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TEHNIK PEMERIKSAAN

•FPA supine.

•FPA erect.

•FPA LLD.

•FOTO TORAKS.

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FPA SUPINE

Perhatikan:•Gambaran udara

usus.

•Udara diluar lumen

usus.

•Kalsifikasi.•Soft tissue mass

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FPA EREC

Untuk melihat:

•Free air .

• Air fluid level .

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Untuk melihat:

•Free air .

• Air fluid level .

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Untuk melihat:

•Udara bebas (pneumoperitoneum)

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FPA NO!A"

Luscent:

Udara: #aster$ kolon$ rektum$ usushalus (sedikit).

Lemak:preperitoneal fat line$ psoas

line$ lemak di para%esi&a$ lemak perirenal dan pararenal.

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Udara kolon

Udara rektum

Udara #aster 

"emak

para'perirenal

Udara usus

halus

Preperitoneal

fat line

Psoas line

"emak

pra%esi&a

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Opaq:Tulang: %ertebra$ &osta$ tulan#

tulan# pel%is$ phlebolit.

Kalsiikasi: pembuluh darah$

li#ament (osteofit).

Organ: hepar$ lien$ #inal$

!uskulus" m. psoas.

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*epar

Ginal

m. Psoas

+ulan#

pel%is

,osta

%ertebra

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Kalsifikasi pembuluh darah

KA"-FKA- NO!A"

osteofit

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KA"-FKA- A/NO!A"

Kalsifikasi %asdeferens

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Gambaran udara normal

•#aster .

•Usus $alus (sedikit$ diameter 01$2 &m$ tidak distensi).

•K%l%n.

•Rektum.

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Udara k%l%n

Udara rektum

Udara gaster 

Udara usus

$alus

incisura

$austra

in&isura

FPA SUPINE

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USUS &ALUS

•"etak di sentral.

•Plika sirkularis.

•3iameter 0 1$2 &m.

USUS 'ESAR(

•"etak di perifer.

•n&isura dan haustra.

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GA!/AAN U3AA U-U- A/NO!A"

Functional ileus

•  Localized  (sentinal loops).

•  Generalized adynamic ileus.

Mechanical obstruction.

•  Small bowel obstruction.

•  Large bowel obstruction.

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LOCALI)E* ILEUS+SENTINAL LOOPS

ETIOLO#I"

•Kolesistitis.

•Pankreatitis.

• Appendi&itis.

• Adne4itis.

•Ureterolitiasis.

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Sentinel L%%ps

Supine Pr%ne

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PancreatitisUlcer 

*i,erticulitis

C$%lec-stitis

Appendicitis

Ulcer 

Ureteral calculus

Sentinel L%%ps

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GENERALIZED ADYNAMIC ILEUS 

•3ilatasi usus halus$ kolon$ sampai

rektum.

• Air fluid level  panan#.

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5tiolo#i:

•Post operasi.

•Peritonitis.

•+rauma.•Perforasi ileus obstrukti%.

•Pneumonia.

•*ipokalemi.

•Obatobatan.

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GENERALIZED ADYNAMIC ILEUS 

SUPINE

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LL*

O/-+UK- U-U- *A"U-

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O/-+UK- U-U- *A"U-

Obstruksi toal: 6 7 2 am.

Obstruksi parsial: s'd 81 am.

•-tran#ulasi.

•9ol%ulus.

•n%a#inasi.

•+umor.

•Gall stone ileus.

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•3istensi usus halus.

•Udara kolon sedikit'tidak ada.

•+ak tampak #ambaran rektum.

•Gambaran: coil spring $ herring

bone$ multipel air fluid level $ stepladder pattern.

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FPA SUPINE

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FPA EREC

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O/-+UK- U-U- /5-A

5tiolo#i:

•+umor.

•3i%ertikel.

•9ol%ulus.

•*ernia.

•ntususepsi.

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O/-+UK- U-U- /5-A

(9A"9U"A KO!P5+5N)

•3ilatasi kolon.

•Udara si#moid'rektum (tidakada'sedikit)

•Udara usus halus (tidak ada'sedikit)$

 ika %al%ula ileo&e&al kompeten.

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FPA SUPINE

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-+5NO-- P"OU- *P5+OFKAN-•*ipertrofi otot pilorus disertai penempitan

kanalis pilorus.

•Klinis: muntah proektil$ non bilier.

•Palpasi: massa epi#astrium.

•Foto polos: distensi #aster$udara usus 00$#ambaran sin#le bubble.

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U3AA /5/A-'F55 A

N+A P5+ON5A".

•Udara pada Morison pouch.

•Cupula sign.•Riglers sign.

•Foot ball sign (udara dan &airan).

•Falciforme sign.

5;+A P5+ON5A".

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RIGLER’S SIGN 

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FOOT BALL SIGN 

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FALCIFORME SIGN 

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U*ARA *I MORISSON’S POUCH 

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CUPULA SIGN 

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