Foto Polos Abdomen (Fpa)

8/18/2019 Foto Polos Abdomen (Fpa)

1/30

FOTO POLOS ABDOMEN(FPA)/ BUICK OVERSIC FOTO

(BOF)

Putri Nurhayati

Dwi MurwatiFe ria N!rita


2/30

Pe"i#aia" U$u$

• PER%ATIKANI&e"tita' (Na$a U$ur N! RM Ta"**a# +!t! Dia*"!'i')Si&e Mar,er (Le+t !r Ri*ht)


3/30

• Pre-.erit!"ea# +at #i"e• Pre-.erit!"ea# +at #i"e $eru.a,a" ari"*a" #e$a, ya"* $e$ eri,a" aya"*

ra&i#u'e"t &i a*ia" #atera# a &!$e" ya"* er a#a" &ari ata' ,e awah 'e.a" a"*&i"&i"* a &!$e" ter'e ut

• 0a' u'u'• Pr!ye,'i aya"*a" he.ar (NORMAL &iata' ar1u' a!rta/ti&a, ta$.a, MEMBESAR

&i awah ar1u' 1!'ta2 %e.at!$e*a#i (Fatty Li3er Car'i"!$a A 'e' Li3er #) &a" #ie"• PSOAS #i"e

• Meru.a,a" aya"a* !.a, ya"* &i e"tu, !#eh Mu'1u#u' PSOAS Dari th!ra,a# 45'a$.ai ,e art 'a1r!i#ia,a Ke.er#ua""ya a&a#ah u"tu, $e"i#ai rea,'i / .r!'e' retr!.erit!"ea#


4/30

• K!"tur *i" a#• Ta$.a, e#a' i#a .er'ia.a" BNO &i#a,u,a" &e"*a" e"ar• Bata' ,!"tur *i" a# a&a#ah2 .!!# ata' 'eti"**i T% 45 &a" P!!#

awah 'eti"**i L6 Di$a"a *i" a# ,a"a" #e ih re"tah ,ira-,ira 4

1!r.u' 3erte re &ari *i" a# ,iri• Baya"*a" !.a, &i'e.a" a"* tra,tu' uri"ariu'• U"tu, $e"i#ai a&a"ya atu


5/30

P!'i'i FOTO

• AP Supine 2 ta$.a, ata' ata' &ia+ra*$a &a" VT 7II ata'awah 'y$.hi'i' .u i' K!"tur *i" a# ,a"a" ,iri ter#ihat

Perit!"ea# +at #i"e ti&a, !#eh ter.!t!"* Ta$.a, $u'1u#u'.'!a' $ay!r

•

Proyeksi setengah duduk 2 ta$.a, u&ara atau 1aira" u'u'&i#uar A,a" ta$.a, *a$ ara" u&ara e a' &i awah &ia+ra*$a A,a" ta$.a, *a$ ara" 1aira" &i r!"**a .e#3i'

• Left Lateral Decubitus (LLD) 2 u"tu, $e$.er#ihat,a" air 8ui&#e3e# ya"* $u"*,i" ter a&i a,i at .er+!ra'i ,!#!"


6/30


7/30


8/30

9e"i' Pe$eri,'aa" BOF

• Tanpa Kontras• Dengan Media Kontras

• K!"tra' .!'iti+ 2 Me"**u"a,a" Bariu$ (BaS!:) &e"*a" ,!"'e"tra'i'e e'ar ;< = >< ?/ N (e'!*au' #a$ u"* u'u')

Me"**u"a,a" i!&iu$ (*i" a# e$.e&u .e$ u#uh &arah #i$+e)• K!"tra' "e*ati+ 2 u&ara• Met!&e ,!"tra' 2

• K!"tra' tu"**a#• K!"tra' 0a"&a 'atu taha. @ &ua taha.


9/30

Kasus PadaPemeriksaan BOF


10/30

Double Bubble Sign• Double bubbles .a&a ayi u*a

erhu &e"*a" ,e#ai"a",!"*e"ita# .a&a &u!&e"u$(atresia duodeni)


11/30

Single Bubble Sign

• Tera&a.at *a$ ara" u&ara .a&a*a'ter ('i"*#e u #e)

• Single dark bubble .a&a ayi y*erhu &*" ,e# K!"*e"ita# .a&a

*a'tri1 !ut#et ( pyloric stenosis )


12/30

Triple Bubble Sign

• Triple Buble Sign &i&a.at,a" .a&a ayi &e"*a" atre'ia e u"u$ ( jejunal atresia )


13/30

Me*a1!#!" K!"*e"ita#

• Me*a,!#!" ,!"*e"ita# (.e"ya,ithir'1h.ru"*) &r a"!re,ta# ia'a"ya$e$ eri *a$ ara" .e#e ara" &r !r*a"t'

• A"a, ti&a, &a.at ua"* air e'ar &a"+!t! ra&i!*ra .!#!' 'a"*at $iri.&e"*a" *a$ ara" i#eu'


14/30

• Cofee been sign $eru.a,a"*a$ ara" ,ha' 3!#3u#u' &r u'u'('i*$!i&) &a" u*a $eru.a,a",ea&aa" *awat e&ah ,r"

