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8/10/2019 X-ray Identification of Thoracic Injuries..1
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X-ray Identification of
Thoracic Injuries
Skill Station IV
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Thoracic anatomy
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Bronchus anatomy
Pleura
visceral
Trachea
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Pleura: Parietal-Visceral
Pleura parietal
Pleura
visceralCavum pleura
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Hemothorax
Hemothorax
Paru
mengembang
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Hemothorax
Massive
hemothorax
Blood > 1500 cc
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Thoracic drain/tube
Chest tube
Insertion of the
chest tube
SIC 5
Kearah
Cranio-posterior
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Perbedaan penempatan chest tube
Papilla
Mammae
( SIC 5 )
Lipat payudara
bawah
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Posisi insertia chest tube
Linea Axillaris posterior
Linea Axillaris media
Linea Axillaris anterior
Fossa Axillaris
SIC 5
*Pria : Papilla mamae
*Wanita : Lipat payudara bawahm.Serratus posterior
m.Serratus anterior
Lokasi sayatan
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Procedure of thoracic tube
Index FingerChest tube
Long kellySIC 5
Costae 4
Costae 5
Pleura parietal
Pleura viceral
Pleura parietal
Cavum pleura
Kearah Cranio-
posterior
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Expansion of thoracic pleura
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DL// DH
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Normal Anatomy of Thoracic
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Pneumothoracic
Collapsed lung
Air Visceral pleural ruptured/perforated
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Pneumothoracic/Collapsed of
the lung
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X-ray Anatomy
X-ray particle
Air
Blood
Soft tissue
Bone
LUCENT
OPAQUE
LESS LUCENT
LESS OPAQUE
Film x-ray
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Normal Chest x-ray
H t id tif thi ?
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How to identify this x-ray ?
Pleuraparietal
Pleura
isceral
Broncho
asculer
Broncho
vasculer
Aortic knob
Th i X Id tifi ti
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A Airway
B Breathing
C Circulation
DDiaphragma
E Soft tissue/ Costae
E Costae
E Soft tissueThoracic X-ray Identification
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AIRWAY
( A )
BREATHING
( B )
CIRCULATION
( C )
DIAPHRAGMA
( D )
PLEURA
PARIETAL
PLEURA
VISCERAL
COSTAE
( E )
SOFT TISSUE
( E )
E (ect) * SOFT TISSUE/COSTAE
CAVUM PLEURA
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Pneumothorax
Air
Pleural
visceral
Pleural
Parietal
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Collapsed of right lung
Collapsed of
right lung
Inspeksi gambaran
cedera
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Tension Pneumothorax
Tepi lateral jantung
Pleura Visceral
Pleura Parietal
Pharenchym paru
Bercak vasculer
menghilang
Trachea tergeser
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SUMMARY
X Id tifi ti f Th i
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X-ray Identification of Thoracic
Injuries AIRWAY
( A )
BREATHING
( B )
CIRCULATION
( C )
DIAPHRAGMA
( D )
PLEURA
PARIETAL
PLEURA
VISCERAL
COSTAE
( E )
SOFT TISSUE
( E )
E * SOFT TISSUE* COSTAECAVUM PLEURA
X Id tifi ti f Th i
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X-ray Identification of Thoracic
Injuries AIRWAY
( A )
BREATHING
( B )
CIRCULATION
( C )
DIAPHRAGMA
( D )
PLEURA
PARIETAL
PLEURA
VISCERAL
COSTAE
( E )
SOFT TISSUE
( E )
E * SOFT TISSUE* COSTAECAVUM PLEURA
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Thank-you
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Glasgow Coma Score (GCS)
Eye Opening Verbal Response Motor Response
Spontaneous = 4
To Voice = 3
To Pain = 2
None = 1
Oriented = 5
Confused = 4
Innappropriate Words = 3
Incomprehensible Words = 2 None = 1
Obeys Commands = 6
Localizes Pain = 5
Withdraws from Pian = 4
Decerebrate (Flexion) topain = 3
Cedorticate (Extension) toPain = 2
None =
TOTAL Glasgow Com a Score =_____