TRACTUS DIGESTIVUS

epiglotis farings Mulut (cavum oris) funus (sering caria

esofagus (ipersara! ole" saraf otonom ) gaster (funus #
antrum # pilorus # antrum piloricua $ter%ai Ca) uoenum (pars
asc# esc# transvesum) paa &MD seperti pa'ung) colon
transversum (e) "epatica colon asc caecum ileum %e%enum
rectum* ampula recti sigmoi colon esc
+elumpu"an is"armoni epiglotis se"ingga untu, minum
pseuo-ul-ar iota, muara ari uctus ampula vateri menutup
,e esofagus -u,an ,e tra,ea .IRSC./RU0G sering ter%ai Ca
c"oleoc"us 'ang masu, ,e uoenum feses langsung
n'emprot* engan rectal touc"er paa ana,1ana,
R&0GGA MU2UT
Di-agi men%ai me,ani, an ,imia3i*
+elen%ar lua" aa 4 pasang 5
parotitis epiemica 6 mumps*7* parotis 5 saluran pan%ang8 -an'a,
terapat ,elainan (uctus stensoni)
pan%ang8 -an'a, terapat ,elainan (uctuc 9.ART&0I):*
Su-mani-ula
+euan'a -ernuara i premolar : atas -a3a"*
saluran pene, tia, -an'a, ,elainan4* su-lingual
Ductus normal tertutup8 leta, i asar lia"*
Cara muara uctus tetes,an %eru, sama li"at uctus8 lia"
i,esamping,an semprot ,ontras : cc masu,,an 3ing neele
'ang itumpul,an ter-u,a foto A/ ; %ai gam-aran ,elainan 'ang
normal sepertilateral po"on*
+elainan1,elainan
7* sialoenitis peraangan 6 ,e-ocoran ,elen%ar,elen%ar
su-mani-ula
infe,si:* ining uctus 3"artoni iregular
terapat pele-aran* gam-aran -until1-until 4* siale,tasis
ise-a-,an ole" -atu<* sialo,tiasis
untu, meli"at peraangan8 o-stru,si ,linis8 tumor=* sialogra!
&ES&>AGUS
0ormal gepeng8 tia, -erisi uara
>oto posisi A/ an lateral
+elainan ,ongenital 5
7* &-stru,si
valvula8 tiroi8 arcus aorta8 funus gaster*:* Trac"ea-ronc"us !stel
(aa < tempat)
4* Ac"alasia
+elainan 5
7* &esofagitis
:* Varises esofagus
intra6e,straluminer4* Tumor esofagus
<* Corpus alienum 5 logam8 -i%i1-i%ian8 tulang a'am
?aS&< 757&esop"agogram 5 single contrast atau ,ontras positif
.A2IT&SIS* sisa ma,anan -isa ter,umpul i aera" oesofagus
Valecula $ tem-olo, paa -urung
AC.A2ASIA
@ /en'empitan i aera" caria
@ Mouse Tail Appearance
@ .ampir sama engan ,elainan "irsc"prung 6 megacolon congenital
@ ?isa ter%ai o-stru,si ,arena ,elainan ple)us mesentericus
auer-ac"
DIVERTI+U2UM MAEC+E2
@ Gam-aran seperti pa'ung
@ ?isa ,ongenital 6 tia,
@ Traction (esa,an ari luar) ; paltion (esa,an ari alam)
@ +euan'a mele-ar
TUM&R
?ila ,ontras iminum a,an terta"an
Intraluminer S.&U2DER SIG0 6 A//2E C&RE
E,straluminer5 esa,an ari luar
men%epitTipe sc"irrus
&ES&>AGUS
@ Gam-aran C&?2E ST&0E
@ Terapat %uga paa Sirosis .epatis 5 pem-esaran vena1vena
,olateral i oesofagus se"ingga mua" peca"
2AM?U0G
o >oto &MD 5 posisi A/ ; lateral
o Iealn'a 5 plate (uoroscop'
o Dou-le contras
i* ?aS&< iencer,an 75< ,emuian iminum
ii* engan mencampur 0aC&4Uara ; as* Sitrat meng"asil,an gas
C&: paienatau engan minum -a"an eAervescent E0U (peng"asil
gas) -eriri*
o 0ormal 5 pilorus i atas8 funus le-i" ,e -a3a" -ela,ang*
funus terisi ole" ,ontraso 9a,tu supine
funus tia, terisi ole" ,ontraso 9a,tu pronasi
gastritis ulcus 6 tumor menun%u,,an aan'a "iperse,resi o
Gam-aran 4 lapis 6 TRI/2E S.AD&9 B luscent $ opaCue $ le-i"
opaCue
