RADIOLOGI - Sistem Alimentari
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Transcript of RADIOLOGI - Sistem Alimentari
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Disediakan Oleh : Nassruto
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PengenalanPengenalan
Pengambilan filem x-ray biasa abdomen (Plain x-ray film) merupakan; Penyiasatan radiologikal asas. Bukan penyiasatan rutin.Membantu dalam pengesanan; Gas diafragm – kes ac. abdomen. Kalkuli renal. Kalkuli salur hempedu. Kalsifikasi pangkreas.
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Plain Abdominal X-Plain Abdominal X-RayRay
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Pemerhatian Filem Pemerhatian Filem X-Ray AbdX-Ray Abdnn
Struktur yang boleh dilihat & perlu dinilai iaitu;a) Sempadan (Boundaries)
Diafragm, otot psoas, ‘extraperitoneal fat’
b) Udara dlm organ (Hollow viseral gas)Udara yg terbentuk dlm gaster, usus kecil
& usus besar.
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Stomach;- terletak atas tranverse colon.- Supine view – ‘Band-like shadows’.- Erect view – ‘Gas-fluid level’ di bwh Lt
hemidiaphragm.Duodenum;- Terdapat udara & ‘fluid level’.Usus Kecil;- Terdapat udara & ‘fluid level’ yg pendek.
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c) Organ Hepar – Homogenous opacity pd RUQ &
mengunjur ke LUQ. Sempadan bawah hati dapat di agak dgn lokasi udara pd hepatic flexure & transverse colon.
Ginjal, pundi kencing & otot psoas – kenalpasti garis sempadannya.
d) Saluran Darah Aorta (kalsifikasi)
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Keabnormalan Keabnormalan Dlm X-Ray AbdDlm X-Ray Abdnn
a) Kalkuli ginjal.
b) Kalkuli biliari.
c) Gas (Udara) bebas di peritoneum.
d) Kalsifikasi di pangkreas & aorta.
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Ujian Khas X-Ray Ujian Khas X-Ray AbdomenAbdomen
a) Barium meal menggunakan bahan kontras yg larut air (Gastrografin). Mengesan masalah berkaitan dengan esofagus, gaster &
usus kecil spt kes stricture, kanser, varices, ulcer dlln.b) Barium Enema
Mengesan masalah berkaitan dengan kolon spt kanser, penyakit diverticulum, penyakit croh’n, ischemic colitis.
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Ujian Khas X-Ray Ujian Khas X-Ray AbdomenAbdomen
c) Endoscopic Retrograde Cholangio Pancreotography (ERCP)
menggunakan bahan kontras yg dimasukkan terus ke Common Bile Duct melalui kateter yg dimasukkan ke ampula of vater. Kateter berasal dari Endoscope di duodenum.
Mengesan masalah berkaitan dengan sistem Biliary spt obstruksi common bile duct.
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Ujian Khas X-Ray Ujian Khas X-Ray AbdomenAbdomen
d) CT Scan (Computed Tomography)e) MRI (Magnetic Resonance Imaging) MRI & CT scan dapat mengenalpasti keabnormalan
pada hepar, biliarry tree, spleen, pankreas, pelvis & struktur retroperitoneal.
Cth kanser, abscess, batu karang (stones).
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HydronephrosisHydronephrosis
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KUB X-Ray IVU X-Ray
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Air Air Diaphragm Diaphragm
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Aortic CalcificationAortic Calcification
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Air Air Diaphragm Diaphragm
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Int. ObstructionInt. Obstruction
SupineSupine ErectErect
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ERCPERCP
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Liver AbscessLiver Abscess
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MRI Ca RectumMRI Ca Rectum
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