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2nd and 3rd trimester Part 2
diagnostic medical sonography
84
Medical
Undergraduate 1
10/15/2011

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Cards

Term
no
Definition
Does the fetus breath in utero?
Term
third trimester
Definition
Breathing motions can be seen when?
Term
homogeneous and slightly more echogenic than the liver
Definition
Lung tissue sonographically appears?
Term
liver, portal venous system, hepatic veins, arteries, gallbladder, and bile ducts
Definition
what make up the hepatobiliary system?
Term
Ductus venosus
Definition
What is a direct link to the fetal heart?
Term
liver
Definition
largest organ in the upper abdomen
Term
left lobe due to oxygenated blood coming from the umbilical vein
Definition
Which lobe of the fetal liver is larger and why?
Term
liver
Definition
main storage for glucose
Term
gallbladder
Definition
cone or teardrop shaped
Term
gallbladder
Definition
seen in RUQ below the left portal vein
Term
spleen
Definition
Will be posterior and to the left of the stomach
Term
pancreas
Definition
posterior to the stomach
Term
stomach
Definition

Anechoic, fluid filled after fetus swallows amniotic fluid.

Can be seen by 11 weeks, should be visualized after 16th week

Term

esophageal atresia and

diminished amniotic fluid

Definition
Conditions that will effect stomach filling:
Term
non-insulin dependent diabetic pregnancies and duodenal atresia
Definition
Conditions that cause enlargement of the stomach:
Term
20 weeks
Definition
Can differentiate between large and small bowel after how many weeks?
Term
small bowel
Definition
Will be centrally located in lower abdomen
Term
large intestine
Definition
Will be on periphery in lower pelvis, may contain meconium particles
Term
meconium
Definition
A thick, sticky, greenish-black substance. It is the medical term for the newborn's first stools.
Term
  • amniotic fluid
  • mucus
  • fine hair
  • bile
  • cells that have been shed from the skin and intestinal tract
Definition
What is meconium is made up of?
Term
  • kidneys
  • adrenal glands
  • ureters
  • bladder
Definition
what makes up the urinary system?
Term
kidneys
Definition
Located on either side of spine transverse scan of fetal abdomen as early as 15 weeks
Term
yes
Definition
Will Echogenicity change throughout gestation?
Term
20 weeks
Definition
the Renal pelvis will contain a small amount of fluid beyond how many weeks?
Term
> 10mm
Definition
Abnormal renal pelvis contains how much fluid within?
Term
Adrenal glands
Definition
above kidneys, central echogenic line surrounded by less echogenic, almost hypoechoic tissue
Term
once an hour
Definition
the fetus voids how often?
Term

renal anomaly or

premature rupture membranes

Definition
Non-visualization of bladder with oligohydramnios suggests what?
Term
abdominal circumference
Definition
Measurement helps predict fetal weight, helps monitor normal fetal growth, and detect IUGR and macrosomia
Term
abdominal circumference
Definition
Measured in transverse plane of fetus at the level of the liver where the umbilical vein branches into the left portal vein branches into the left portal sinus. The j shape of the rt. and lt. portal branches and the stomach should also be visualized.
Term
The right and left portal branches
Definition
What forms the J shape that should be visualized at the level of the measurement of the abdominal circumference?
Term
follow long axiss of the fetus towards hips
Definition
How to see genitalia?
Term
16 weeks, 20 - 22 weeks
Definition
Gender may be appreciated as early as when? But clear delineation may not be possible until when?
Term
Long bone measurements
Definition
help assess fetal age and growth and allow dtection of skeletal dysplasias and various congenital limb malformations
Term
femur
Definition
the most widely measured long bone
Term
32 weeks
Definition
The epiphysis is seen after how many weeks?
Term
medial
Definition
the tibia is located?
Term
lateral
Definition
the fibula is located?
Term
35 weeks
Definition
The tibial epiphyseal center is found after when?
Term
umbilical vein
Definition
transports oxygenated blood from from the placenta
Term
Paired umbilical arteries
Definition
return deoxygenated blood from the fetus to the placenta for purification
Term
wharton's jelly
Definition
Umbilical vein and arteries are surrounded by this for support
Term
placenta
Definition
Major role is to permit the exchange of oxygenated maternal blood (rich in oxygen and nutrients) with deoxygenated fetal blood
Term
15mm in fetuses > 23 weeks
Definition
mininumum diameter of placenta
Term
50mm
Definition
A normal placenta in size should not exceed what?
Term
  • allows free movement of the fetus
  • maintains temperature and protection
  • produced by the umbilical cord and membranes, lungs, skin, and kidneys
Definition
Amniotic fluid serves these important functions:
Term
Fetal urintation into the amniotic sac
Definition
accounts for nearly the total volume of amniotic fluid by the second half of pregnancy
Term

