|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
'Terrifying Sonogram' Dilemma: patient with single (new) 'soft marker' -- all other screens normalFrom: RBurns (bito02@aol.com)Thu May 22 20:49:16 2003
I rarely post to this board, but I followed with some interest your discussion regarding Filly's article about sonography and soft markers. I will share with you my dilemma -- which also raises concerns regarding the "new" soft marker -- the nasal bone. My patient is 36 years old and 25wks pregnant with partial previa. She had the NT screen which yielded 1:809 risk for ds; her AFP results were 1:420. On the basis of this, we did not strongly advise her to have an amnio and instead, scheduled her for a Level II. At my patient's level II, no abnormalities were found (though we did discover the previa) -- no soft markers, etc. Thereafter, at her 25wk previa follow-up u/s, the radiologist identified what MAY be an absent or short nasal bone -- the famous and uncertain "marker" in an otherwise low-risk patient. It is not clear whether or not the nasal bone was seen in the Level II or indeed, if it was screened. As Filly so aptly described, we are in a dilemma. We are inclined to believe that our patient continues to be at extremely low risk of ds and we are very cognizant of her already anxious state, given the previa. At the same time, we are also concerned that we give our patient appropriate follow up recommendations. On the basis of this screening picture, would you recommend amnio? A follow up Level II? Regards and debate away!
|
|
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: Mon Nov 2 05:35:47 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.