fixx laporan kasus kelompok cantik fixxx
TRANSCRIPT
7/26/2019 Fixx Laporan Kasus Kelompok Cantik Fixxx
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Laporan Kasus
Juni 2016
FAKULTAS KEDOKTERAN
UNIVERSITAS HASANUDDIN
HYDROPNEUOTHORA!
OLEH"
Nuru# In$a% P&r'i(i )111120*2
A+ Yusriana A,,a%ra )111120*-
.&ss& Ju/rana )111120*
Ar/a(a'i )111120**
P&/i/in3 R&si$&n
$r+ 4&n$a Anas'asia I
Dos&n P&/i/in3
$r+Lu'%5 A''a/i/i7 Sp+Ra$
DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAAN KLINIK
BAGIAN RADIOLOGI FAKULTAS KEDOKTERAN
UNIVERSITAS HASANUDDIN
MAKASSAR
2016
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HALAMAN PENGESAHAN
Yang be!an"a !angan "# ba$a% #n#& 'en(a!a)an ba%$a *
1+ N,,- In"a% Pe!#$# .111120/2
2+ A+ Y,#ana Aa%a .111110/
+ Bee 3,'ana .111120/44+ A'a$a!# .111120//
3,",- La5an Ka,* H("5ne,'!%a7
Te-a% 'en(e-ea#)an !,ga "a-a' ang)a )e5an#!eaan )-#n#) 5a"a bag#an Ra"#-g# Fa),-!a
Ke")!ean Un#8e#!a Haan,""#n+
Ma)aa& 3,n# 2016
Kn,-en Pe'b#'b#ng
$r+ Lu'%5 A''a/i/i7 Sp+Ra$ $r+ 4&n$a Anas'asia I
Menge!a%,#&
Ke5a-a Bag#an Ra"#-g#
Fa),-!a Ke")!eanUn#8e#!a Haan,""#n
Pro5+ Dr+ $r+u%a//a$ I#as7 Sp+Ra$8K9
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DAFTAR ISI
HALAMAN
PENGESAHAN ++++++++++++++++++++++++++++++++++++++++++++++++++++++++
DAFTAR
ISI ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
BAB 1 PRESENTASI
KASUS +++++++++++++++++++++++++++++++++++++++++++++++++++++++
BAB 2 TIN3AUAN PUSTAKA
999999++++++++++++++++++++++++++++++++
A+ PENDAHULUAN++++++++++++++++++++++++++++++++++++++++++++++++++++++++
++++++++++
B+ ANATOMI DAN
FISIOLOGI+++++++++++++++++++++++++++++++++++++++++++++++
.+ PATOFISIOLOGI PNEUMOTHORA: DAN EFUSI
PLEURA++
9+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
D+ RADIOLOGI999999999999999999+
E+ DIFFERENTIAL DIAGNOSIS++++++++++++++++++++++++++++++
9+++99
DAFTAR
PUSTAKA +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
2
4
10
10
10
14
1;
2;
4
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.A. I
PRESENTASI KASUS
1+1 I$&n'i'as Pasi&n Na'a * Tn+ S
U', * 20 Ta%,n
N+ Re)a'Me"#) * <61064
R,angPea$a!an * Ln!aa A!a De5an
Tangga- MRS * 11 3,n# 2016
1+2 Ana/n&sis
• Ke-,%an ,!a'a * L,)a !,,) "# 5,ngg,ng
• R#$a(a! Pen(a)#! Se)aang *
Pa#en "a!ang "engan )e-,%an -,)a !,,) "# 5,ngg,ng (ang "#a-a'# e=a) ),ang -eb#% /
=a' (ang -a-, ebe-,' "#,=,) )e RSWS+ Pa#en e"ang ",",) -a-, !#ba>!#ba "a!ang ?
