Re: A Consult To A Colleague!
From: Dave Berck (djberck@yahoo.com)
Tue Aug 20 09:06:29 2002
I agree -- I haven't seen anything on how short a
timeframe one can see an NT resolve.
--- "Terry J. DuBose" <tjdubose@uams.edu> wrote:
> Dr. Berck, I was aware that the NT sometimes
> resolves over time (a matter of weeks); however I
> was not aware that it can resolve in a short time,
> i.e. under 4 days. Has this been published
> somewhere? This will be a major problem for the
> utility of this exam, it would seem.
>
> Peace, Terry J DuBose, M.S., RDMS
> Little Rock, Arkansas USA
>
> ----------------------------------------
>
> ----------------------------------------
> ultrasound@obgyn.net writes:
> ----------------------------------------
> >Dear Dr. Ewida,
> > Nuchal translucency can be a transient
> phenomenon,
> >meaning that you could have an abnormally large NT
> one
> >day and then have it be normal some time later. It
> is
> >also a measurement that takes some skill and
> requires
> >a specific view to get a legitimate measurement
> (i.e.
> >the fetus must fill the screen, must be in the
> >mid-sagittal plane, head not flexed or deflexed,
> >nuchal translucency must be distinguished from the
> >amnion, and must then be measured properly). So it
> is
> >possible that the NT was indeed abnormal and then
> >normalized, or that the measurement was done in
> error.
> >Since the CVS has already been done and is
> presumably
> >normal, it would be appropriate to do a fetal
> >echocardiogram at some point later in the 2nd
> >trimester (say 18-22 weeks) due to the association
> >with cardiac defects as well as a good anatomic
> survey
> >in the same time frame.
> >
> >-- Dave Berck, MD, MPH, RDMS
> >
> >--- "Ewida,Ashrafe" <Ashrafe.S.Ewida@drexel.edu>
> >wrote:
> >> 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
> >>
> >
> >=====
> >David J. Berck, MD, MPH
> >
> >HotJobs - Search Thousands of New Jobs
> >http://www.hotjobs.com
> >
>
> Peace, Terry J. DuBose, M.S., RDMS
> Assistant Professor & Director, Diagnostic Medical
> Sonography Program
> University of Arkansas for Medical Sciences, CHRP
> 4301 West Markham St. Mail Slot #563
> Little Rock, Arkansas, 72205 USA
> 501-686-6510
> DuBoseTerryJ@UAMS.edu
> http://www.io.com/~dubose/
> http://www.uams.edu/CHRP/dmshome.htm
> http://www.obgyn.net/us/panel/panel.htm
>
=====
David J. Berck, MD, MPH
HotJobs - Search Thousands of New Jobs
http://www.hotjobs.com
