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A Consult To A Colleague!From: Ewida,Ashrafe (Ashrafe.S.Ewida@drexel.edu)Sun Aug 18 20:06:13 2002
I am a faculty member in Anesthesia Department in Drexel University Coll. of Medicine, Philadelphia, PA. Few Days ago, my wife and I were told that our first baby has nuchal translucency diameter 4.0-4.5 mm. Four days later she had vaginal bleeding where she underwent emergency ultrasound. The baby is Ok and nuchal translucency was 2.3-2.4 mm. Do you think that the first reading was fault? What are the landmarks in the ultrasound exam to be looked at to get the correct measurement? Is it the experience of any consultants, in maternal fetal medicine/ultrasound medicine/OBGYN, to see nuchal translucency drop to its half diameter in four days? After the first scan, a CVS was obtained and FISH result came back normal. The final karyotyping is pending. What is the chance that after normal karyotyping the baby is OK? Especially with this discrepancy in the diameter of nuchal translucency, ~4.0 mm to 2.3 mm in four days, Is it more likely that the nuchal translucency diameter was and is normal? Is it more likely that the first scan was a fault? If anyone can have any input, please e-mail me your comment quickly. Thanks. Sincerely, Ashrafe Ewida, M.D., M.Sc. Instructor Of Anesthesia Cardiothoracic and Transplant Anesthesiologist Drexel University MCP-Hahnamann Medical School Mail Stop 310 245 N. 15th Street Philadelphia, PA 19102 T.(215)762-7795 F.(215)762-8656
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