Documente Academic
Documente Profesional
Documente Cultură
PEMERIKSAAN:
CT- Kepala / Brain CT-Scan
Magnetic Resonance Imaging / MRI
Brain SPECT
Brain PET
Arteria cerebri media
dan arteria cerebri
anterior
Hemiparesis,
homonymous
hemianopia , salah
satu dari higher
disfunction (
dysphasia, dyscalculia,
visuospatial disorder)
Infark cortical karena
oklusi bagian atas
atau bawah dari
arteria cerebri media
Dua dari
Hemiparesis,
homonymous
hemianopia , higher
disfunction
Infark di otak yang diperdarahi oleh arteria
perforating atau internal border zone
Infark kecil ( tdk lebih 1,5 cm ) di ganglia basalis
atau di pons
Infarct di daerah yang
diperdarahi arteria
cerebri posterior dan
arteria
vertebrobasilaris
Cerebellum, lobus
oksipitalis dan batang
otak
Intracerebral hemrrhage
CT AND MRI
1. Foto polos abdomen
2. Ultrasonografi
3. Doppler Ultrasonografi
PELURU
Foto polos pada tempat yang terkena posisi AP dan Lateral
dan jika perlu ditambah dengan posisi lainnya.
Pemeriksaan dengan kontras untuk mengetahui arah
jalannya peluru
Non-Contrast MSCT
Contrast MSCT:
• Distended gaster with airfluid level
• Asites in perihepatic and
perisplenic
space
•Extravasasi contrast media in lumen
of gastric anthrum
(A) Posteroanterior celiac arteriogram
and (B) right gastric arteriogram with a
microcatheter reveal active bleeding
(arrows) from the right gastric artery.
Arrowheads show hemoclips used for
endoscopic hemostasis.
B
Case: 62-year-old woman
with massive hematochezia
Non-Contrast
MSCT
Contrast MSCT:
•Unenhanced fluid level in the
small bowel loop.
• Extravasasi contrast in the
small
bowel lumen
Case: 62-year-old woman
with massive hematochezia
DSA angiography:
Shows extravasated
contrast material in the
active bleeding from
posterior superior
mesenteric arteri in the
distal ileum
Case: 71-year-old man with
massive hematochezia.
Non-Contrast MSCT
Unenhanced CT shows fluid
level filled in the colonic loop
without opasitasion in the
right lower quadran of the
abdomen
Contrast MSCT
Shows highly attenuating
extravasated contrast material
in the lumen of asending colon
Case: 71-year-old
man with massive
hematochezia.