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Prosedur Pemeriksaan Radiografi Vertebrae Cervical pada Kasus Phlegmon di Instalasi Radiologi RSUD Kota Yogyakarta Sefiana Nurul Hikmah; Amril Mukmin; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 1 (2025): April : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i1.4997

Abstract

Phlegmon is a serious infection affecting the maxillofacial area. Cases of phlegmon cause more than 50% mortality before the development of antibiotics, and 90% are due to acute infection of molar teeth. Examination of cervical vertebrae can help the diagnosis by using AP Axial, Lateral, right posterior oblique (RPO)/left posterior oblique (LPO) projections of 15º-20º cephalad, and right anterior oblique (RAO)/left anterior oblique (LAO) 15º-20º caudad while in the Radiology Installation of Yogyakarta City Hospital, using AP Axial projection 15º cephalad, Lateral and oblique (RPO and LPO) with perpendicular beam direction without other modalities such as MRI and CT Scan. This study aims to further examine radiographic examination procedures and projections of RPO and LPO with perpendicular ray directions. This type of research is qualitative with a case study approach at the Radiology Installation of Yogyakarta City Hospital from September 2024 to May 2025. Data were collected by observation, documentation and interviews with 3 radiographers and 1 radiology specialist. Data analysis was done by data reduction, data presentation and conclusion drawing. The results showed 3-position photographs to evaluate the overall condition of the cervical vertebrae and surrounding tissues. RPO and LPO projections are not angled according to the applicable SOP and have no significant effect, because the main focus of phlegmon is soft tissue evaluation and is not related to the evaluation of nerve abnormalities in the intervertebral foramen. However, for phlegmon cases with serious severity, other modalities such as MRI, CT scan or ultrasound should be added in order to detect soft tissue and the cause of phlegmon for further action.
Teknik Pemeriksaan Radiografi Wrist Joint pada Kasus Fraktur di Instalasi Radiologi RSU PKU Muhammadiyah Delanggu Tira Arini; Anisa Nur Istiqomah; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 5 No. 1 (2026): April: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v5i1.7979

Abstract

Radiographic examination of the wrist plays a crucial role in diagnosing fractures, particularly in traumatic cases, and requires precise projection selection, proper immobilization, and adequate radiation protection to obtain high-quality diagnostic images. In theory, wrist radiography commonly includes anteroposterior (AP) and lateral projections; however, observations at the Radiology Installation of RSU PKU Muhammadiyah Delanggu showed that fracture examinations are generally limited to posteroanterior (PA) and lateral projections. This difference highlights a gap between theoretical recommendations and clinical practice, as several references emphasize the importance of projection variation to enhance diagnostic accuracy. This study aimed to describe the wrist joint radiographic examination procedures for fracture cases at RSU PKU Muhammadiyah Delanggu and to examine the immobilization techniques applied during the procedure. A descriptive qualitative design with a case study approach was used, conducted from May to June 2025. The subjects included three radiographers, while the object of study was wrist radiography in fracture cases. Data were obtained through direct observation, interviews, and documentation, and analyzed descriptively. The findings showed that PA and lateral projections were consistently used, with immobilization achieved using sandbags and foam pads to ensure stability and minimize motion artifacts. Radiation protection was implemented through lead aprons, collimation, and appropriate exposure adjustments. Overall, the procedures followed established radiography guidelines, particularly the Bontrager standard, ensuring both diagnostic quality and patient safety.