Anatomi Endokrin Dr Faqi
description
Transcript of Anatomi Endokrin Dr Faqi
![Page 1: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/1.jpg)
Departemen Anatomi
Fakultas Kedokteran
Universitas Hasanuddin
1
Faqi Nurdiansyah Hendra
![Page 2: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/2.jpg)
2
PENDAHULUAN
SISTEM ENDOKRIN, adalah
o Sistem yang terdiri dari KELENJAR ENDOKRIN
o Yang menghasilkan HORMON
KELENJAR ENDOKRIN
o Suatu ORGAN TERSENDIRI atau
o Sekumpulan sel kelenjar yang jadi bagian ORGAN yang bukan kelenjar
o TIDAK MEMPUNYAI Saluran pengeluaran (ductus excretorius) produksi Hormon dilepas ke cairan intersel darah
![Page 3: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/3.jpg)
3
PENDAHULUAN
FUNGSI SISTEM ENDOKRIN
o Sistem Endokrin + Sistem Neural bersama-sama mengatur semua aktifitas organ/sistem tubuh lainnya, termasuk diantara keduanya.
o Tujuannya HOMEOSTASIS
![Page 4: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/4.jpg)
4
![Page 5: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/5.jpg)
5
ORGAN SISTEM ENDOKRIN
( merupakan Organ TERSENDIRI )
1. Glandula HYPOPHYSE
2. Glandula THYREOIDEA
3. Glandula PARATHYREOIDEA
4. Glandula SUPRARENALIS
5. PANCREAS
6. TESTIS/OVARIUM
7. EPIPHYSE (Glandula Pinealis)
8. THYMUS
![Page 6: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/6.jpg)
KELENJAR ENDOKRIN
Kel.endokrin lain yg merupakan BAGIAN dari
suatu organ : 1. Epitel GIT
2. Diencephalon
3. Glomus caroticus (carotid body)
4. Ren
5. Endothel pemb.drh
Semua aktifitas organ diatur atas koordinasi
untuk pencapaian homeostasis oleh sistem
neural & sistem hormonal
6
![Page 7: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/7.jpg)
7
![Page 8: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/8.jpg)
GLANDULA HYPOPHYSE
(Gld. Pituitaria)
8
Bentuk ovoid/kacang, ukuran
12 x 8 mm, berat ± 500 mg
Terdpt INTRACRANIAL (ttp
extradural) pd central fossa
cranii media,lanjutan dasar
diencephalon/ventr.III
Suatu kel.”two in one” organ
Dibungkus oleh CAPSULA
JARINGAN IKAT
![Page 9: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/9.jpg)
GLANDULA HYPOPHYSE
(Gld. Pituitaria) LETAK:
“fossa hypophyseal” pd superior sinus sphenoidalis +
nasopharynx
Ditutupi “diaphragma sellae” (bgn duramater) →
centralnya berlubang dilalui INFUNDIBULUM
SINUS CAVERNOSUS & isinya (lateral)
SINUS INTERCAVERNOSUS (ant+post+inf)
Chiasma opticum (ant.sup)
Dikelilingi CIRCULUS WILLISI
9
![Page 10: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/10.jpg)
10
![Page 11: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/11.jpg)
11
![Page 12: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/12.jpg)
12
![Page 13: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/13.jpg)
PEMBAGIAN
Terdiri dari 2 lobus :
1. LOBUS ANTERIOR
(ADENOHYPOPHYSE)
2. LOBUS POSTERIOR
(NEUROHYPHOPHYSE)
13
Lobus ant > lobus posterior
Lobus ant → struktur “celluler”(glandular)
Lobus post → struktur “neural” (axon dari hypothalamus)
Lobus ant → tdk berhubungan dgn diencephalon
Lobus post → lanjutan diencephalon
![Page 14: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/14.jpg)
14
![Page 15: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/15.jpg)
15
GLANDULA HYPOPHYSE
PRODUKSI HORMON
o LOBUS ANTERIOR
1. THYROID STIMULATING HORMONE (TSH) Gld. Thyreoidea
2. ADRENOCORTI COTROPIN HORMONE (ACTH) Gld. Suprarenalis
3. SOMATOTROPIN HORMONE/STH (GROWTH HORMONE = GH)