ang (ang )e',"#an 'en(eang "an 'en,,) 5,ngg,ng 5a#en "engan ba"#)+ Pa#en
)e',"#an "#ba$a )e P,)e'a Ta'a-a!e 3ene5n! -a-, "# ,=,) )e RSUD Lan! Dg+
Pae$ang 3ene5n!+ Sebe-,' "#,=,) 5a#en "#=a%#! -,)an(a "an "#-a),)an 5e'e#)aan
@! !%a)+ Pa#en 'enge-,% ea) "an be),ang e!e-a% 5e'aangan WSD+ .a#an
(ang )e-,a be$ana 'ea% "#e!a# ,"aa+ Pa#en 'e'#-#)# #$a(a! )ee-a)aan !a%,n
2010 "an 5e'aangan WSD "#!e'5a! (ang a'a+ Pa#en R#$a(a! OAT >C& 'e)) C
',a- ',n!a% >C& BAK "an BAB Lana+
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1+ P&/&ri:saan Fisis
• Kea"aan ,',' * Sa)#! Se"ang
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Te)anan "aa% * 110?0 ''Hg
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TB *16/ '
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1+ P&/&ri:saan P&nun;an3
1++1 Laora'oriu/
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>a/ar 1+Fo'o T%ora< PA
Fo'o '%ora< PA 8 11 Juni 2016 2-"119
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Fo'o '%ora< PA 81?06?20167 S&'&#a% p&/asan3an 4SD9
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US> A$o/&n a'as @ a(a% 84%o#& A$o/&n9
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BAB II
TIN3AUAN PUSTAKA
2+1 P&n$a%u#uan
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3,'-a% a#an '#n#'a- (ang !e"a5a! 5a"a! %a) !ega) a"a-a% 2/0>
00 '-+ b#-a a#an ),ang "a# 2/0 '- 100 > 200'-C& "a5a! "#!e',)an
H#5e-,en a8a),-e
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5eng##an a#an "#,",! !@en#), 5!e# 5a"a @! !%a7 -a!ea-
!ega)+ .a#an (ang ),ang "a# 100 '- /0 100 '-C& "a5a! "#5e-#%a!)an
"engan 5## -a!ea- "e),b#!, "an aa% #na %#n!a- "#'ana a#an a)an
be),'5,- "### a'5#ng ba$a%+10
a+ Posisi '&3a: pos'&roan'&rior 8PA9
Pa"a 5e'e#)aan @! !%a7 ,!#n !ega)& a#an 5-e,a !a'5a)
be,5a 5ee-,b,ngan homogen yang 'en,!,5# !,)!, 5a, ba$a%
(ang b#aan(a e-a!#8e a"#5a) "engan 5e',)aan a!a e),ng be=a-an
"a# -a!ea- a!a )e 'e"#a- ba$a%+ Kaena a#an 'eng## ,ang %e'#!%a)
e%#ngga =a#ngan 5a, a)an !e"ng keaa% en!a- %#-,& "an )a"ang>
)a"ang 'en"ng 'e"#a!#n,' )eaa% )n!a-a!eal.10
Ga'ba ;+ E@,# 5-e,a #n#!a+ S,",! .!5%en#, (ang !,'5,-
)aena e@,# 5-e,a
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Ga'ba 10+ E@,# P-e,a "e7!a
Ga'ba 11+ E@,# 5-e,a #n#!a 'a#@+ Ta'5a) 'e"#a!#n,'
!e"ng )n!a-a!e
Ga'ba 12+ E@,# 5-e,a b#-a!ea-
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Ga'ba 1+ L,-a!e" 5-e,a- e@@,#n+ Ta'5a) beba!a ,),5 !ega "an b#n8e7+
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5eng##an a#an "#,",! !@en#), 5!e# 5a"a @! !%a)
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a#an a-#ne (ang "#,n!#))anC 5a"a a"#ga' "a"a -a!ea- !ega)
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5!e# ,-, !5%en#& !e!a5# %an(a "engan a"an(a
5ne,'5e#!ne,' (ang !e=a"# ebe-,'n(a+10
Ga'ba 14+ Ga'baan e@,# 5-e,a 5a"a @! 5## -a!ea-
+ Posisi La'&ra# D&Bui'us
Ra"#ga@# "a"a -a!ea- "e,b#!, "#g,na)an e-a'a be!a%,n>
!a%,n ,n!,) 'en"#agn# e@,# 5-e,a (ang e"#)#!+ .a#an (ang ),ang
"a# 100 '- /0>100 '-C& "a5a! "#5e-#%a!)an "engan 5## -a!ea-
"e),b#!, "an aa% #na %#n!a- "#'ana a#an a)an be),'5,- "###
a'5#ng ba$a%+10
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Ga'ba 1/+ E@,# 5-e,a 5a"a 5## #g%! -a!ea- "e,b#!, 5en,'5,)an
a#an (ang "#!,n=,))an "engan 5ana% b#,C+
2++ H#"5ne,'!%a)
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5e'e#)aan n!gen @! !a)+ Pa"a n!gen @! !a) PA a)an !e-#%a!
ga# 5eng,n,5an 5a, (ang %a-, e5e!# a'b,!+ A5ab#-a 5ne,'!%a)
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ga'baan ga# "a!a (ang 'e,5a)an ba!a ,"aa "an a#an+ Seba#)n(a @!
