1 / 26

Normal fetal anatomy

Normal fetal anatomy. Anatomy Scan. Indications Identify fetal abnormalities Identify IUGR Dating Placental localisation Timing 16-20 weeks 22-24 weeks Machine Good quality machine TGC sliders Record images High quality curvelinear probe Problems Incorrect dates Poor views

azana
Télécharger la présentation

Normal fetal anatomy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Normal fetal anatomy

  2. Anatomy Scan • Indications • Identify fetal abnormalities • Identify IUGR • Dating • Placental localisation • Timing • 16-20 weeks • 22-24 weeks • Machine • Good quality machine • TGC sliders • Record images • High quality curvelinear probe • Problems • Incorrect dates • Poor views • Fetal position

  3. Routine • History and consent from patient • Previous child with abnormality • Family history of abnormality • Exposure to teratogens eg drugs, infections • Explain limitations • Growth scan • Placental localisation • Anatomy

  4. Fetal head and face • BPD and HC • Cerebellar view • TCD = gestation • Foramen magna < 10mm • Nuchal fold < 6mm • Lateral ventricles • Posterior aspect ventricle, Perpendicular to falx • <12mm normal, 12-15mm moderate, >15mm severe • Orbits • Inner to inner border, 1/3 ratio of eyes and bridge of nose • Lips and nose • Exclude cleft lip • Profile • Micrognathia, proboscis

  5. Fetal head and face • BPD and HC • Cerebellar view • TCD = gestation • Foramen magna < 10mm • Nuchal fold < 6mm • Lateral ventricles • Posterior aspect ventricle, Perpendicular to falx • <12mm normal, 12-15mm moderate, >15mm severe • Orbits • Inner to inner border, 1/3 ratio of eyes and bridge of nose • Lips and nose • Exclude cleft lip • Profile • Micrognathia, proboscis

  6. Fetal trunk • Coronal section • Heart, stomach, diaphragm and bladder • Sagittal section of anterior abdominal wall • Kidneys • Coronal • Transverse • Diaphragms sagittal view • Umbilical cord insertion • Two umbilical arteries

  7. Fetal trunk • Coronal section • Heart, stomach, diaphragm and bladder • Sagittal section of anterior abdominal wall • Kidneys • Coronal • Transverse • Diaphragms sagittal view • Umbilical cord insertion • Two umbilical arteries

  8. Fetal heart • Reduce gain • Situs • 4 Chamber view • FHR and rhythm • Interventricular septum • LVOT • RVOT • (Aortic arch) • (Ductal arch)

  9. Fetal heart • Situs • 4 Chamber view • FHR and rhythm • Interventricular septum • LVOT • RVOT • (Aortic arch) • (Ductal arch)

  10. Fetal Spine and limbs • Spine- reduce total gain • Sagittal with skinline in view • Coronal • Transverse- 3 ossification centres ‘tight’, not splayed • Follow limb from trunk noting side • Full length all 12 bones • Exclude club foot • Feet- plantar view and count toes • Hands- open if possible and count fingers and thumb

  11. AND Coronal

  12. OKAY!

More Related