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NAMA : TRI INTAN SARI

NPM : 1102013289

1. Scenario
Ryan dewasa berumur 20 tahun dibawa ke rumah sakit oleh keluarganya
dengan keluhan adanya gangguan pernapasan, seperti batuk dan sesak nafas.
Batuk yang dialami Ryan sudah lebih dari 3 minggu, terkadang batuknya pun
di sertai darah dan nyeri pada dada. Demam yang naik turun juga di rasakan
Ryan selama 2 minggu terakhir. Dari hasil pemeriksaan fisik Ryan terinfeksi
TB Paru, dan dokter menyarankan Ryan melakukan pemeriksaan radiology
seperti CT-scan . Lalu orang tua Ryan bertanya tentang pemeriksaan MRI
(Magnetic Resonance Imaging) apakah bisa lebih tepat untuk mendiagnosa
TB.

2. Background:
Apa yang di maksud dengan penyakit TB (Tuberculosis) ?
Apa penyebab dari TB ?
Bagaimanakah patofisiologi dari TB ?
Apa saja gejala-gejala yang di rasakan pada pasien TB?

3. Foreground:
Apakah CT-Scan atau MRI lebih tepat mendiagnosa pada penderita TB?

4. Komponen PICO:
o Patient/ Population/ Problem
Penderita TB
o Intervention/ Indicator
CT-SCAN
o Comparison Control
MRI
o Outcame
Diagnosis
5. Keyword:
(((magnetic resonance imaging) AND ct-scan) AND for diagnosis) AND
tuberculosis
6. Web:
http://www.ncbi.nlm.nih.gov/pubmed

7. Type of Question
DIAGNOSTIC


8. Hasil Pencarian:
40 JURNAL
1) Images in clinical medicine. Pott's disease of the thoracic spine.
2) Isolated pancreatic tuberculosis: a case report and radiological comparison wit
3) cystic pancreatic lesions.
4) Chest wall tuberculosis.
5) Atypical disseminated skeletal tuberculosis mimicking metastasis on PET-CT
and MRI.5. Cystic transphyseal bone tuberculosis: a report of two cases.

6) Images in cardiovascular medicine: tuberculous aortitis.
7) Isolated homonymous hemianopsia due to presumptive cerebral tubercular
abscess as the initial manifestation of human immunodeficiency virus
infection.
8) Multiple metastasis-like bone lesions in scintigraphic imaging.
9) A phlebolith in the anterior portion of the masseter muscle.
10) Miscellaneous tumour-like lesions of the ovary: cross-sectional imaging
review.
11) The surgical treatment and related management for post-tubercular kyphotic
deformity of the cervical spine or the cervico-thoracic spine.
12) [Intracranial tuberculoma simulating a malignant tumor: case report and
literature review].
13) Association of tibial osteomyelitis and pneumonitis due to miliary tuberculosis
in a patient with systemic lupus erythematosus.
14) Spinal tuberculosis: a review.
15) Tuberculosis of the spine. A systematic review of case series.
16) [Tuberculous spondilodiskitis: imaging features].
17) Detection of Pulmonary tuberculosis: comparing MR imaging with
HRCT.
18) [MR imaging features of tuberculosis of the sellar region].
19) Orthopaedic case of the month: A 25-year-old man with a paramedian painful
lump over the anterior chest wall.
20) [A young girl with abdominal pain].
21) Primary Sjogren's syndrome with tuberculous arthritis of left knee.
22) Ring enhancing intracranial lesion responding to antituberculous treatment in
an HIV-infected patient.
23) Multiple ring-enhancing lesions of the brain.
24) A case of afebrile miliary tuberculosis that progressed from tuberculous
spondylitis with iliopsoas abscess.
25) An unusual cause of dysphagia: esophageal tuberculosis.
26) Tuberculosis with meningitis, myeloradiculitis, arachnoiditis and
hydrocephalus: a case report.
27) [Chronic pericarditis: CT and MR imaging features].
28) Solitary pulmonary nodule in the liver transplant candidate: importance of
diagnosis and treatment.
29) Imaging diagnosis of spinal intramedullary tuberculoma: case reports and
literature review.
30) Primary tuberculous cerebellar abscess in an immunocompetent adult.
31) Neurotoxoplasmosis mimicking intracranial tuberculoma.
32) Late extrusion of pulmonary plombage outside the thoracic cavity.
33) Fibrosing mediastinitis as an untypical complication of tuberculosis: case
report.
34) [Macular tuberculoma and optic neuritis: rare association with tuberculosis
meningoencephalitis].
35) Extensive meningeal and prenchymal calcified tuberculoma as long-term
residual sequelae of tuberculous meningitis.
36) Carpal tunnel syndrome caused by space occupying lesions.
37) Uncommon presentation of intracranial cryptococcal infection mimicking
tuberculous
38) infection in two immunocompetent patients.
39) [Suboccipital Pott's disease: a case report].
40) Bicaval obstruction complicating right atrial tuberculoma: the diagnostic value
of cardiovascular MR.

9. Artikel yang di Pilih:
Detection of Pulmonary tuberculosis: comparing MR imaging with
HRCT.