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2nd and 3rd Trimester
Diagnostic Medical Sonography
98
Medical
Undergraduate 1
09/30/2011

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Cards

Term
second Trimester
Definition
weeks 13-26
Term
Third Trimester
Definition
27-42 weeks
Term
Gravidity
Definition
number of pregnancies, including the present one
Term
Parity
Definition
a numeric system describing all pregnancy outcomes
Term
  • 1 full term delivery
  • 1 premature births and stillborns
  • 0 early pregnancy loss or terminations
  • 2 living children
Definition

Numbers in order represent what for parity?

P1102

Term
Vertes Presentation (Cephalic)
Definition
Fetal head is down near cervix
Term
Breech presentation
Definition
Lower extremities or buttocks are found in lower uterine segment, and head is in uterine fundus
Term
Frank breech
Definition
Both thighs are flexed at the hips and the lower legs extend in front of the body up to the level of the head( swimmer's pike)
Term
Complete breech
Definition
Both hips and lower extremities are in lower uterine segment
Term
Footling Breech
Definition
When the hips are extended and one (sinle footling) or both (double footling) are the parts closest to the cervix
Term
dolichocephalic head
Definition
flattened or elongated head
Term
Transverse Presentation
Definition
when a cross section of the fetal head or body is seen in the sagittal plane, need to look for placenta previa or mass in late pregnancy
Term
Position
Definition
Is described in relation to the maternal long axis
Term
True
Definition
Effective OB scanning is dependent on the operator's ability to visualize the fetal position
Term
18 weeks
Definition
The cranium anatomy stays the same after how many weeks?
Term
Choroid plexus
Definition
Appears large within the cranium early on and then appears smaller later on in pregnancy
Term
12 weeks
Definition
Cranial bones ossify by when?
Term
Occipitoposterior position
Definition
looking up
Term
occipitoanterior
Definition
looking down
Term
Transverse plane
Definition
All measurements of the cranium will be taken from this position
Term
hypoechoic because of the small size reflectors and high water content
Definition
Normal fetal brain parenchyma appears how and why?
Term
Always symmetrical
Definition
Brain anomalies are always ?
Term
20 weeks
Definition
Dont measure the nuchal fold after how many weeks?
Term
midline echo, falx cerebri, or interhemispheric fissure
Definition
Synonyms for midline falx
Term
midline falx and white matter tracts
Definition
Most superior level within the skull will demonstrate what structure(s)?
Term
White matter tracts
Definition
lateral and parallel to the midline falx, look for two linear echoes representing deep venous structures called?
Term
Two paired lateral ventricles, midline third ventricle, and fourth ventricle
Definition
What ventricles are within the brain?
Term
Cerebrospinal fluid
Definition
The ventricles contain what?
Term
Choriod plexus
Definition
Is in the roof of each lateral ventricle and produces CSF
Term
Foramen of monro
Definition
Fluid flows from lateral ventricles through what to third ventricle?
Term
Aqueduct of Sylvius
Definition
Fluid then flows from third ventricle to fourth ventricle trough what?
Term
interventricular foramina and foramen of Luschka
Definition
Fluid then flows from fourth ventricle into the cerebral and spinal subarachnoid spaces through what?
Term
Stenosis of the aqueduct of sylvius
Definition
Most common type of fetal hydrocephaly and will result in excess fluid in the third and lateral ventricles
Term
spinal defects
Definition
Dilation of the entire ventricular system is associated with what?
Term
lateral ventricles
Definition
Viewed at a level just below the white matters tracts and choriod plexus will be seen within them
Term
The atrium of the lateral ventricles
Definition
______ is the area where the temporal, occipital, and inferior portion of lateral venticles join, the most inferior portion of the choriod plexus body marks the site of this.
Term
glomus
Definition
the body of the choroid plexus
Term
This area remains constant throughout the pregnancy
Definition
Why is measuring at the level of the atrium of the lateral ventricles done?
Term
6.5 mm
Definition
Normal measurement of the lateral ventricles
Term
>10mm
Definition
Abnormal measurement of the lateral ventricles
Term
thalmus
Definition
Slightly inferior to the ventricles is the what?
Term
slightly inferior to the ventricles
Definition
Widest transverse diameter of the skull and hte proper level of measuring the BPD and HC
Term
Cavum septum pellucidum, midline falx, and paired thalami
Definition
At the level of measuring the BPD you should see what structures?
Term
Thalmus
Definition
Appears butterfly shaped
Term
third ventricle
Definition
Lies between the thalami
Term
Cavum septum pellucidum
Definition
Looks box shaped
Term
corpus callosum
Definition
The band of tissue between the frontal horns
Term
Cerebral peduncles
Definition
Seen more inferior in the cranium, similar to thalmus in shape but smaller.
Term
Basilar artery
Definition
Can be seen pulsating between the cerebral peduncles
Term
Cerebellum
Definition
in back of the cerebral peduncles within the posterior fossa
Term
cerebellar vermis
Definition
Cerebellar hemispheres are joined by what?
Term
cerebellum
Definition
dumbell shaped
Term
Arnold-Chiari malformation
Definition
When the cerebellum displays the banana sign it is termed what? 
Term
cisterna magna
Definition
osterior fossa filled with CSF, is directly posterior to cerebellum
Term
spinal defects
Definition
A normal cisterna magna can exclude open what?
Term
cyst, such as dandy walker malformation, or other abnormalities
Definition
An enlarged cisterna magna may indicate what?
Term
3 to 11 mm with an average of 5-6 mm
Definition
Normal cisterna magna measures what?
Term
Measure from vermis to inner occipital bone
Definition
How do you measure the cisterna magna?
Term
> 11 mm
Definition
Abnormal cisterna magna measures what?
Term
vermis
Definition
Center of cerebellum
Term
nuchal fold
Definition
can be measured in 2nd trimester at level of cerebellum
Term
5mm or less up to 20 weeks
Definition
Normal nuchal fold measurements are what?
Term
aneuploidy
Definition
Thickened nuchal skin is increased risk for what?
Term
gain
Definition
parietal bones should measure less than 3mm if not adjust what?
Term
Cephalic index
Definition
Used to determine normality of the fetal head shape
Term
75-85%
Definition
Normal range for cephalic index
Term
brachycephaly
Definition
CI>85%
Term
dolichocephaly
Definition
<75% CI
Term
17-22 weeks
Definition
the fetal face is easy to appreciate by how many weeks?
Term
  • fetal positioning
  • adequate amounts of amniotic fluid
  • excellent visualization
Definition
Visualization of fetal face relies heavily on what?
Term
anophthalmia
Definition
missing eyes
Term
hypotelorism
Definition
fused or closely spaced orbits
Term
hypertelorism
Definition
abnormally wide spaced orbits
Term
inner orbital distance
Definition
IOD
Term
Outer orbital distance
Definition
OOD
Term
Orbital diameter
Definition
OD
Term

