PPT radiologi.ppt

7/26/2019 PPT radiologi.ppt

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SARAH TIFANI SIGAR406152004

OSTEOMIELITIS DAN ASPEKRADIOLOGISNYA


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OSTEOMIELITIS

Infeksi p! "#in$n %&'n$ (is k&% !n k#)nis*

Pen+e(#n (is ,e-%)$en. !#i f)k&s +n$ "&,!n !#i %#&- 'n$s&n$ %e#-s&k )pe#si

Os%e)-ie'i%is k&% !& -in$$& se%e', pen+ki% Os%e)-ie'i%is s&(k&% s%& s-pi (e(e#p

(&'n

Os%e)-ie'i%is k#)nik (e(e#p (&'n ke-&!in


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ETIOLOGI

Staphylococcus aureus,

Enterobacteriaceae,

group A dan B Streptococcus,

Haemophilus infuenzae. P. aeruginosa,

E. coli, !n

Serratia mercescens

Blastomyces dan Coccidioides immitis

Mycobacterium tuberuloasis

K)-p'iksi !#i fk% p! %&'n$. amyloidosis,endocarditis, atau sepsis


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P#e!i'eksi Te-p%

Fe- ($in !is%'. %i(i ($in p#)ksi-'.,&-e#&s. #!i&s. !n &'n ($in p#)ksi-' !n!is%'. se#% /e#%e(#*

P! %&'n$ 'in n%# 'in !', %en$k)#k.-n!i(&'. pe'/is. p! %&'n$ "#i kki !n%n$n*


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P%)$enesis

M&'-&' %e#!p% f)k&s infeksi !i !e#, -e%sis

Infeksi !p% pe, ke s&(pe#i)s% ke-&!in -ene-(&ske s&(k&%is !n -en"!i se'&'i%is %& -en"'# -e''&i#)n$$ s&(pe#i)s% ke !isis* Infeksi "&$ !p% pe,ke (in %&'n$ !isis ke k/&- -e!&'#e*

Pen"'#n s&(pe#i)s%e' ke #, !isis kn -e#&skpe-(&'&, !#, +n$ ke !isis se,in$$ -en+e((knnek#)sis p! %&'n$ +n$ !ise(&% se3&es%e#

Pe#i)s% kn -e-(en%&k %&'n$ (#& +n$-en+ee'&(&n$i %&'n$ -%i %e#se(&%. +n$ !ise(&%in/)'&k#&-


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G(* Infeksi !ini !p% !i-&'i!en$n %-pk se'&'i%is +n$k&% !i%-(, infeksi "#in$n'&nk +n$ -en$e'i'in$i %&'n$!n sen!i sepe#%i %-pk p!

$-(# !i s-pin$


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GEALA KLINIS

fe(#is. n)#eksi. !n -'ise sn$% -en)n")'.se!n$kn $e"' ')k' sepe#%i pe-(en$kkn%& se'&'i%is (e'&- %-pk

P! )s%e)-ie'i%is k#)nis !i%e-&kn s%e' k#)nikp! eks%#e-i%s +n$ -en$e'kn nn, !nk!n$ sek&es%e# kei'*


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G(* 10 Os%e)-ie'i%is k#)nis p! !is%' fe-sinis%#. -e-pe#'i,%kn nn, (e#7#nk&nin$ -en$i!en%ksikn infeksi )'e,S%p,+'))&s e&s*


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DIAGNOSIS

A!n+ -%e#i p&'en %& p&s p! spi#si %&'n$+n$ %einfeksi

K&'% (k%e#i !#i %&'n$ %& !#, -en&n"&kkn,si' p)si%if

Di%e-&knn+ %n!%n! k'sik ')k' (e#&p n+e#i%ekn p! %&'n$ . !en$n "#in$n '&nk +n$ e#i%e-%& &!e-

Le&k)si%)sis. LED -enin$k%

Pe-e#iksn #!i)')$i -en&n"&kkn ,si' +n$ p)si%if.(e#&p $-(#n &!e- p! "#in$n '&nk !i%s%&'n$ se%e', 5 ,#i %e#infeksi* P! -in$$& ke!&$-(#n #!i)')$i -&'i -en&n"&kkn !es%#&ksi%&'n$ !n #eksi pe#i)s%e' pe-(en%&kn %&'n$ (#&*


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DIAGNOSIS

FOTO POLOS RONTGEN

8ONE S9AN

9T S9AN

:SG

MRI


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Gambar 15.G-(#n #!i)')$is sen!i kki knn ; %e#!p%p'e(#n sen!i !n pene('n "#in$n '&nk


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Osteomyelitis, chronic. Three-phase technetium-99m diphosphonate bone scans (perfusioncomponent) show increased actiity in the whole

of the heel, the tarsus, the pro!imal and distalphalan"es of the hallu!, and the pro!imal


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8ENT:K KHAS OSTEOMIELITIS

Os%e)-ie'i%is Sk'e#)sin$ G##e


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A(ses 8#)!ie


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Os%e)-ie'i%is P! /e#%e(#


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Di(e%i F))%


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TERAPI

An%i(i)%ik ; Penisi'in.nfsi'in.kanamycin,neomycin, vancomycin atau polymyxin B

Pe-(e!,n

P! )s%e)-ie'i%is k#)nik !i'k&kn sek&es%#si!n !e(#i!e-en se#% pe-(e#in n%i(i)%ik +n$ses&i !en$n ,si' k&'% !n %es #esis%ensi*


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PROGNOSis

Pe#'& sek'i -en!i$n)sis )s%e)-ie'i%is ini se!ini-&n$kin. %e#&%- p! nknk. se,in$$pen$)(%n !en$n n%i(i)%ik !p% !i-&'i !n

pe#7%n pe-(e!,n +n$ ses&i !p%!i'k&kn &n%&k -ene$, pen+e(#n infeksi+n$ -si, %e#')k'issi !n &n%&k -ene$,

"n$n s-pi se'&, %&'n$ -en$'-ike#&skn +n$ !p% -eni-(&'kn ke'&-p&,n*

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PPT radiologi.ppt