!a) "#b,a! "a-a' )ea"aan e)5#a# 'a)#'a-+
Pa"a %#"5ne,'!%a) a#an 5-e,a e-a-, bea'a>a'a ,"aa&
a#an !eeb,! 'enga)#ba!)an #n, !@en#, !#"a) !e-#%a!+ Pa"a @!
!ega) !e-#%a! ga# 'en"a!a )aena a"an(a ,"aa "# a!a a#an+ Ga'baan
a"#-g# 5a"a %#"5ne,'!%a) #n# !e-#%a! ,ang 5-e,a %#5e-,en "engan
!#"a) !e-#%a!n(a ga'baan 5e'b,-,% "aa% 5a,& b#aan(a !a'5a) ga# 5,!#%
!ega (ang 'e'ba!a# 5-e,a 8#ea-# "engan 5-e,a 5a#e!a-& !a'5a)
ga'baan e'#5a) %'gen 'en,!,5# 5a, ba$a%& "an 5en,'5,)an a#an
"# "a-a' a8,' 5-e,a (ang 'en(ebab)an #n, !@en#), 'en,'5,-+
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Ga'ba 16+ H("5ne,'!%a7
2++* P(5ne,'!%a7In@e!e" %("5ne,'!%a7 (ang "#'ana a#an 5a"a ngga 5-e,a
be## ,"aa nana% 5,C "an (ang 'enan"a)an !e=a"#n(a #n@e)#+ Ga'baan
)%a (ang "#"a5a!)an 5a"a 5en(a)#! #n# a'a "engan %("5ne,'!%a7
na',n (ang 'e'be"a)an %an(a a#ann(a a=a+ Pa"a g'baan a"#-g#n(a
en"## !e"a5a! a#>@-,#" -e8e-& "an %a- #n# (ang 'e'b,a! ,a% ,n!,)
"#be"a)an "engan %("5ne,'!%a7 !a5# 5a"a 5(5ne,'!%a7 b#aan(a
a"a 5-e,a- !%#) -#ne (ang 'en",),ng "#agn# 5en(a)#! #n#+
Ga'ba 1<+ P(5ne,'!%a7
2++6 Hae'5ne,'!%a7
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"#g,na)an 5a"a e@,# 5-e,a (ang !ea),',-a# "engan "aa%+ A5ab#-a
%ae'!%a7 !e=a"# "#e!a# "engan 5ne,'!%a7 'a)a "#eb,! =,ga "engan
%ae'5ne,'!%a7+ Pen(a)#! #n# b#aan(a )aena a"an(a )e=a"#an !a,'a
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"an =aang e)a-# !e=a"# 5a"a )e=a"#an nn>!a,'a+ Ga'baan a"#-g# "a#
5en(a)#! #n#& (a#!, !e-#%a! !an"a "a# 5ne,'!%a) "an %ae'!%a)+ Tan"a
"a# 5ne,'!%a) "a5a! "#-#%a! "a# ,"aa "a-a' ngga 5-e,a 'e'be#)an
ba(angan a"#-,en (ang !an5a !,)!, =a#ngan 5a, "engan ba!a 5a,
be,5a ga# a"#5a) !#5#+ Daa% "#"a-a' 5a, "a5a! !e-#%a! 5a"a bag#an
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!%a7 "#e!a# "engan ga'baan @a)!, !,-ang (ang 'enan"a)an a"an(a
!a,'a+ Pa"a @! "engan 5## ,5#na# %an(a ga'baan %ae'!%a7 (ang
!e-#%a!+ 14
Ga'ba 1?+ Hae'5ne,'!%a7 "engan #b @a!,e
2+* Di5&r&nsia# Dia3nosis
2+*+1 Abe 5a,
Pa"a %#"5ne,'!%a7 a-a% a!, ga'baan a"#-g# (ang !a'5a)
5a"a @! !e=a"# ga'baan 5e'ben!,)an air fluid level a)#ba! a"an(a ,"aa
"an a# (ang 'e'be#)an !a'5#-an "en#!an(a 'a#ng>'a#ng+ D#agn#
ban"#ng "a# %#"5ne,'!%a7 (ang a'a be"aa)an ga'baan
5e'ben!,)an a# @-,#" -e8e-n(a (a#!, abe 5a,+
Abe Pa, 'e,5a)an 5e ,5,a# (ang be-)a-## 5a"a
