foto polos abdomen
TRANSCRIPT
![Page 1: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/1.jpg)
FOTO POLOS ABDOMENFOTO POLOS ABDOMEN(FPA)(FPA)
= ABDOMINAL PLAIN FILM= ABDOMINAL PLAIN FILM= KUB= KUB= BNO= BNO
![Page 2: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/2.jpg)
FPAFPA Dg persiapan : bila dicurigai kelainan Dg persiapan : bila dicurigai kelainan
GI/ GI/ TUR sebelum kontras. TUR sebelum kontras.
Tanpa persiapan : pd kasus abdomen Tanpa persiapan : pd kasus abdomen akut.akut.
![Page 3: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/3.jpg)
persiapanpersiapan Makan lunakMakan lunak Urus-urusUrus-urus Minum banyakMinum banyak Lavemen.Lavemen.
![Page 4: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/4.jpg)
ABDOMEN AKUTABDOMEN AKUTTEKNIK PEMOTRETANTEKNIK PEMOTRETAN Sinar vertikal : AP Sinar vertikal : AP
supine & Lateral.supine & Lateral. Sinar horisontal : Sinar horisontal : - tegak utk menilai - tegak utk menilai
daerah subfrenikdaerah subfrenik - LLD - LLD
![Page 5: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/5.jpg)
Interpretasi FPAInterpretasi FPA Fat spaces/fat lines : radiolusenFat spaces/fat lines : radiolusen preperitoneal & psoaspreperitoneal & psoas Distribusi udara : Normal pd gaster – colon Distribusi udara : Normal pd gaster – colon
– – rectum.rectum. Organ-organ intra abdomen : Organ-organ intra abdomen :
Liver,lien,ginjal.Liver,lien,ginjal. Kelainan-kelainan patologisKelainan-kelainan patologis
![Page 6: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/6.jpg)
![Page 7: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/7.jpg)
patologipatologi1.1. KALSIFIKASI.KALSIFIKASI.2.2. ASITES.ASITES.3.3. PNEUMOPERITONEUM.PNEUMOPERITONEUM.4.4. LOCALIZED GAS COLLECTIONS.LOCALIZED GAS COLLECTIONS.5.5. INFLAMASI.INFLAMASI.6.6. ILEUS ILEUS 7.7. TRAUMATRAUMA
![Page 8: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/8.jpg)
KALSIFIKASIKALSIFIKASI Batu empedu – BSKBatu empedu – BSK Lesi benigna : myoma, kista ginjal, kista Lesi benigna : myoma, kista ginjal, kista
dermoiddermoid Lesi maligna : hepatoma, tumor-tumor Lesi maligna : hepatoma, tumor-tumor
lainlain Inflamasi : pankreas, TBInflamasi : pankreas, TB Vaskuler : phleboliths, arteriosclerosis, Vaskuler : phleboliths, arteriosclerosis,
aneurysmaneurysm
![Page 9: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/9.jpg)
![Page 10: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/10.jpg)
ASITESASITES Udara usus terkumpul di sentralUdara usus terkumpul di sentral Perirenal fat & psoas line obliterasi.Perirenal fat & psoas line obliterasi.
![Page 11: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/11.jpg)
PNEUMOPERITONEUMPNEUMOPERITONEUM Diagn – FPA sinar horisontalDiagn – FPA sinar horisontal Pd foto tegak : subfrenik.Pd foto tegak : subfrenik. foto LLD : sisi kanan.foto LLD : sisi kanan. supine : Rigler sign, foot ball supine : Rigler sign, foot ball
signsign. Kausa : - perforasi.. Kausa : - perforasi. - post operasi, dialisis, HSG, - post operasi, dialisis, HSG, laparoskopi, tindakan intervensi. laparoskopi, tindakan intervensi.
