PRAKTIKUM RADIOLOGI VETERINER

BAGIAN BEDAH DAN RADIOLOGI

FAKULTAS KEDOKTERAN HEWAN
UNIVERSITAS BRAWIJAYA

NAMA : SUB: INTERPRETASI

NIM :
KELOMPOK :
GENERAL RADIOGRAPHY EXAMINATION FORM
Date: Num: ..
ANAMNESE SIGNALEMENT PRESENT STATUS OWNER
Animal Name : Rectal Temp.: C Name:
Species : BW : kg Resp. Rate : Address:
Sex : M, F Age : Yr Heart Rate : Phone:
SM, SF Mo Mentation: Yes, No Ref. (sender):

RADIOGRAPHY PROCEDURES
Technical Data: Grid Factors: Yes, No Beam Setting: Film Sizes Contras Agents Radiograph Positions
Thick = cm 5:1, kVp + 2-4 =. kVp = . 24 x 30 BaSO4 Iodine Oblique VD R-requmb
FFD = cm 8:1, kVp + 6-8 =. kVp + GF = .. 30 x 40 Double contras Ros-Caud DV L-requmb
inchi 12:1, kVP + 10 =. mAs = . . . .

Radiographer: .. Signature: ..

RADIOGRAPHIC INTEPRETATIONS
REGIONS ORGANS/SYSTEM RADIOGRAPHIC DESCRIPTIONS ABNORMALITY
Head
Neck
Fore Extremity
Thorax
Abdomen
Pelvis
Hind Extremity

RADIOGRAPHIC DIAGNOSE:

Mahasiswa Asisten Radiologi