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Erlin

Modalitas radiologi
General X-Ray : polos atau dengan kontras
Ultrasonograf
CT scan urologi

General X-ray : polos

Urolithiasis : ginjal, ureter da, buli-buli
Composition : :
- Calcium oxalate (75%)
- Calcium phosphate (5%)
- Uric acid (8%)
- Cystine, xanthine (1%)
- Struvite (15%)

General X-ray : polos

Physical Properties :
Radiopaque : 92%
- Calcium oxalate
- Calcium phosphate
- Struvite
Radiolucent : 8%
- Uric acid
- Cystine, xanthine

General X-ray : polos

Etiology : idiopathic, probably multifactorial,
infection, hypercalcemia, renal tubular
acidosis, hyper-uricosuria.
Risk factors : dehydration, low urine volume,
higt concentration of minerals, presence of
infection, abnormal urine pH.

General X-ray : polos

Clinical presentation : renal colic, lumbar pain,
mehaturia, pyuria, crystalluria, urinary
infection, renal failure, urgency and freguency.
Often asymptomatic
Laboratorium fndings : urine crystals,
hematuria

General X-ray : polos

General X-ray : polos

General X-ray : polos

General X-ray : polos

General X-ray : kontras

Fungsi kontras : memberikan warna
Kontra : iodium, via iv
Dosis : 0,5-1cc/kgBB
Evaluasi fungsi sekresi dan exkresi ginjal
Derajat hidronefrosis

General X-ray : kontras

Grade of hydronefrosis

General X-ray : kontras

General X-ray : kontras

General X-ray : kontras

General X-ray : kontras

Ultrasonograf
Mudah, cepat, murah, tidak ada efek samping
Mudah melihat batu pada ginjal dan buli-buli
Kekurangan : tidak bisa evuali ureter secara
keseluruhan

Ultrasonograf

Ultrasonograf

Ultrasonograf

Grade hidronefrosis secara ultrasonograf

Urethrography: memasukan kontras OUE dengan kateter

Fungsi : Menilai urethral dan bladder
- Kongenital
- Strictures
- Trauma
- Neoplasma

Ultrasonograf
Benign prostat hypertrophy
Volume prostat
Kalsifkasi+/Usia > 50 thn,
Gejala: nocturia, frecuency, hematuria,
hydronephrosis, massive bladder enlargement

CT Scan urograf
Gold standar untuk evaluasi kelainan urologi
Stone : Jumlah, ukuran dan letak
Tumor staging (dengan kontras)

Renal tumor
Benign : angilipoma, lipoma
Malignant : nefroblastoma (wilms tumor),
Transitional cell carcinoma, Renal squamous
cell carcinoma
Clinical fnding : hematuri, abdominal mass
Radiologi dengan kontras flling defec

Baldder Tumor
Transitional cell carcinoma
Squamous cell carcinoma
Benign : hemangioma, leimyoma.
Clinical fnding : hematuri, anuria