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muhammad-nasrullah
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RADIOLOGI - ABDOMEN
Pengambilan filem X-Ray (plain) dalam pemeriksaan abdomen
Disediakan Oleh : Nassruto
Tujuan
• Membantu dalam siasatan asas pemeriksaan abdomen, namun ianya tidaklah rutin.
• Membantu dalam mengesan ‘gas’dibawah diafragma – ‘acute abdomen’
• Kulkuli – ginjal, saluran hempedu• Kalsifikasi – pankreas
Pemerhatian filem X-ray abd.
Antara struktur boleh lihat – filem x-ray abd.- sempadan (Boundaries) : diafragma, otot psoas, ‘extra
peritoneal fat’ (the flank lines)- ‘Hollow Viseral Gas’ (udara dlm organ)
: udara dlm gaster, usus kecil dan besar- Organ : Hepar, Limpa, Ginjal (size)- Saluran darah : Aorta (kalsifikasi)
Keabnormalan dgn filem x-ray
1. Kalkuli ginjal2. Kalkuli biliari3. Gas(udara) bebas di peritonium4. Kalsifikasi di pankreas
sila lihat – 5.21, 5.22, 5.23, 5.24, 5.25, 5.26
CT SCAN
ultrasound
• High frequency wave : 20,000 khz Vibrating /second
• Fetal monitoring• Imaging internal organ• In high frequency – cleaning
of surgical and dental instruments
1st
2nd
3rd appendicolith
4th coint in child esophagus
5th Dermoid in pelvis
6th surgical lap towel
7th Pancreatitic calcification
8th ring in stomach
9th Pancreatic calcification
10th Bladder calculus
11th Distended small bowel
Distended small bowel loop (A) & Air in the colon (B)
Air under diaphfragm
Left lateral decubitus view (air)
Acute Pancreatitis
Initial CT
Abdomen (colon drop down)
Multiple calcification over pancreas
CT abdomen (cari tak betul)
A = GBB = pencreatitic calsificatinC = Rt. KidneyD = sperior mesenteric arteryE = duodenum
Ct scan Abdomen (status of pancreas)
• The edematous appearance of the pancreas, fluid in the body and tail portion of the pancreas, and fluid extending along the left anterior pararenal space all suggest acute inflammation of the pancreas. There is a demarcated fluid collection which has the appearance of a "pseudocyst". (CT )
Ultra sound
• the best initial imaging modality to confirm biliary dilatation?
Ct Scan Abdomen• "E" points to bilateral
pleural effusions. The fluid on both sides is posterior to the diaphragms, therefore it is located in the pleural spaces.
• "A" points to unopacified dilated biliary radicals.