISIENSI

    COR ANALISA

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    COR ANALISA

    MITRAL INSUFISIENSI

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    EFUSI PERICARD

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    HYPERTENSIVE HEART DISEASE

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    HYPERTENSIVE HEART FAILURE

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    DECOMPENSASI CORDIS

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    PULMONARY EDEMA

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    EDEMA INTERSTITIAL

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    ULTRASONOGRAPHY

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