Bimbingan Coas
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Transcript of Bimbingan Coas
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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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