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@-,#" -e8e-& "#'ana (aa! "#)a!a)an abe 5a, %a, "#"a5a!)ann(a e'5a! %a-
(a#!, *
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1C A"an(a a8#!a
2C Me'ben!,) A# @-,#" -e8e-&(ang 'e'be#)an "en#!a ,"aa (ang 'eng##
,ang a!a a8!a "an "en#!a a# (ang 'ene'5a!# bag#an ba$a% ,ang
a8#!a+
C Me'#-#)# "#n"#ng !eba- thick wall C (ang 'eng#-#-#ng# a8#!a a!a,
'e'ba!a# a8#!a =a#ngan 5a, (ang a)#!C "engan =a#ngan 5a, (ang
e%a!+ D#n"#ng #n# 'e'be#)an ga'baan "en#!a 5a) 6+
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a!a '!%C+
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'a,5,n 5e )eganaan (a#!, a#n'a 5a,& "#'ana (ang 'e'be"a)an
)e",an(a (a#!, "#-#%a! "a# #nne 'ag#n a!a, "#n"#ng "a-a' a8#!a& "#'ana 5a"a
#n@e)# b#aan(a ',-, '!%C "an a#n'a 5a, n",-a )aa a!a, ,g%C+/
Be#),! n!% ga'baan "a# abe 5a,*
Ga'ba 1;+Abe Pa,
2+6 Ko/p#i:asi
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%#"5ne,'!a)+
2+ Gangg,an %e'"#na'#)a+ Pa"a 5ne,'!a) (ang %eba!& e-,,%
'e"#a!#n,' "an =an!,ng "a5a! !egee )e aa% (ang e%a! "an
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'enga)#ba!)an 5en,,nan )a"#a) ,!5,!& e%#ngga "engan "e'#)#an "a5a!
'en#'b,-)an () )a"#gen#)+
-+ E'@#e'aJ "a5a! be,5a e'@#e'a ),!# a!a, e'@#e'a 'e"#a!#na-#+
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5e,ba%an abn'a- a-,an ,"aa bag#an "#!a- bn), !e'#na-& (ang
"#e!a# )e,a)an"#n"#ng a-8e-,+ E'5#e'a (ang !e=a"# 'e,5a)an
e'@#e'a )'5ena# (ang 'e,5a)an ,a%a !,b,% eaa @##-g#) ,n!,)
'enggan!#)an =a#ngan 5a, (ang !#"a) be@,ng#+
2+ Pro3nosis
D,b#a a" 'a-a' !#"a) !en!,& en"e,ng b,,)C
2+C K&si/pu#an
Pa"a )a, #n#& a)an "#=e-a)an -eb#% 'en"a-a' 5a"a %("5ne,'!%a7
(ang !e=a"#+ Tan"a>!an"a %e'5ne,'!%a7 5a"a @! "# a!a a"a-a% *
a+ H
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"a-a' a8,' 5-e,a (ang 'e(ebab)an )-a5 bag#an 5a, (ang bea"a
"#ba$a% 5-e,a e%#ngga !#"a) !e-#%a! a)an bn%8a),-a 5a"a bag#an
!eeb,!+4&/ Tan"a #n# "#!an"a# "engan 5ana% 'ea% 5a"a @! 5- !%a7 "#
a!a+
b+ Pleural white line 'e,5a)an ga'baan 5-e,a 8#ea-# (ang !e5#a% "a#
5-e,a 5a#e!a-# -e% )aena a"an(a ,"aa "a-a' a8,' 5-e,a (ang
'e'#a%)an "#an!aa )e",a e-a5,! !eeb,!+4 Tan"a #n# "#-#%a! ebaga# ga#
5,!#% !#5# (ang 'eng#),!# ben!,) =a#ngan 5a, (ang !e"ea) a)#ba! "ea)an
,"aa "#a!an(a+ Tan"a #n# "#!an"a# "engan 5ana% b#, 5a"a @! !%a7 "#a!a+
+ Pee-,b,ngan %'gen 'e,5a)an ga'baan e'#5a) a!a, #n!e'e"#e!