The exchange of amniotic fluid whithin

the lungs

Definition
Normal lung development is critically dependant on what?
Term
34th week
Definition
Volume of AFI increases to what week, and then slowly diminishes?
Term
Amniotic fluid index
Definition
AFI
Term
one inner to inner
Definition
If gestational sac is round take how many measurements?
Term
three
Definition
If gestational sac is ovoid take how many measurements?
Term
16mm
Definition
When the mean gestational sac diameter exceeds what, an embryo with definite cardiac activity should be seen
Term
6weeks
Definition
Heart activity occurs by how many week?
Term
anembryonic pregnancy, or blighted ovum
Definition
Absence of an embryo in an intrauterine pregnancy of 7-8 weeks is termed what?
Term
500 mIU/mL beta hCG
Definition
Endovaginally, gestational sac should be seen by what level of beta hCG?
Term
yolk sac
Definition
Endovaginally, by 8mm gestational sac or greater what should be seen?
Term
Normal
Definition

Endovaginally, a 6mm or less yolk sac is?

(<5.6mm)

Term
abnormal
Definition
Endovaginally, a 8mm yolk sac or greater is what?
Term
positive cardiac activity
Definition
Endovaginally, when a 7mm or greater fetal pole is seen what else should be seen?
Term
6-12 weeks
Definition
Endovaginally, a CRL can be measured from what range?
Term

CRL

(Crown Rump Length)

Definition
What is the most accurate fetal age measurement?
Term
Ges. age=CRL in cm+6
Definition
formula to find gest. age from CRL
Term
12th week
Definition
CRL is no longer considered accurate after how many weeks?
Term
platycephaly
Definition
flattening of the skull
Term
dolichocephaly
Definition
shortenened in transverse and elongated in AP
Term
brachycephaly
Definition
elongated in Transverse and shortened in AP
Term
ten to thirteen weeks and 6 days
Definition
Optimal time for nuchal sonolucency measurements
Term

3 to 11mm

Average 5-6mm

> than 11mm is abnormal

Definition
cisterna  magna measurements
Term

5mm or less up to 20 weeks

3mm or less in 1st trimester

Definition
nuchal fold measurements
Term
lemon shape
Definition
the frontal bones of the fetal skull give in to the pressure, collapsing and giving the fetal head what shape?
Term
Abdominal circumference
Definition
This measurement is the least accurate for gestational aging and is more of a growth parameter
Term
Abdoinal circumference
Definition
useful in monitoring normal fetal growth and detecting fetal growth disturbances, such as IUGR and macrosomia
Term
abdominal circumference
Definition
includes J shape where ubilical vein branches into the left portal sinus, stomach, and transverse spine.
Term
Abdominal circumference
Definition
largest reported variability and is more affected by growth disturbances than other basic parameters
Term
femur length
Definition
measurement from the greater trochanter to the femoral condyles
Term
All other fetal long bones should be measured and a targeted fetal anatomy exam should be done
Definition
If there is a 2 week or greater difference between femur length and all other parameters what should be done?
Term
> 33 weeks
Definition
Distal femoral Epiphyseal (DFE) seen in gestations how old?
Term
> 35 weeks
Definition
Proximal tibial epiphyseal (PTE) should be seen when?
Term
tibia
Definition
which is longer the tibia or fibula?
Term
Ulna
Definition
Which is longer the ulna or radius?
Term
20-26 and 31-33 weeks
Definition
Two BPD measurements at what ages?
Term
Growth-adjusted sonar age
Definition
the method where the fetus is categorized into the growth percentile of: small, average, large
Term
9 weeks
Definition
Linear acceleration correlates well with the embryonic age up to how many weeks?
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