4. FOLLICLE STIMULATING HORMONE (FSH) Ovarium
5. LUTEINIZING HORMONE (LH), pada wanita Ovarium
6. INTERSTITIAL CELL STIMULATING HORMONE (ICSH), pd pria Testis
7. PROLACTIN / LACTOGENIC HORMONE Mammae
8. MELANOCYTE STIMULATING HORMONE (MSH) kulit
o LOBUS POSTERIOR
1. OXYTOCIN
2. VASOPRESSIN / ANTIDIURETIC HORMONE (ADH)
Karena itu Glandula Hypophyse = MASTER GLAND
![Page 16: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/16.jpg)
sist.endo/Prwt/FKUH/JIL/Des.05 16
![Page 17: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/17.jpg)
sist.endo/Prwt/FKUH/JIL/Des.05 17
![Page 18: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/18.jpg)
sist.endo/Prwt/FKUH/JIL/Des.05 18
![Page 19: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/19.jpg)
VASCULARISASI
1. Arteri dari cab. a.carotis interna: a. hyphophyseus superior
a. hyphophyseus inferior
2. Vena: (ke sinus cavernosus) v. hyphophyseus superior
v. hyphophyseus inferior
3. Intrahyphophyseal → terbtk: Anastomose
Sistem Portal hyphophyse
19
![Page 20: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/20.jpg)
20
![Page 21: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/21.jpg)
GLANDULA
SUPRARENALIS
( Adrenal Gland)
21
![Page 22: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/22.jpg)
Glandula suprarenalis
Berat 3-6 mg,ukuran 50x30x10
mm,warna kekuning-kuningan
Ada 2 buah: Gld.suprarenalis sin et
dextra
LETAK: Pd cavum abdominis (retroperitoneal)
Pd polus superior renalis sin + dextr.
Dibungkus : fascia renalis & perirenal fat
22
![Page 23: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/23.jpg)
23
Terdiri dari 2 bgn :
CORTEX (luar,9/10) dan
MEDULLA (dalam,1/10)
Cortex
Medulla
![Page 24: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/24.jpg)
Gld.Suprarenalis Dextra
Btk : pyramid
< sinistra
Relasi struktur:
anterior: pars affixa
hepatis lob.dextr
(sup+lat),V.cava
inf(lat),peritoneum (inf)
Posterior:diaphragma
(sup),ventromedial
polus renalis dextr(inf)
Gld.suprarenalis Sinistra
Btk : semilunaris
> dextra
Relasi struktur:
Anterior: ddg post bursa
omentalis+gaster(sup),
corpus pancreatis (inf)
Posterior: crus sin diaph
(medial), medial polus sup
ren sin (lat)
24
![Page 25: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/25.jpg)
25
GLANDULA SUPRARENALIS 2(2)
Produksi Hormon :
o Dari CORTEX
1. MINERALOCORTICOID
(Aldosterone)
2. GLUCOCORTICOID
(Cortisone/Cortisol)
3. SEX HORMONE
o Dari MEDULLA :
1. ADRENALINE
2. NORADRENALINE
![Page 26: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/26.jpg)
Glandula suprarenalis
VASCULARISASI: 1. A.suprarenalis
superior (cab.a.phrenica inf)
2. A.suprarenalis media (cab.lgsg aorta abd)
3. A.suprarenalis inf (cab.a.renalis)
26
![Page 27: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/27.jpg)
Vena:
Hanya 1 : v. suprarenalis, keluar dr hilus suprarenalis
Dextra →ke V. cava inferior
Sinistra →ke v.renalis sinistra
Innervasi:
Hanya SIMPATIS, dari n.splanchnicus thoracis →
cortex + medulla
27
![Page 28: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/28.jpg)
28
![Page 29: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/29.jpg)
PANCREAS
Suatu kel. Endokrin →ttp juga kel.exocrine
Strukturnya:lobuler, dibungkus capsula
jar.ikat
Berat 67-75 gr,panjang 14-18 cm
Surface anatomy, terletak:
Regio epigastrium
Regio hypochondrium sinistra
Pd bidang/linea TRANSPYLORICA
29
