bloksistemamusculosceletal
TRANSCRIPT
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dr. Ana Majdawati, M.Sc, Sp.Rad
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Tujuan Instruksional Khusus (TIK)Pada akhir kegiatan mahasiswa dapat :1. Mendiagnosis gangguan atau kerusakan pada
SSP:A.Otak :
– Stroke haemorrhagik – Stroke Non haemorrhagik (infark/ischaemik)– Perdarahan– Massa– Infeksi– Kelainan kongenital
B.Medulla Spinalis– Hernia Nucleus Pulposus– Massa intra/extra dural/medular
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2. Membaca dan memberi kesan gambaran radiology kasus-kasus pada musculosceletal, yaitu:
A. Nyeri tengkuk (cervical syndrome)B. Nyeri Sendi
– Osteorthritis– Rheumatoid arthritis
C. Low Back Pain • Spondilosis• Spondiloarthrosis• Listhesis• Axial kompressi• Paraspinal musculospasme• Cauda equina• Sacralisasi, lumbalisasi• Scoliosis
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PEMERIKSAAN RADIOLOGIPLAIN PHOTOCT SCANMRIBONE SCINTIGRAPHYUSG
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PLAIN PHOTO
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Ct Scan
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Bone Scintigraphy
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MRI
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Penderita, laki-laki 50 th , kesadaran menurun yang terjadi tiba-tiba, anggota gerak kanan tak bias digerakkanHasil : Tampak lesi hiperdens, batas tegas, bentuk amorf di ganglia basalis sinistra yang menyempitkan ventrikel lateralis sinistra.Kesan : Perdarahan di ganglia basalis sinistra (Intra Cerebral Haemorrhagic)
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Kesan : Infark cerebri di paraventrikuler sinistra dan lobus parietalis sinistra
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Cervical syndrome
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Degenerative Disk Disease
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Joint space tampakmenyempitTampak subchondral scleroticKESAN : Osteorthritis genu dan coxae
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Penyempitan celah sendi, subluksasi (+)KESAN : Reumathoid Arthritis
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Spina Bifida
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Subchondral sclerotic, Osteofit di V.LumbalKESAN :Spondiloarthrosis
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Kelengkungan tidak sejajarListhesis corpus V.L4-5
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C: DIV lumbal 4-5 melebarD: osteofit (+), DIV ada yang menyempit/melebarKESAN : Spondiloarthrosis lumbales
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Soft tissue swelling (+); joint space menyempitKESAN : Gout
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Sacroiliaca joint menyempit, lesi sclerotic (+)KESAN : Arthritis
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Scoliosis
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Tumor Tulang
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Laki-laki, 42 tahun, tidak bisa berdiri tegak, dan berjalanKelainan apa yang tampak?Pemeriksaan lanjutan apa yang anda sarankan untuk paasien tersebut?
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Wanita, 37 tahun nyeri pinggangFoto apa ?Kelainan apa yang terlihat pada foto tersebut?
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Laki-laki 21 tahun, paha bagian bawah semakin membesar dan nyeri bila digerakkanKelainan apa yang terlihat pada foto ?
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Wanita 56 tahun, nyeri pinggangKelainan apa yang anda lihat?Diagnosis?
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Wanita 60 th, nyeri lutut, terutama bila untuk berjalan atau berdiri lama
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Laki-laki 48 tahun, kaki terlihat bengkak-bengkak terutama di daerah persendian . Terasa nyeriKelainan apa yang tampak?Diagnosis radiologi ?
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Penderita datang dengan keluhan pusing terus menerusKepala terasa berat dan kesadaran somnolenKelainan apa yang dapat dilihat
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Kelainan yang dilihat?Diagnosis?
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Laki-laki 26 tahun post KLLPenderita sewaktu kejadian Kelainan apa?Diagnosis?