o .&UR G2ASS B gam-aran Ca lam-ung
tia, selalu gastritiso .iperse,resi
-isa aa "iperse,resi cairan lam-ungo /aa gastritis
tumor gaster corpus normal cairan ,ontras menurun semua o
Gam-aran CASCADE -erting,at ,arena aa le,u,an
o Tumor ganas 5 -an'a, i curvatura ma'or
o Tumor %ina, 5 -an'a, i curvatura minor*
C&0GE0ITA2
o Stenosis pilorus 5 SI0G2E ?U??2E A//EARA0CE 6 ?AS+ET ?A22
SIG0
o Atresia uoenum 5 3a,tu la"ir perut ,em-ung8 ,alau ma,an
munta" pro'e,til B D&U?2E ?U??2E A//EARA0CE
U2CUS
o /aling sering icurvatura minor
"ati1"ati Ca Do +alau aa i curvatura ma'or
o ?iasan'a -ergaung
o Untu, li"at ulcus8 "arus ili"at ari ua ara" 5
gam-aran TARGET SIG08 menun%u,,an ulcus 'ang a,tif ,arena aa
oeematous*i* En >ace 5 ari mu,a 6 epan
ii* En pro!le 5 ari samping terli"at seperti pa,u
o STAR >&RMATI&0 5 menun%u,,an ulcus 'ang sua" lama 6 ,ronis*
Dimana masi" aa proses a,tif
o Ulcus ,ronis 5 tia, aa oeematous lagi
ili"at secara enfaceo Ul,us ganas 5 C&G 9.EE2 SIG0
USUS .A2US
o /emeri,saan follo3 t"roug" 5 minum ,ontras encer 7 5 E1F
terapat plica semicircularis aera" ,iri atas normal o Ge'enum
aera" ,anan -a3a"o Ileum
ma,a masa a-sorpsi terganggu*o ?ila aa ,elainan i usus "alus
o S/RUE SG0DR&ME B ana,1ana, an e3asa sering mencret8 aa
anemia gravis 6 ganas
o 'ang masu, ining luar usus lurus Ileum B valvula coniventes
mu,osan'a sa%a* ?ea engan "austrae8 ining luar usus masu,
minum contrastA//E0DGC&GRAM
F17H %am ,ontras sua" isi ,e colono 0ormal
o /aa orang ,urang ola"raga8 pasase ,olon lam-at 7H17: %am
o (I) 5 ,alau ,ontras mengisi semua8 tia, aa !lling efect8 ining
licin
o (1) 5 tia, mengisi sama se,ali atau isi "an'a parsial8 menun%u,,an
aan'a appenicitis
posisi 9angensteinAnus imperforata
/er-aningan antara ampula vateri engan -agian rectum ter-esar
paa foto lateral signi!,an .IRSC./RU0G isease-ila le-i" ari
7 5 :
untu, pina" ari 7 posisi ,e posisi lain -utu" 3a,tu 7H menito 4
posisi B supine8 erect an 22D
o Tu%uan 4 posisi 5
gangguan pasase usus7* untu, meli"at aan'a ileus
:* untu, meli"at aan'a perforasi
Ileus ter-agi 5
7* &-stru,tif
o 2eta, tinggi 5 istensi usus "alus8 usus -esar tia, aa istensi8
,aang -erisi uara
o 2eta, rena" 5 usus -esar mele-ar8 -egitu %uga usus "alus
I0VERTED U SIG0 5 pele-aran usus -esar isertai multipel air (ui
level2eta, tinggi
.ERI0G ?&0E 6 STE/ 2ADDER 5 ,alau pele-aran -esar tanpa isertai
multipel air (ui level B METE&RISMUS
:* /araliti,
o Sulit i DD6 ileus leta, rena" ,arena ,euan'a istene
o Semua usus mele-ar tapi iningn'a lem-e,
,alau iu,ur pan%ang air (ui levelo Untu, usus "alus J ari :8=
cm
alam :< %am -isa ne,rosis paling -a"a'a Invaginasi -isa %ai
ileus 5
C&I2 S/RI0G A//ERA0CE
/aa orang normal %uga aa multiple (ui level tapi tia, -ole" le-i"
ari E*
/ER>&RASI
o ?isa men%ai /0EUM&/ERIT&0EUM
o D6 itega,,an ,alau aa sala" satu tana 5
7* CU/&2A SIG0
erectAntara "ati an iafragma aa gam-aran "itam (uara)
-er-entu, -ulan sa-it
:* RIG2ERS SIG0
Uara i luar ining usus se"ingga ining usus ,aang -agian
luar an alam ,eli"atan* 0ormal ining usus tia, -isa ili"at
S'arat antara : lumen usus J<mm B menurut ESE0?ERG.
