Re: short femurs

From: art fougner, md (evsono@pipeline.com)
Thu May 27 08:07:33 1999


welcome to one of the vicissitudes of Ob ultrasound - the "soft markers" for aneuploidy. would suggest genetic counseling for this lady. you might also consider that the most common reasons for short femurs would be skeletal dysplasia, aneuploidy, or simply constitutional. if in doubt, why not offer the lady another scan at your friendly neighborhood tertiary center by the local MFM ultrasound maven? incidentally, in my neck of the woods - Flushing, Queens, with its large Asian population, short femurs are more of an ethnic feature than a marker for trisomy. again, for these tough cases, formal genetic counseling seems most appropriate.

Art

At Thu, 27 May 1999, Braun, R. Daniel wrote: >
>This is one of the ultrasound markers for Down Syndrome. I believe its
>presence means about a 5% chance of Down's. So the risk is about 15 times
>what it is at age 35.
>Dan
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN 46202
>
>International Representative for United States
>OBGYN.net
>
> -----Original Message-----
> From: nd84md@aol.com [SMTP:nd84md@aol.com]
> Sent: Wednesday, May 26, 1999 9:17 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: short femurs
>
> just got a stat call from my sister in law. during her routine
>17week
> ultrasound she was told that the baby's femurs were "short" at only
>15
> weeks size. no other problems, she is 33 and has a normal tri
>screen.
> even if these femurs are short, is there reason to consider an amnio
>for
> such an isolated finding. i think not; any suggestions?
>
> --
> CJ Stanley,MD, FACOG
> private practice 5yrs
> Clarksville, TN

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:31:30 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.