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    Emergency Radiology

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    Aulia Rahma Noviastuti
    This document discusses diagnostic imaging findings for head trauma, thoracic trauma, and fractures seen in emergency radiology. For head trauma, CT or MRI may show scalp injuries, skull fractures, or intracranial injuries like epidural hematomas, subdural hematomas, subarachnoid hemorrhages, intracerebral hematomas, or cerebral edema. Chest imaging like CXR or CT can identify soft tissue injuries, fractures, hemothorax, pneumothorax, lung contusions, or tracheobronchial or esophageal lacerations from thoracic trauma. Various fracture patterns like transverse, spiral, comminuted, avulsion or vertebral compression fractures are described.

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    Emergency Radiology

    Uploaded by

    Aulia Rahma Noviastuti
    92 views28 pages
    This document discusses diagnostic imaging findings for head trauma, thoracic trauma, and fractures seen in emergency radiology. For head trauma, CT or MRI may show scalp injuries, skull fractures, or intracranial injuries like epidural hematomas, subdural hematomas, subarachnoid hemorrhages, intracerebral hematomas, or cerebral edema. Chest imaging like CXR or CT can identify soft tissue injuries, fractures, hemothorax, pneumothorax, lung contusions, or tracheobronchial or esophageal lacerations from thoracic trauma. Various fracture patterns like transverse, spiral, comminuted, avulsion or vertebral compression fractures are described.

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    This document discusses diagnostic imaging findings for head trauma, thoracic trauma, and fractures seen in emergency radiology. For head trauma, CT or MRI may show scalp injuries, skull fractures, or intracranial injuries like epidural hematomas, subdural hematomas, subarachnoid hemorrhages, intracerebral hematomas, or cerebral edema. Chest imaging like CXR or CT can identify soft tissue injuries, fractures, hemothorax, pneumothorax, lung contusions, or tracheobronchial or esophageal lacerations from thoracic trauma. Various fracture patterns like transverse, spiral, comminuted, avulsion or vertebral compression fractures are described.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    92 views28 pages

    Emergency Radiology

    Uploaded by

    Aulia Rahma Noviastuti
    This document discusses diagnostic imaging findings for head trauma, thoracic trauma, and fractures seen in emergency radiology. For head trauma, CT or MRI may show scalp injuries, skull fractures, or intracranial injuries like epidural hematomas, subdural hematomas, subarachnoid hemorrhages, intracerebral hematomas, or cerebral edema. Chest imaging like CXR or CT can identify soft tissue injuries, fractures, hemothorax, pneumothorax, lung contusions, or tracheobronchial or esophageal lacerations from thoracic trauma. Various fracture patterns like transverse, spiral, comminuted, avulsion or vertebral compression fractures are described.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 28

    Emergency radiology

    Trauma capitis
    Diagnostic imaging
    - Ro cranium AP, lat
    - Head CT scan
    - MRI
    Kelainan

    Scalp injury
    Skull fracture
    Brain injury
    EDH
    SDH
    ICH, contusio cerebri
    Oedema cerebri
    DAI
    Epidural hematom
    Lesi hiperdens biconvex
    Lesi inhomogen perdarahan aktif
    Hematom tidak melewati sutura
    Mass effect tergantung volume
    Berhubungan dengan fraktur
    Subdural hematom
    Lesi hiperdens convex-concaf (crescent)
    Dapat melewati sutura
    Subchronic subdural hematom
    Isodens
    Cronic subdural hematom
    Hipodens
    Subarachnoid hematom
    Lesi hiperdens di sulci, cysterna basalis, fissura
    sylvii, cysterna cerebelli superior dan intra-
    ventricular
    CT scan tanpa kontras sensitif 4-5 jam stl
    onset
    MRI kurang sensitif pada 48 jam pertama
    Intracerebral hematom
    Terjadi 30 menit sampai 6 jam setelah trauma
    Coup maupun countrecoup
    Lesi hiperdens dengan perifocal oedema
    Oedema cerebri
    Densitas berkurang
    Sulci menyempit, gyri melebar, ventrikel
    menyempit
    Trauma thorax
    Jenis trauma
    Tumpul
    Tajam
    Diagnostic imaging
    Rontgent
    Thorax PA/AP, lateral
    Sternum oblique, lateral
    Clavicula AP
    CT scan
    Kelainan
    Soft tissue
    Fraktur
    Hemothorax/hematothorax
    Pneumothorax
    Contusio pulmo
    Laserasi tracheobronchial
    Laserasi oesophagus
    Fraktur costa
    Ro thorax PA atau AP, kondisi tulang
    Ro thorax lateral
    Fraktur :
    Simple
    Multiple flail chest
    Komplikasi :
    Pneumothorax
    Hematothorax
    Contusio pulmonum
    Hematothorax
    Ro thorax erect lebih sensitif dibandingkan
    supine
    Erect : sinus costofrenicus tumpul volume
    sekitar 250 ml
    Supine : Opasitas di hemithorax
    Pneumothorax
    Lesi hiperlusen tanpa corakan pulmo
    Pneumothorax minimal Ro thorax expirasi
    Tension pneumothorax
    Diagnosis klinis
    Deviasi mediastinum
    Fraktur
    Tipe fraktur
    Transversal
    Spiral / oblik
    Comminutif (lebih dari 2 fragment)
    Avulsi
    Anak-anak :
    Greenstick
    Epiphysiolysis
    Vertebra :
    Compressi
    Wedge
    Calvaria
    Linier
    Impresi /depressed
    Stellate
    Diastasis
    Evaluasi foto
    1. Diagnostik segera setelah terjadi trauma
    2. Post reposisi
    3. Callus forming
    4. Setiap perubahan / pergantian traksi
    Komplikasi Fraktur
    1. Osteomyelitis
    2. Non Union (neoarthrosis)
    3. Bone atrophy
    4. Bone formation in muscle
    5. Mal union
    Fraktur
    transversal
    Fraktur obliq Fraktur spiral
    Fraktur
    Fraktur avulsi
    kominutif

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