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Bagaswoto Poedjomartono Department of Radiology Faculty of Medicine GMU / Dr. Sardjito GH Jogjakarta
X-RAY MACHINE
ABDOMEN
Point of view: Regio hypochondrium Regio epigastricum Regio lumbalis Regio umbilicalis Regio iliaca Regio hypogastricum
KIDNEY EXAMINATION
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Plain photo IVP Retrograd Pyelography Antegrad Pyelography CT USG MRI SPECT Hybrid CT/MRI/PET/SPECT Angiography
INTRAVENAPYELOGRAP HY
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Administered iodine solution ionik/non-ionik i.v dosage 20-50 ml. Image on 5 minute AP position after contrast injection to evaluate the kidney and pelvicaliceal system. Image on15 minute after contrast injection to evaluate the ureter flow. Image on30 minute after contrast injection prone position to evaluate ureter and bladder filling. Upright image AP position, if needed to evaluate kidney movement. After voiding AP position to evaluate bladder empty.
INTRAVENAPYELOGRAPHY
INTRAVENA PYELOGRAPHY
TRACT URINARIUS
TRACT URINARIUS
INTRAVENA PYELOGRAPHY
ANTEGRAD PYELOGRAPHY
Indication: Non function kidney Hidronephrosis Kidney decompression Urinary tract obstruction Etc
kidney examination
USG
Renal angiography
Scintigraphy
coronar Sagital/lateral
RENAL TRAUMA
URGENCY:
1. To confirm damage to the injured kidney 2. To establish the presence and function of the contralateral kidney in case subsequent surgery requires removal of the damage kidney
RADIOLOGICAL SIGN
1. Extra passage / leakage 2. Bulging / haematoma perirenal / subcapsular 3. Defect / rupture / tear 4. Obstructed 5. Pelviectasis / hydronephrosis 6. Arterial / venous defect / rupture
BLADDER TRAUMA
The way bladder may be damage: 1. In the course of surgery: hysterectomy, surgery of the lower part of the colon and rectum, repair of inguinal and femoral hernia, vaginal repair in prolapse operations. 2. Endoscopic procedures: TUR 3. Injuries: 4. Complication of bladder trauma: Fistulae bladder: vagina, uterus, rectum / bowel, peritoneum, cutaneous.
1. 2. Penetrating or non penetrating Direct or indirect
URETHROCYSTOGRAPHY
RADIOLOGICAL SIGNS
1. Penetrating of radiopaque foreign body 2. Leakage / extra passage of contrast media 3. Direct penetration fragment fracture from pelvic / pubic bone
Prostatic Gland
HYSTEROSALPHYNGOGRAPHY
1. 2. 3. 4. 5. 6. 7. 8. Pemeriksaan saluran reproduksi wanita HSG set Kanul HSG dimasukkan kedalam cervix uteri dan difiksasi Kontras sol iodine 10-15 ml Evaluasi cavum uteri Evaluasi Tuba Fallopii Evaluasi spill kontras Evaluasi organ sekitarnya
Hysterosalphyngography Normal Point of view: Cavum uteri Tuba uterina Spill kontras
HYSTEROSALPHYNGOGRAPHY NORMAL
UTERUS DUPLEKS
HYDROSALPHYNX DUPLEX
Uterine lipoma
TRIMA KASIH