Form C2
SIGNALEMENT
PRESENT
STATUS
Animal Name :
Tenesmus 8 hari
Species : Cat
Sex :
M,
BW :
kg
Age :
11 Yr
SM,
Rectal Temp.:
C
Resp. Rate :
Name:
Heart Rate :
Phone:
Mo Mentation:
SF
OWNER
Yes,
Address:
Ref. (sender):
No
RADIOGRAPHY PROCEDURES
Technical
Data:
Grid Factors:
Yes,
Beam
Setting:
No
Film
Sizes
Thick =
cm
24 x
FFD
cm
30 x
inchi
12:1, kVP + 10
=.
mAs =
.
Contras
Agents
Radiograph Positions
R-
BaSO4
Iodine
Double
Oblique
Ros-
VD
DV
contras
Caud
requmb
Lrequmb
Radiographer: .. Signature: ..
RADIOGRAPHIC INTEPRETATIONS
REGIONS
Abdomen
ORGANS/SYST
RADIOGRAPHIC DESCRIPTIONS
EM
Kualitas
Gambar diambil menggunakan kVp dan mAs yang
cukup sehingga gambar bisa diinterpretasikan.
Posisi
Pertulangan
ABNORMALIT
Y
Norm /
Abnrm
BagianBedah&Radiologi
FakultasKedokteranHewan InstitutPertanian Bogor
Website : www.bedahradiologi.fkh.ipb.ac.id Email : bedah_fkhipb@yahoo.com
Telp/Fax : +62251 8628080; 8628181
c
b
a
d
Hati
Norm /
Abnrm
Lambung
Norm /
Abnrm
BagianBedah&Radiologi
FakultasKedokteranHewan InstitutPertanian Bogor
Website : www.bedahradiologi.fkh.ipb.ac.id Email : bedah_fkhipb@yahoo.com
Telp/Fax : +62251 8628080; 8628181
Ginjal
Norm /
Abnrm
Usus
BagianBedah&Radiologi
FakultasKedokteranHewan InstitutPertanian Bogor
Website : www.bedahradiologi.fkh.ipb.ac.id Email : bedah_fkhipb@yahoo.com
Telp/Fax : +62251 8628080; 8628181
RADIOGRAPHIC DIAGNOSE:
Obstipasi dan urolithiasis
Mahasiswa PPDH,
DosenRadiologi
(..
..)
NIP