$e"ye a ,a" "e,r!'i' u'u' @.er+!ra'i


15/30

Ri*#er ' Si*"• igler!s sign u*a &i,e"a#

'e a*i double wall sign. Ter#ihat .a&a+!t! .!#!' a &!$e" i,a ter&a.atu&ara ai, .a&a 'i'i &a#a$ (#u$i"a#)$au.u" 'i'i #uar (.erit!"ea#) u'u'ha#u'

• Da#a$ ,ea&aa" "!r$a# u&ara ha"ya$e#a.i'i a*ia" #u$i"a# &ari &i"&i"*u'u' &a" ti&a, $e#a.i'i a*ia" 'er!'a


16/30


17/30

%eari"* B!"e Si*"

• Ta$.a, air 8ui& #e3e# ya"* erti"*,at-ti"*,at ('te.#ea&er)

• Ta$.a, *a$ ara" hearing bone sign


18/30

• %erri"* !"e a..eara"1e .a&a +!t!.!#!' a &!$e" ,are"a &ua &i"&i"*u'u' ha#u' ya"* $e"e a# &a"$e"e$.e# $e$ e"tu, *a$ ara"

3erte ra (&ari i,a") &a" $u',u#u''ir,u#er $e"yeru.ai ,!'ta"ya


19/30

Ste. #a&&er a..eara"1e

• Ta$.a, *a$ ara" air 8ui& #e3e# ya"* .e"&e,-.e"&e, &a"erti"*,at-ti"*,at 'e.erti ta"**a &i'e ut Step la

appearance ,r" 1aira" tra"'u&a'i era&a &a#a$ u'u'ha#u' ya"* $e"*a#a$i &i'te"'i

•

Pa&a +!t! .!'i'i te*a, a,a" ta$.a, &i e era.a te$.at( ultiple !uid le"els) ya"* ta$.a, ter&i'tri u'i &a#a$'u'u"a" ta"**a 'e&a"*,a" u'u' 'e e#ah &i'ta# &ari! 'tru,'i a,a" ta$.a, ,!'!"*


20/30

• 9u$#ah #!!. &ari u'u' ha#u' ya"* er&i#ata'i 'e1arau$u$ $e"u" u,,a" ti"*,at! 'tru,'i

•

Leta, ti"**i &a" re"&ah


21/30

0r!u"& *#a'' a..eara"1e

• 9i,a ter&a.at 'uatu ,ea&aa"&i$a"a ter&a.at 1aira" .u'atau &arah &a#a$ 1a3u$.erit!"eu$ $a,a ia'a"ya

.a&a +!t! .!#!' a &!$e" (BOF)&i&a.at,a" *a$ ara" #round#lass $ppearance


22/30

Mete!ri'$u'

• Di#ata'i 1!#!" &e"*a" .e"i"*,ata" *a' u'u'


23/30

BOF De"*a"K!"tra'


24/30

• Me&ia ,!"tra' 2Bariu" Sulfat K I Bi#a a&a ,e1uri*aa" .er+!ra'i u'u'

Bi#a a&a a'.ira'i ariu$ ,e .aru.a&a ,ea&aa" ! 'tru,'i u'u' t!ta#

Media kontras larut air non#ionik I"&i,a'i 2 $e"&ete,'i .er+!ra'i u'u' @ i#a ter&a.at ! 'tru,'it!ta# .a&a u'u' atau e'!+a*u'


25/30

• MA$AM%&A 2 4 Penelanan bariu" I"&i,a'i 2 &i'+a*ia atau re8u,'e'!+a*u'5 Bariu" Meal i"&i,a'i 2 &i'.e.'ia "yeri *a'tri, $a''ae.i*a'tri, 6 Pe"eriksaan usus halus seluruhnya (s"all bo'elfollo' through): Bariu" ene"a C!#!" i" L!!.Di*u"a,a" u"tu, $e"i#ai a&a"ya 'tri,tur $a''a &a" .!#i.

.a&a ,!#!"


26/30

• P ( ntra enous Pyelogra*)U"tu, .e$eri,'aa" *i" a# ureter VU $e"**u"a,a" 'i"ar 7&*" $e"**u"a,a" i" e,'i $e&ia ,!"tra' $## 3e"aDa.at $e"*etahui ,e#ai"a" &i tra,tu' uri"ariu' eru.a 2

BatuPe$ e'ara" .r!'tatTu$!r/$a''a .a&a *i"a # ureter VU


27/30

$arcino"a Buli#Buli

• Ta$.a, ##i"* &e+e1t &e"*a"te.i ire*u#ar .a&a #atera# ,iri

Ve'i,a Uri"aria


28/30

Polip Kolon

• I$a*e 'h!w' a #ar*e 'ta#,e& .!#y.i" the 1e1u$ %i't!#!*i1a##y the.!#y. wa' ha$art!$at!u'


29/30

$horn Disease

• Ter&a.at *a$ ara" 1a e# 't!"e( 'e.erti atu ata erti"*,at.a&a a*ia" u'u' )


30/30

$arcino"a $olon

• Ter&a.at *a$ ara" a.e# 1!re .a&a a*ia" 1!#!"

Foto Polos Abdomen (Fpa)

Documents

Transcript of Foto Polos Abdomen (Fpa)