IOD

Inner orbital distance

Definition
measured from medial border to medial border of the orbit
Term

OOD

Outer orbital distance

Definition
measured from lateral border to lateral border of the orbits
Term

OD

orbital diameter

Definition
measurement of single orbit
Term
frontal bossing
Definition
bulging of the forehead
Term
frontal slanting
Definition
opposite of bossing
Term
cephalocele
Definition
protrusion of the brain from the cranium
Term
micrognathia
Definition
abnormally small chin
Term
1/3
Definition
each segment of a normal profile should be proportioned approx. how much/
Term
nasal bone
Definition
bright echo parallel to the echogenic skin interface in the superior aspect of the nose
Term

second trimester

13 weeks

Definition
nasal bone should be present by when?
Term
  • both orbital rings
  • parietal bones
  • ethmoid bones
  • nasal septum
  • zygomatic bone
  • maxillae
  • mandible
Definition
Anatomic landmarks of the Coronal facial view
Term
  • nares
  • nasal septum
  • maxillae
  • mandible
Definition
Anatomic landmarks of the Tangential views
Term
tangential view
Definition
view angled up looking at nose and lips
Term
macroglossia
Definition
a large tongue that protrudes out of the mouth persistently
Term
hair
Definition
can be seen along the periphery of the skull
Term
coronal, transverse, and sagittal views
Definition
Spine should be seen in what three views?
Term
coronal spine
Definition
appears as two curvilinear lines extending from the cervical spine to the sacrum
Term
taper, widens
Definition
normally the spine will ____ near the sacrum and _____ near the base of the skull
Term
railway sign
Definition
The double line referred to as this is generated by echoes from the posterior and anterior laminae and spinal cord
Term
Transverse spine
Definition
spinal column appears as a closed circle, indicating closure of the neural tube
Term
spinal defect
Definition
If pediclaes appear splayed in a V,C, or U shaped configuration and the posterior ossification echo is absent in a fetus with ?
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