(ang 'en,!,5# bag#an 5a,+4 Tan"a #n# b#aan(a "#"a5a!)an a)#ba! a"an(a
5en,'5,)an a#an "a-a' a8,' 5-e,a (ang 'e'be#)an !a'5#-an "en#!a
a#an 5a"a 5e'e#)aan a"#-g#+ Tan"a a"#-g# #n# "#!,n=,)an 5a"a
5ana% %#=a, 5a"a @! !%a7 "# a!a+
"+ Air fluid level 'e,5a)an ga'baan a"#-g#) "#'ana !e-#%a! 5ena'5a)an
"en#!a ,"aa "an "en#!a a#an (ang !e5#a% "#'ana "en#!a ,"aa a#
"en#!(C e-a-, 'ena'5a!# bag#an a!a "an "en#!a a#an @-,#" "en#!(C
'ene'5a!# ,ang "#ba$a%n(a+4&/ Pa"a )a, %#"5ne,'!%a7 !e=a"#
5e'ben!,)an a# @-,#" -e8e- (ang "a5a! "#-#%a! 5a"a 5e'e#)aan a"#-g#&
a)#ba! a"an(a ,"aa "an a#an eaa bea'aan "a-a' a8,' 5-e,a+ Pa"a
,','n(a 5a"a 5en,'5,)an a#an "a-a' a8,' 5-e,a a)an 'e'ben!,)
'en#, #gn 5a"a !a'5#-an a"#-g#& na',n 5a"a %("5ne,'!%a7
e-a#n a"an(a a#an =,ga !e"a5a! ,"aa (ang 'e'be#)an !e)anan "#a!a
5e',)aan a#an e%#ngga 5a"a %e'5ne,'!%a7 !#"a) !eben!,) 'en#,
#gn e5e!# 5a"a e@,# 5-e,a b#aan(a+ Ta'5#-an !an"a #n# "#!,n=,)an "engan
ga# 5,!#% 5a"a @! !%a7 "# a!a+
Pa"a 5a#en #n#& 'enga-a'# !a,'a ben"a !a=a' (ang 'en(ebab)an
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#n!ena e%#ngga 'en(ebab)an 5e"aa%an+ Pe"aa%an b#aan(a be#@a! e-@
-#'#!e" "an !#"a) 'e'e-,)an #n!e8en# 5ea!#@+
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DAFTAR PUSTAKA
1+ A#- Ba%a& 1;;;& Pen(a)#! 5en(a)#! P-e,a& B,), A=a Pen(a)#! Da-a'& 3#-#" II&
Ba-a# Peneb#! FKUI& 3a)a!a
2+ D-an+ Kamus Saku Kedokteran Dorland. 3a)a!a* EG.+ 2011J Ha-+ 12/<++ G,(!n "an Ha--+ Buku Ajar Fisiologi Kedokteran Edisi 1. 3a)a!a* EG.+201J Ha-+
4><1+
4+ S%e$"& La,a-ee+ Fisiologi !anusia dari Sel Ke Sisitem Edisi ". 3a)a!a* EG.+
2011J Ha-+ 411>4/?+
/+ Pa!' IP& Y,n, F+ Anatomi dan Fisiologi Pleura+De5a!e'en P,-'n-g# "an
I-', Ke")!ean Re5#a#& Fa),-!a Ke")!ean Un#8e#!a In"ne#aRSUP
Pea%aba!an& 3a)a!a& In"ne#a+ 201+ Ha-+ 40<>412+6+ S,"( A, W& Se!#%a"# B& "))+ 2012+ B,), A=a* I-', Pen(a)#! Da-a'+ E"## V+
3a)a!a* In!enaP,b-#%#ng
<+ D+ R+ Da'an! D=="#b!& S5+ P& F..P 2014C+ Re5#-g# e5#a!(Me"##neC+
3a)a!a* EG.+
?+ A+ P#e S(-8#a& M+W#-n La#ne+ 2012 + Patofisiologi # Konse$ Klinik Proses%
Proses Pen&akit + E"## 6+ 3a)a!a * EG.
;+ Be& A& 200/+ U-!anga@#+ Da-a'* Raa"& S=a%#a+ Ra"#-g# D#agn!#)E"##
Ke",a+ 3a)a!a* Ba-a# Peneb#! FK UI
10+ A'e#an .--ege @ S,gen .''#!!ee @ Ta,'a&2004+A"8ane" Ta,'a L#@e
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11+ Tan! .& L#$ang F& Han#@a!# S& Pa"#5!a EA+ 2014+ Ka$ita Selekta Kedokteran+ E"##
IV+ 3a)a!a* Me"#a Ae,-a5#,
12+ Raa" S=a%#a+ 201/+ 'adiologi Diagnostik + E"## 2+ 3a)a!a* Ba"an Peneb#! FKUI
1+ E$#nga+200;+ E@,#P-e,a. D#a)e "a#
% !! 5 * e5 # !(+, #+a + #" n !en ! ) -e) # 11 e@, #5 -e, a+5"@
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Ba-a#Peneb#!FK UI 3a)a!a+
1/+ O'aLababe"e&"))+ 2011+ P-e,a-E@@#n
I'ag#ng&$ $$+e ' e" # #ne + ' e"a5e + '
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