![Page 30: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/30.jpg)
30
![Page 31: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/31.jpg)
Bagian-bagiannya
1. CAPUT PANCREATIS: Regio epigastrium
Terltk pd lengkungan huruf “C” duodenum (pars
sup+desc+horizontal)
s/d batas INCISURA PANCREATICA
2. CORPUS PANCREATIS: Regio epigastrium
Mulai pd incisura pancreatica
Diventral aorta abdominalis & ren sin,didorsal gaster
s/d batas lig.lienorenale
3. CAUDA PANCREATIS: Regio hypochondrium sinistra
Didlm lig.lienorenale, masuk hilus lienalis
31
![Page 32: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/32.jpg)
32
![Page 33: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/33.jpg)
33
![Page 34: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/34.jpg)
RELASI STRUKTUR
DEXTRA: lengkungan “C” duodenum
SINISTRA: hilus lienalis
SUPERIOR: a.lienalis, pylorus
INFERIOR: flexura duodenojejunalis
VENTRAL:bursa omentalis,gaster,mesocolon
transv,colon transversum
DORSAL:V.C.inf,aorta abd, ren sin,v.lienalis,crus
diaphragma,v.mes.inf, v.porta,ductus choledochus
34
![Page 35: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/35.jpg)
35
PANCREAS
Gabungan KEL. EKSOKRIN dan KEL. ENDOKRIN
Bagian KEL. EKSOKRIN yang punya Ductus Pancreaticus (Ductus Wirsungi)
Bagian KEL. ENDOKRIN yaitu bagian PULAU-PULAU LANGERHANS dari Pancreas, terdiri sel :
o Sel ά Hormon GLUCAGON
o Sel β Hormon INSULIN
![Page 36: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/36.jpg)
36
THE PANCREAS AS A
HORMONAL GLAND
![Page 37: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/37.jpg)
VASCULARISASI CAPUT PANCREAS:
1. A. Pancreatico duodenalis superior
(cab.a.gastroduodenale)
2. A. Pancreatico duodenalis inferior (cab.a.mesenterica
superior)
CORPUS + CAUDA:
Merupakan cab. A.Lienalis
1. A.pancreatico dorsalis/transversa
2. A.pancreatico magna
3. A.pancreatico caudalis/inferior
37
![Page 38: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/38.jpg)
38
a.pancreatica inferior
a.gastroduodenale
a.pancreatica dorsalis
a.pancreatica magna
a.pancreaticaoduodenalis superior a.pancreaticoduodenalis inferior
a. lienalis
![Page 39: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/39.jpg)
Vena: secara umum
berjalan bersama arteri
1. V.pancreatico
duodenalis superior:
bermuara ke v.porta
2. V.pancreatico
duodenalis inferior :
bermuara ke
v.mesenterica sup
3. V.pancreatico
transversa/inf: bermuara
ke v.mesenterica inf.
39
![Page 40: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/40.jpg)
GLANDULA
THYREOIDEA
40
![Page 41: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/41.jpg)
MORFOLOGI Td 2 lobus yang simetris, dihubungkan oleh
ISTHMUS, terkadang terdapat LOBUS
PYRAMIDALIS
Dibungkus oleh fascia propria (TRUE
CAPSULE) dan fascia pretrachealis (FALSE
CAPSULE)
41
![Page 42: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/42.jpg)
MORFOLOGI
Terletak di bag. Anterior leher (Larynx-trachea)
V C5-7 dan V Th1
Ditutupi oleh m.sternohyoideus dan m.sternothyreoideus
Ujung cranial dpt mencapai LINEA OBLIQUA CART.THYREOIDEA
Ujung caudal (cincin trachea 5-6)
42
![Page 43: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/43.jpg)
43
![Page 44: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/44.jpg)
MORFOLOGI
Difiksasi juga pd trachea dan cartilago
cricoidea (LIGAMENT OF BERRY)
Sebelah superficialnya terdapat otot-otot
INFRAHYOID
Disebelah profunda terdapat
N.LARYNGEUS EXT. & N.
