Re: Abnormal triple scree

From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu)
Wed Feb 25 13:01:26 1998


If I remember correctly, this pattern would make her at high risk for either Trisomy 13 or 18. I can't remember which. I would sure want a karyotype. And even more so with a suspected gross anomaly by ultrasound. Break out the loooooooong needle. Dan -----Original Message----- From: Gary Kleinman <fuf@ix14.ix.netcom.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Wednesday, February 25, 1998 12:53 PM Subject: Abnormal triple scree

>I have a patient who is a 31 year old g3p0 @ 18 weeks. She is on syntrhoid,
>pregnancy otherwise uncomplicated. No bleeding. Her tripple screen showed:
>
>AFP: 2.6 MoM
>Estriol: 2.16 MoM
>HcG: 7.33 MoM
>
>Utrasound shows no placental or fetal abnormalities. The lady is heavy and
>the sonographers raised a question of cleft lip and palate which could no
>be confirmed. The fingers look normal as does the head, heart and spine.
>
>Would you recommend amnio? Fetal assessment (NST's etc) later? Any special
>studies?
>
>Thanks in advance,
>
>Gary Kleinman
>
>Gary E. Kleinman, M.D.
>Perinatologist/Geneticist
>Perinatal Center
>3196 S. Maryland Ave
>Las Vegas, NV 89109
>702 732-9332
>702 732-4472 (Fax)
>





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