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Re: OB: AFP/multiple marker dating From: ATB28@aol.com Tue May 4 19:48:25 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: AFP/multiple marker dating" Previous message: Garry E. Siegel, M.D.: "GYN: Ovarian Reserve" Maybe in reply to: Garry E. Siegel, M.D.: "OB: AFP/multiple marker dating" Next in thread: ainsron: "Re: AFP/multiple marker dating" Gary, I recommend you use the LMP. The screen should be considered positive. Allan Allan T Bombard, MD Chair, Dept of Obstetrics & Gynecology Lutheran Medical Center Brooklyn, NY 11220 In a message dated 5/4/2004 6:53:09 PM Eastern Daylight Time, eramirezt@coqui.net writes: If 5 days or less discrepancy, I use LMP - anyway a negative high resolution Level II US for D/S markers will cut the risk in half = 1/460 - you can also use nuchal translucency - > At Tue, 4 May 2004, Garry E. Siegel, M.D. wrote: > >OK, a quick curbside until I can research further. The patient is a CNM >one, so this kind of fell into my lap late today. > >20 YO P0 has an AFP triscreen done > >LMP makes her EDC 10/7/04 >7 week scan makes her EDC 10/10/04 > >To me, that is excellent correlation, and the EDC we tell the patient is >10/7/04. > >10/7/04 is the EDC used for the AFP. > >The report comes back--increased Down risk, 1/230 or whatever. > >The CNM has the lab plug in 10/10 for the EDC, and the recalucation is >"normal risk" of 1/350. > >So. . . > >Which EDC should have been used initially? > >If it is the period EDC, what do the results mean? > >What's a mother to do??? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: ainsron: "Re: AFP/multiple marker dating" Previous message: Garry E. Siegel, M.D.: "GYN: Ovarian Reserve" Maybe in reply to: Garry E. Siegel, M.D.: "OB: AFP/multiple marker dating" Next in thread: ainsron: "Re: AFP/multiple marker dating"

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