RECURRENS
Sebelah Postero-lateral terdapat
CAROTID SHEATH
44
![Page 45: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/45.jpg)
VASCULARISASI
A.THYREOIDEA SUPERIOR (cab. A.carotis
externa), mempercab.kan r.anterior (menuju
ke isthmus) dan posterior, beranastomose
dengan r.ascendens a.thyreoidea inferior
A.THYREOIDEA INFERIOR (cab.truncus
thyreocervicalis) mensuplai ke sebag.besar
kelenjar
45
![Page 46: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/46.jpg)
VASCULARISASI A.THYREOIDEA IMA (cab.
Truncus brachiocephalicus
atau langsung dari arcus
aortae)
Aliran darah vena
(V.THYREOIDEA SUP,
MEDIA,INF)
v.thyreoidea Sup & Media
bermuara kedlm v.jugularis
interna dan v.thyreoidea inf
bermuara ke
v..brachiocephalica
46
![Page 47: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/47.jpg)
47
![Page 48: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/48.jpg)
INNERVASI
SIMPATIS (berhubungan dengan a.thyreoidea
superior dan a.thyreoidea inferior)
GANGLION CERVICALE SUPERIOR
GANGLION CERVICALE MEDIUS
48
![Page 49: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/49.jpg)
FUNGSI GLAND. THYREOIDEA
Thyroxin (T4) dan
triiodothyronine (T3)
mempercepat laju
metabolik
Calcitonin menurunkan
kadar Ca2+ dalam darah
Kelainan : Hipertiroid dan
Hipotiroid Goiter
Exophthalmus
49
![Page 50: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/50.jpg)
GLANDULA
PARATHYROIDEA
50
![Page 51: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/51.jpg)
Glandula Parathyreoidea
4 buah di dorsal lobus lateralis gld.thyreoidea
Ukuran 6x4x2 mm, berat 50 mg
Melekat pd parenchym gld.thyreoidea,dibungkus capsula fibrosa (true capsul)
Td masing-masing 1 psg: 1. Gld. Parathyreoidea superior (diposterior apex gld.thyr)
2. Gld. Parathyreoidea inferior (diposterior basis gld thyr)
Vascularisasi: sesuai gld.thyreoidea, ttp tu. Dari a.thyreoidea sup.
Innervasi & aliran Lymphe: ikut gld.thyreoidea
51
![Page 52: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/52.jpg)
52
![Page 53: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/53.jpg)
EPIPHYSE (GLANDULA PINEALIS)
Bagian dari EPITHALAMUS (Struktur Syaraf)
Terletak Intracranial, pada ujung posterior di linea
mediana DIENCEPHALON
Ada 1 (satu)
FUNGSI :
o INHIBISI (menghambat) Aktifitas hormon dari
Hypothalamus, Gld. Hypophyse, Gld.
Parathyreoidea, Pancreas, Testis / Ovarium
o Pengaturan Pigmentasi
o Fotosensitif
53
![Page 54: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/54.jpg)
54
Hypothalamus
![Page 55: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/55.jpg)
THYMUS
Terletak :
o Pada Mediastinum Superior
o Tepat dibelakang Manubrium
Sterni
o Didepan pembuluh darah besar
jantung
Terdiri dari 2 Lobus
Pada orang dewasa Regressi pada
> 20 tahun
Produksi hormon THYMOSIN
pengaturan Immunologis
55
![Page 56: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/56.jpg)
56
OVERVIEW
![Page 57: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/57.jpg)
TESTIS
Anatomi TESTIS / OVARIUM dibicarakan pada
SISTEM UROGENITALIA
57
![Page 58: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/58.jpg)
OVARIUM
58
![Page 59: Anatomi Endokrin Dr Faqi](https://reader035.fdocuments.net/reader035/viewer/2022082202/5695d0a81a28ab9b0293590a/html5/thumbnails/59.jpg)
TERIMA KASIH
59