4* TRA//ED AIR
-entu, segitigaUara 'ang ter%epit i antara : usus
0ormal aa alam saluran usus*
DD6 pneumoperitoneum
saat perforasi Arti!cial
Usus peca" 6 perforasi
Tertusu,
tu-a itutup pa,e gas nitrogen /ertu-asi tu-a
-isa mati ,arena ter%ai em-oli ,alau ila,u,an paa saat "ai
vagina itiup saat oral se) &rogenital intercourse
0ormal paa orang e3asa8 gam-aran uara "an'a terapat paa
aera" 5
7* funus gaster
:* colon
4* rectosigmoi
normal tia, uara mengisi usus "alus ,ecuali meteorismus ; ileus
SE0TI0E2 2&&/ 6 localiKe ainami, ileus an ileus 'ang setempat*
GASTER DI2ATASI
>oto polos
Aa air (ui level
Distri-usi uara alam usus -isa i,ata,an tia, merata -ila usus
terte,an ,e -a3a" ole" "epar an lien
curiga aa massa ?ila colon transversum (intraperitoneal)
terang,at
,alau "ilang8 ise-a-,an ole" peritonitis /eritoneal fat line
?atas ma,simum preperitoneal fat line le-arn'a -elum apat
itentu,an
/S&AS 2I0E
Untu, li"at aa ,elainan paa columna verte-ra 6 ruang
retroperitoneal
Se-ela" ,anan le-i" ,a-ur
psoas line mem-entu, fusiform 6 a-ses -o' 6 meleng,ung /aa
limfoma8 a-ses gin%al8 sponilitis T?C8 neuro-lastoma
C&0T&UR GI0LA2
tia, -isa ili"at Merupa,an %aringan luna,
?isa ,eli"atan ,arena aa perirenal fat (luscent)
2eta, gin%al ,iri le-i" tinggi ari ,anan
U,uran normal gin%al e3asa 5 7<17E cm# 5 7:17< cm* ?erat 5
E:= gr* ?ila J "ironefrosis7<17E cm
Gin%al i,ata,an mem-esar -ila J4M corpus
li"at aa,a" gam-aran -atu opaCue i gin%al an ureter Setela"
contour
URETER
?er%alan i paraverte-ra
4 titi, pen'empitan ureter 5
@ /en%epitan paa A*renalis
@ Daera" iliaca
@ Di ureterovesico %unction
Ureter i-agi 4 pro)imal8 meius8 an istal
usul foto IV/8 USG ?ila aa -atu
?0&8 USG usul foto lateral ?ila aa gam-aran opague iregio
gin%al
%angan langsung ise-ut nep"rolit" aa gam-aran opaCue iregio
gin%al +alau paa foto /A
/elvio cal'ces terceta, B STAR.&R0 0E/.R&2IT.IASIS
?ila aa -atu i gin%al8 ge%ala ,linisn'a 5
Sa,it
(I) aa sensasi seperti tertusu,8 os ,aget* >lan, /ain ,eto,
-ela,ang /> 5 &s isuru" uu,
?ila -atu i ureter8 ge%ala ,linisn'a #
1 Sensasi rasa n'eri men'e-ar ari atas sampai -a3a"
sampai ,e la-ia rasa sa,it -isa sampai ,e scrotum8 3anita 1 paa
la,i1la,i
?ila -atu i VU (vesicolit"iasis)
-aru pas mula1mula ,encing sei,it peri"8 ,emuian lancar 1
Sistitis 5 rasa sa,it tera,"ir8 -aru terasa n'eri an panas
1 Uretritis 5
langsung -er"enti -egitu ,encing sa,it
-an'a, uretritis ,arena saluran uretra le-i" pan%ang paa la,i1la,i

le-i" -an'a, ,arena uretra le-i" pene, paa 3anita

sistitis a,i-at coitus .&0EG M&&0 SISTITIS
Sa,ralisasi B lum-al aa <8 2= %ai sa,rum*
2?/ sa,it proc* Transversum -ergese,an engan os ileum
Memili,i arti ,linis
Spina -i!a B 2?
