baca foto toraks dr dewi puspitorini
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medicalTRANSCRIPT
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BACA FOTO TORAKS
dr. DEWI PUSPITORINI, Sp.P, MARS
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MEMBACA FOTO THORAX (X-RAY)
NORMAL
MEMBACA FOTO THORAX (X-RAY)
PATOLOGIS
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Syarat foto normal (kelayakan foto)
1. Identitas foto dan marker kiri/kanan ada
2. Kualitas foto baik
3. Simetris
4. Semua bagian terlihat
5. Tidak ada artefak
6. Tidak goyang (inspirasi maksimal dan tahan
napas)
7. Waktu pemotretan singkat
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Baca foto:
a. Simetris/Tidak simetris
Tarik garis khayal sepanjang processus spinosus
toraks kemudian tarik garis ke ujung medial
clavicula. Bila sama antara yang kiri dan kanan,
dikatakan simetris. Jika asimetris, akan sulit untuk
menilai pembesaran jantung.
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b. Cek inspirasi
maksimal
Minimal terlihat
intercostal space 5
maksimum terdapat pada
puncak diafragma
c. Trakea
Harus terlihat dan harus
di tengah (berwarna lusen
[hitam] berisi udara)
Lihat apakah ada
pendorongan atau tidak
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d. Jantung
Lihat besar, bentuk, posisi jantung. Apakah ada
pembesaran atau tidak.
Hitung cardiothoracic jantung untuk melihat adanya
pembesaran.
Caranya:
Cardiothoracic ratio (CTR) = (CR + CL)/TD x 100%
Normal jika <50%
Jika > 50%, jantung membesar.
Ekspertise (laporan penemuan):
Cor tidak membesar.
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Baca sinus
Sinus costophrenicus
normalnya bersudut
tajam.
Dapat tumpul pada
kelainan seperti pada
efusi pleura,
emfisema.
Sinus cardiophrenicus
normalnya tajam
(terlihat pada foto
lateral)
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Baca diafragma
Normalnya yang kanan lebih
tinggi dari yang kiri.
(Perbedaan tinggi normal: 2-
2.5 cm)
Jika bedanya > 3 cm:
abnormal.
Letak diafrgma meninggi ini
dapat ditemukan misalnya
pada hepatomegali, asites.
Ekspertise sinuses dan
diafragma: Sinus dan
diafragma normal.
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Baca pulmo
Hillus (tempat keluar masuknya pembuluh darah
bronkus dan pembuluh limfatik) normalnya yang kiri
lebih tinggi dari kanan (beda 1 kosta). Biasanya 0.6-
1.5 cm.
Corakan bronkovaskular normalnya terlihat pada:
Kanan: </= 2/3 medial paru (tarik 2 garis khayal
vertikal yang membagi paru menjadi 3)
Kiri: </= 1/3 medial paru.
Corak dapat bertambah atau tidak tampak jika ada
kelainan.
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Lihat apakah ada bercak atau penampakan
abnormal lainnya. Jika terdapat di parenkim,
sebutkan lokasinya di lapang paru sebelah mana.
Jika terdapat di pleura, sebutkan lokasi di
hemitoraks sebelah mana.
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Lapang paru terbagi atas:
1) Apeks
dari puncak paru sampai batas atas
klavikula
2) Lapang atas
dari batas bawah klavikula sampai
dengan batas atas costae II anterior
3) Lapang tengah
dari batas bawah costae II anterior
sampai dengan batas atas costae IV
anterior
4) Lapang bawah
dari batas bawah costae IV anterior
sampai dengan batas atas diafragma
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Skeletal
Apakah ada fraktur atau dislokasi
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Contoh ekspertise foto toraks normal:
- Cor tidak membesar
- Sinuses dan diafragma normal
- Pulmo:
Hilli normal
Corakan bronkovaskular normal
Tidak tampak bercak lunak
- Kesan:
Tidak tampak kardiomegali
Pulmo dalam batas normal
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BACA FOTO THORAX PATOLOGIS
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Gambaran Hitam Pada Paru-Paru
Gambaran Hitam pada paru-paru bisa disebabkan
beberapa diagnosa berikut yaitu :
1. Chronic Obstructive Pulmonary Disease (COPD)
2. Pneumothorax
3. Tension Pneumothorax
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Chronic Obstructive Pulmonary Disease (COPD) - Kedua lapangan paru
terlihat lebih hitam dan lebih besar secara volume dibandingkan dengan gambaran normal.
- Hemidiafragma terlihat rata
- Lebih sedikit pembuluh
darah yang terlihat secara peripheral terutama di bagian atas dan tengah, tetapi arteri pulmonari terlihat besar di pertengahan, menandakan adanya perkembangan hipertensi arterial pulmonari lanjutan.
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Pneumothorax
Pasien mengalami
pneumothorax pada sisi
sebelah kiri dengan kolaps
sebagian pada paru kiri.
Lapangan paru luar terlihat
hitam. Dapat kita lihat
ujung paru yang berwarna
hitam (tanda panah).
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Tension Pneumothorax
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Tension Pneumothorax
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LATIHAN
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TERIMA KASIH