|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: R: Christmas early pregnancy and the pizza connectionFrom: Terry J DuBose (tjdubose@juno.com)Mon Dec 25 17:05:03 2000
I would like to add one other comment for clarification. Dr. Corda mentions the embryonic heart rate: "About ehr:did you refer to T J DuBose work on embryonic heart rate and its increase up to the 11th week? (10 beats per minute every 3 days?)" However, the EHR acceleration of 3.3 beats/per day (10 beats every 3 days) is only until approximately 9.2 weeks after the LMP. The heart rate then begins a relatively rapid deceleration until around the 14th. After the 14th weeks the heart rate is almost flat, but still has a very slow deceleration until term... on average. Dr. Moroder I hope you will consider submitting a version of the slide set to OBGYN.net. Hope everyone is having a Merry Christmas... we are iced in and just hibernating for now. Peace, Terry J. DuBose, M.S., RDMS Chair, Ultrasound@OBGYN.net Director, Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences DuBoseTerryJ@Exchange.uams.edu -- http://www.io.com/~DuBose/ ----------------------------------
---------------------------------- On Mon, 25 Dec 2000 06:32:59 -0600 "Andrea Corda" <acord@tin.it> writes: -- ---------------------------------- > Dear Wolfgang, > Thanks for your kind and thorough answer > Why don't you organize a meeting in Ortisei in order for us to > discuss > interesting topics,ski and have some nice meals? > Buon Natale! > Andrea Corda > -----Messaggio Originale----- > Da: "Wolfgang Moroder, MD" <womorode@tin.it> > A: "Multiple recipients of list ULTRASOUND" > <ultrasound@mail.medispecialty.com> > Data invio: sabato 23 dicembre 2000 19.52 > Oggetto: Re: Christmas early pregnancy and the pizza connection > > > Dear Dr. Malpani, Dr. Garkusha, dear Andrea and dear Josh! > > > > Thank you all for your enthusiastic comments on my early pregnancy > > presentation. > > Only now I realize that I did not include any references since it > was > > merely designed for a basic ultrasound course. Unfortunately I > did not > > think that putting it in the web I could infringe some copyright > laws. > > Therefore I am afraid that I will have to remove the graphs I > published > > without permission. > > > > The graph on the growth of the yolk sac was published by K. > Grouboeck, > > N. Zosmer and D. Jurkovic: Ultrasound features of early > pregnancy > > development. Pages 41-52 in Ultrasound and Early Pregnancy. > Edited by > > D. Jurkovic and E. Jauniaux.The Partenon publishing Group > limited. > > London 1996. > > > > The graph on the multiple pregnancy was published by A. > Monteagudo, S. > > Haberman and I.E. Timor-Trish: The diagnosis of multiple > pregnancy in > > the first trimester. Pages 19-30 in Ultrasound and Early > Pregnancy. > > Edited by D. Jurkovic and E. Jauniaux.The Parthenon publishing > Group > > limited. London 1996. > > > > The third graph was actually taken from the net and is the result > of the > > studies by Terry Dubose > > http://www.obgyn.net/english/pubs/features/dubose/ehr-age.htm > > I hope he is ... listening and will give me permission to keep > the > > image. > > The Presentation program is KAI Powershow 1,5 by ScanSoft. This > > programm is very very intuitive but less powerful than some more > > standard slide presentation programs but i like it a lot and it > allows > > to make presentations very quickly and effectively. > > I am very pleased if Dr. Garkusha can use my images and glad to > give > > him the permission. > > Andrea Corda has some more questions. > > The growth curve of the yolk sac refers to menstrual age and > probably > > Andrea talks of 8 postconceptual weeks, which would be 10 wks > menstrual > > age. This is a common error happening comparing different > "weeks". This > > nice study shows how the circulatory function of the yolk sac > declines > > at 10 wks: A. Kurjak; S. Kupesic; L. Kostovic.Vascularization > of yolk > > sac and vitelline duct in normal pregnancies studied by > transvaginal > > colour and pulsed Doppler.J Perinat Med, 22(5):433-40 1994. > > The blighted ovum is more a pathological term and some authors > suggest > > to dismiss that term and use "early embryonic demise" instead: I#d > > suggest this book Problems in early Pregnancy, Edited by J.G. > > Grudzinskas and P.M.S. O'Brien. RCOG Press 1997 (You can by it > on line > > at rbarber@rcog.org.uk). > > You are right with your observation but in the picture showing a > > haematoma the area if not anechoic looks uniformely echodense > which > > could be also an artifact due to reverberation or excessive gain. > The > > point of the slide is rather to show that a haematoma adapts to > the form > > of the uterine cavity or the membranes, while in the other slides > the > > area of bleeding contains echolucent and irregular echodense > structures > > which could be clots in a fluid collection. > > > > Best regards > > Wolfgang > > > > At Sat, 23 Dec 2000, Andrea Corda wrote: > > > > > >Dear Wolfgang, > > >I saw your presentation at tripod. > > >There are a few questions: > > >In a graph you show that the yolk sac grows up to +-7 mm in size > at the > 10th > > >week. > > >We know from embriology that the secondary yolk sac begins its > involution > at > > >the 8th week.Also,it is a common knowledge that enlarged y.s. in > very > early > > >pregnancy do bring bad news in terms of chromosomal anomalies and > pregnancy > > >viability.Do we have to consider your measurements only valid to > a > certain > > >extent? > > >About ehr:did you refer to T J DuBose work on embryonic heart > rate and > its > > >increase up to the 11th week? (10 beats per minute every 3 days?) > > >Although we know that it is the result of an early embryonic > demise,you > did > > >not mention the blighted ovum,which is a common occurrence. > > >With regards to blood clot and hematoma,it seems to me that the > blood > clot > > >looks like an hematoma and vice-versa,because of their > echogenicity.In a > > >blood clot blood sould be coagulated ,therefore more > echodense,while in a > > >hematoma is it still fluid? > > >My best regards > > >Andrea Corda MD > > > > > >-----Messaggio Originale----- > > >Da: "Wolfgang Moroder, MD" <womorode@tin.it> > > >A: "Multiple recipients of list ULTRASOUND" > > ><ultrasound@mail.medispecialty.com> > > >Data invio: sabato 23 dicembre 2000 1.51 > > >Oggetto: Christmas early pregnancy and the pizza connection > > > > > >> Dear All > > >> Since I was invited to Naples to the first accreditation course > for > > >> Ultrasound in Obstetrics sponsored by the Italian Society of > Ultrasound > > >> in Obstetrics and Gynecology http://www.sieog.it , I had the > pleasure > > >> and the honor to give the first lecture on ultrasound in early > > >> pregnancy. I used a new slide presentation program which > allows easily > > >> to produce a sery of pictures apt to be uploaded by ftp and to > be shown > > >> on internet and accessible on this URL > > >> http://members.tripod.com/~fetalmedicine/prt/frame0001.html > > >> > > >> If you are interested let me know and I will consider > translating the > > >> captions in English. > > >> Have a Christmas with peace and full of love! > > >> Wolfgang > > >> > > >> -- > > >> Wolfgang Moroder, MD > > >> Prenatal Unit > > >> Bolzano General Hospital Italy > > >> > > > > -- > > Wolfgang Moroder, MD > > Prenatal Unit > > Bolzano General Hospital Italy >
|
|
Return to
|
Mail a New Message to the Forum: ultrasound@obgyn.net Forum Administrator: terry.dubose@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 05:17:55 2008 |
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.