![Page 12: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/12.jpg)
![Page 13: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/13.jpg)
![Page 14: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/14.jpg)
LOCALIZED GAS COLLECTIONSLOCALIZED GAS COLLECTIONS GAS DALAM ABSESGAS DALAM ABSES NECROSIS USUS NECROSIS USUS PNEUMATOSIS PNEUMATOSIS GAS DLM SISTEM PORTA GAS DLM SISTEM PORTA NEC NEC
![Page 15: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/15.jpg)
INFLAMASIINFLAMASI Localized Localized sentinel loop (secondary sentinel loop (secondary
paralysis)paralysis) Generalized Generalized ileus paralitikus. ileus paralitikus. Obliterasi fat planes krn edemaObliterasi fat planes krn edema Pd kolesistitis sering ada batu Pd kolesistitis sering ada batu
empeduempedu Pd apendisitis : apendikolithPd apendisitis : apendikolith
![Page 16: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/16.jpg)
tampak appendikolith (panah) pada kuadran kanan bawah
![Page 17: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/17.jpg)
ILEUSILEUS Paralitik = adinamik.Paralitik = adinamik. pelebaran tak menyolokpelebaran tak menyolok fluid level panjang.fluid level panjang. Obstruktivus = dinamikObstruktivus = dinamik - letak tinggi : dilatasi usus halus- letak tinggi : dilatasi usus halus colon tak melebarcolon tak melebar - letak rendah : colon & usus halus - letak rendah : colon & usus halus lebarlebar
![Page 18: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/18.jpg)
![Page 19: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/19.jpg)
ILEUS OBSTRUKTIVUSILEUS OBSTRUKTIVUS Intususepsi : soft tissue mass.Intususepsi : soft tissue mass. ileocaecal invag – terkadangileocaecal invag – terkadang secara radiologi normalsecara radiologi normal Gall stone ileus : fistula GB-bowelGall stone ileus : fistula GB-bowel batu terhenti batu terhenti ileusileus pneumobilia pneumobilia volvulusvolvulus
![Page 20: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/20.jpg)
VOLVULUSVOLVULUS Small bowel – rotasi disekitar mesenteriumnya Small bowel – rotasi disekitar mesenteriumnya sangat jarang sangat jarang dilated bowel loops dilated bowel loops Large bowel - lebih seringLarge bowel - lebih sering sigmoid : distensi menyolok sigmoid : distensi menyolok
caecum : lebih mudacaecum : lebih muda
kolon sisi kiri kolon sisi kiri biasanya kolapsbiasanya kolaps
![Page 21: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/21.jpg)
![Page 22: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/22.jpg)
Small Bowel Obstruction
Multiple air-containing and dilated loops of
small bowel
No gas in rectosigmoid
Multiple air-fluid levels
in small bowel
![Page 23: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/23.jpg)
TRAUMATRAUMATRAUMA TUMPULTRAUMA TUMPUL Pembesaran kontur organPembesaran kontur organ Infiltrasi fat planes oleh asites, darah, Infiltrasi fat planes oleh asites, darah,
cairan empedu & edema cairan empedu & edema hilangnya hilangnya kontur yang normalkontur yang normal
TRAUMA TAJAMTRAUMA TAJAM Kerusakan pada parenkim organKerusakan pada parenkim organ perforasiperforasi
![Page 24: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/24.jpg)
RINGKASANRINGKASAN FPA penting dlm kasus abdomen akutFPA penting dlm kasus abdomen akut Gambaran normal perlu difahamiGambaran normal perlu difahami Semua hal patologis perlu dicatat Semua hal patologis perlu dicatat
termasuk distribusi udara, kalsifikasi, termasuk distribusi udara, kalsifikasi, displacement.displacement.
Keterangan klinis dan anamnesa Keterangan klinis dan anamnesa penting dilakukan.penting dilakukan.
![Page 25: Foto Polos Abdomen](https://reader035.vdocuments.mx/reader035/viewer/2022081502/577ccd5e1a28ab9e788c252e/html5/thumbnails/25.jpg)