2um-alisasi B sa,rum 7 %ai 2E (tia, aa arti ,linis)
+E2AI0A0 /ADA >&T& ?0&
?0& sone Untu, li"at translo,asi IUD
gam-aran -isa men'e-a-,an a,ut a-omen/neumonia uple)
paa ana, ileus paraliti,8 -ea engan ileus o-stru,tif leta, rena"
>&T& C.&2ESIST&GRA/.G
@ foto8 imana F %am Minum ,ontras telepaCue (-iligra!n) E gr
-atu c"olesterol-iligra!n iresor-si8 garam1garam ipe,at,an $
raioluscent ole" ,arena itu "arus pa,e ,ontras
@ Gam-ar seperti setela" itu ,asi" minum susu cream8 roti ta3ar I
mentega masa faset ,emuian setela" ma,an pasien a,an
,esa,itan te-al8 telor mata sapi os ifoto o-li,*
-ai, ,arena asam lam-ung inetralisir lagi sa,it minum susu @
Sa,it maag
-isa munta" an ,esa,itan lagi sa,it ,asi" minum susu @ ?atu
empeu
'spepsia@ Sa,it maag an -atu empeu
sa,it mene,an v*felea "epar turun @ CURV&IR SIG0 (a-ses
vesica felea) B 3a,tu tari, napas
secara opC.&2A0GI&GRA/.G T1TU?E
@ Tia, -ole" i,asi" minum susu
foto o-li, ,emuian masu,,an ,ontras -iligra!n @ /asang selang
T1tu-e engan op ; A/
@ C.&2A0GITIS B iningn'a ireguler8 uctus c"oleoc"us -esar
@ C.&2ED&C&2IT.IASIS B -atu i uctus c"oleoc"us
@ C.&2A0GI&2IT.IASIS B -atu i alam saluran "epar
@ 0ormal terli"at perca-angan seperti po"on
@ C.A/&GRAM B meli"at A ; untu, li"at fra,tur penis an tia,
-isa ere,siV orsalis penis
D&U?2E C&0TRAS
@ Ca colon intraluminer
o Aa !lling efect
o Ta, men'e-a-,an o-stru,si
tana ,"aso S.&U2DER SIG0 6 A//2E C&RE
@ Ca colon e)traluminer
o /enesa,,an 7 sisi -isa ari ining usus -isa %uga -u,an
o Tana aa gam-aran S.&U2DER SIG0
le-i" ganas@ Ca colon Sc"irus
o Di masu,,an ,ontras tia, -isa8 -egitu %uga engan uara
o Seluru" sisi men%epit 6 mene,an ari : ara"
@ /&2I/ 6 SESSI2E
o Tenga" "itam8 pinggirn'a puti"
o Aa !lling efect
o &rang -isa mencret8 perara"an
o 2ama1lama -isa %ai egenerasi ganas
TES DARA. SAMAR i feseso ?enKiin test
@ C&2ITIS
o Gam-aran "austrae tia, aa8 ining licin
o Ana,1ana, mencret
sem-u"*o Terapi anti-ioti,