Re: Vernix Caseosa - at what gestational age is it first seen by
From: DuBose, Terry (DuboseTerryJ@uams.edu)
Wed Feb 13 12:29:09 2002
Because I only scan in the high-risk ob, usually on second referral, I don't
do many endovaginal anymore... but will keep it in mind when I do. Thanks.
Peace, Terry J. DuBose, M.S., RDMS
Assistant Professor & Director, Diagnostic Medical Sonography Program
CHRP, University of Arkansas for Medical Sciences
Little Rock, Arkansas, USA
501-686-6510
http://www.io.com/~dubose/
http://www.uams.edu/CHRP/dmshome.htm
http://www.obgyn.net/us/panel/panel.htm
-----Original Message-----
From: evsono@pipeline.com [mailto:evsono@pipeline.com]
Sent: Wednesday, February 13, 2002 1:14 PM
To: Multiple recipients of list ULTRASOUND
Subject: Re: Vernix Caseosa - at what gestational age is it first seen
by
will keep an eye out for it Terry - but when you or your sonographers
perform a tvs for cervical length - be on the lookout for what Charles
Lockwood calls "crud" in the region of the internal os.
art
At Wed, 13 Feb 2002, DuBose, Terry wrote:
>
>Any sonograms of this that you would care to share? Thanks.
>
>Peace, Terry J. DuBose, M.S., RDMS
>Assistant Professor & Director, Diagnostic Medical Sonography Program
>CHRP, University of Arkansas for Medical Sciences
>Little Rock, Arkansas, USA
>501-686-6510
>http://www.io.com/~dubose/
>http://www.uams.edu/CHRP/dmshome.htm
>http://www.obgyn.net/us/panel/panel.htm
>
>-----Original Message-----
>From: evsono@pipeline.com [mailto:evsono@pipeline.com]
>Sent: Wednesday, February 13, 2002 8:33 AM
>To: Multiple recipients of list ULTRASOUND
>Subject: Re: Vernix Caseosa - at what gestational age is it first seen
>by ultrasound?
>
>Philippe -
>
>also note the "clot" deposit over the internal os on TVS. This may or
>may not be significant as well. definitely NOT vernix, however.
>
>art
>
>At Wed, 13 Feb 2002, Philippe Jeanty wrote:
>>
>>I believe... and there is obviously very little proof of this... that what
>>you saw was blood that percolated thru the membranes. These echoes are a
>>finer grain then he vernix of the 3rd trimester. Small placental clots (or
>>hemorrhage at the periphery of the placenta) may be difficult to see and
do
>>this. Not uncommonly you will also see bright bowel later on in the baby
>>(swallowed but undigested blood). In a few cases whe you do amnios in
those
>>kiddos you can get colored fluid to reflect the former bleed. In any
cases,
>>this is rarely a big deal.
>>
>>-----Original Message-----
>>From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net]On Behalf Of Allen
>>Worrall
>>Sent: Tuesday, February 12, 2002 8:56 PM
>>To: Multiple recipients of list ULTRASOUND
>>Subject: Vernix Caseosa - at what gestational age is it first seen by
>>ultrasound?
>>
>>Today I did a transvaginal scan on a pregnant woman 17 weeks 3 days
>>menstrual gestational age. I saw a good deal of particulate matter in
>>the most dependant portion of the amniotic sac. It was not very
>>echo-bright. There was a history of recent cramping but no history of
>>bleeding.The fetus was fine and growing appropriately.
>>
>>This brings a mind a question. At what gestational age can one call
>>intraamniotic particulate matter vernix? Is vernix present at 17-18
>>weeks?
>>
>>I looked in 6 textbooks of prenatal ultrasound and could not find the
>>word vernix in the index of a single book!
>>
>>--
>>Joseph A Worrall MD RDMS
>>Fairbanks, Alaska
>>
>--
>art fougner, md
>ich bin ein New Yorker
>
--
art fougner, md
ich bin ein New Yorker
