Re: Nuchal cord
From: art fougner, md (evsono@pipeline.com)
Tue Jul 12 08:07:42 2005
Ranzini et al describe "the divot sign" which might be useful to hone in
on nuchal cords which may potentially pose a real risk ...
"A 38-year-old woman, gravida 2, para 1–0–0–2, presented at 39 weeks’
gestation for evaluation of fetal size, which was normal. Imaging of
the posterior fetal neck showed two semicircular hypoechoic areas that
disrupted the smooth contour of the fetal neck, compressing the skin in
that area (Figure 1). We refer to this finding as the divot sign."
Obstetrics & Gynecology 1999;93:854
art
At Tue, 12 Jul 2005, Latha Natarajan wrote:
>
>--Boundary_(ID_dV12T2m/vzAGD/uXD4hYgg)
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>Dave,
>
>I do get attacked off and on by the Obgyn guys with M (!) on their backs !!
>
>Well, it looks like the debate we are going to have in a week's time is going to hot up with you know what ! I used to do obstetric work, but the M is off my back now !
>
>Are there any indirect signs to "suggest" the cord round the neck, when grey-scale and color doppler do not reveal it to us ? ( One of the probable Qs during the debate ! )
>
>LN.
>
>--------------------------------------------------------------------------------
>
>--------------------------------------------------------------------------------
> ----- Original Message -----
>--------------------------------------------------------------------------------
>--------------------------------------------------------------------------------
> From: Dave Berck
>--------------------------------------------------------------------------------
>
>--
>--------------------------------------------------------------------------------
> To: Multiple recipients of list ULTRASOUND
>--------------------------------------------------------------------------------
> Sent: Monday, July 11, 2005 10:26 PM
>--------------------------------------------------------------------------------
> Subject: Re: Nuchal cord
>
> problem is -- if you're also the obstetrician, you put the monkey on yourself, and let me tell you, my back's pretty crowded. I treat nuchal cords the same way as i treat incidental cardiac decelerations, isolated echogenic foci, and certain relatives -- I do my best to ignore them.
>
> Latha Natarajan <nattu@vsnl.com> wrote:
> Thanks Ibrahim.
>
> LN.
>
>>> ----- Original Message -----
> From: bouthina ibrahim
> To: Multiple recipients of list ULTRASOUND
> Sent: Sunday, July 10, 2005 10:30 AM
> Subject: Re: Nuchal cord
>
> we must examine fetal nect in transverse view and examine number of knots around fetal neckas it may cause fetal iugr
> "art fougner, md" <evsono@pipeline.com> wrote:
> No consensus presently -
> this topic has been discussed before ...
> try the search function and you'll find many diverse opinions.
>
> art
>
> At Sat, 9 Jul 2005, Latha Natarajan wrote:
> >
> >--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)
> >Content-type: text/plain; charset=iso-8859-1
> >Content-transfer-encoding: 7BIT
> >
> >Dear friends,
> >
> >Is there a consensus on reporting of nuchal cord , esp. in the III Trimester ?
> >We have a debate on this topic next week.
> >
> >Any help on this topic will be appreciated.
> >Please give your inputs - personal experiences and view-points.
> >
> >Thanks,
> >LN.
> >Bangalore, India
> >
> >--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)
> >Content-type: text/html; charset=iso-8859-1
> >Content-transfer-encoding: 7BIT
> >
>
> Dear friends,
>
> >
>
> >
>
> Is there a consensus
> >on reporting of nuchal cord , esp. in the
> >III Trimester ?
>
> >
>
> We have a debate
> >on this topic next week.
>
> >
>
> >
>
> Any help on this topic
> >will be appreciated.
>
> >
>
> Please give your inputs - personal
> >experiences and view-points.
>
> >
>
> >
>
> Thanks,
>
> >
>
> LN.
>
> >
>
> Bangalore, India
>
> >
> >--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)--
>
> --
> art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
> Lawrence Peter Berra
>
> David J. Berck, MD, MPH
>
>--Boundary_(ID_dV12T2m/vzAGD/uXD4hYgg)
>Content-type: text/html; charset=iso-8859-1
>Content-transfer-encoding: 7BIT
>
><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
>
>Dave,
>
>I do get attacked off
>and on by the Obgyn guys with M
>(!) on their backs !!
>
>Well, it looks like the debate
>we are going to have in a week's time
>is going to hot up with you know what
>! I used to do obstetric work, but
>the M is off my back now !
>
>Are there any indirect
>signs to "suggest" the cord round the neck,
>when grey-scale and color doppler do not reveal
>it to us ? ( One of the probable Qs during
>the debate ! )
>
>LN.
>
><BLOCKQUOTE
>style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
>
>>> ----- Original Message -----
> <DIV
> style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black">From:
> Dave Berck
>
> To: <A title=ultrasound@dns.obgyn.net
> href="mailto:ultrasound@dns.obgyn.net">Multiple recipients of list
> ULTRASOUND
> Sent: Monday, July 11, 2005 10:26
>PM
> Subject: Re: Nuchal cord
>
> problem is -- if you're also the obstetrician, you put the monkey
> on yourself, and let me tell you, my back's pretty crowded. I treat nuchal
> cords the same way as i treat incidental cardiac decelerations, isolated
> echogenic foci, and certain relatives -- I do my best to ignore
> them.Latha Natarajan <<A
> href="mailto:nattu@vsnl.com">nattu@vsnl.com> wrote:
> <BLOCKQUOTE class=replbq
> style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">
>
> Thanks Ibrahim.
>
> LN.
>
> <BLOCKQUOTE dir=ltr
> style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
>
>>> ----- Original Message -----
> <DIV
> style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black">From:
> <A title=bouthina_ibrahim@yahoo.com
> href="mailto:bouthina_ibrahim@yahoo.com">bouthina ibrahim
> To: <A title=ultrasound@dns.obgyn.net
> href="mailto:ultrasound@dns.obgyn.net">Multiple recipients of list
> ULTRASOUND
> Sent: Sunday, July 10, 2005 10:30
> AM
> Subject: Re: Nuchal cord
>
> we must examine fetal nect in transverse view and examine number of
> knots around fetal neckas it may cause fetal iugr"art fougner,
> md" <<A
> href="mailto:evsono@pipeline.com">evsono@pipeline.com>
> wrote:
> <BLOCKQUOTE class=replbq
> style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">No
> consensus presently -this topic has been discussed before ...try
> the search function and you'll find many diverse
> opinions.artAt Sat, 9 Jul 2005, Latha Natarajan
> wrote:>>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)>Content-type:
> text/plain; charset=iso-8859-1>Content-transfer-encoding:
> 7BIT>>Dear friends,>>Is there a consensus on
> reporting of nuchal cord , esp. in the III Trimester ?>We have a
> debate on this topic next week.>>Any help on this topic
> will be appreciated.>Please give your inputs - personal
> experiences and
> view-points.>>Thanks,>LN.>Bangalore,
> India>>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)>Content-type:
> text/html; charset=iso-8859-1>Content-transfer-encoding:
> 7BIT>>>>>
> >
>
> >>>
> Dear friends,>
> >
> Is there a consensus>on reporting
> of nuchal cord , esp. in the>III Trimester ?>
>
> We have a debate>on this topic
> next week.>
> >
> Any help on this topic>will be
> appreciated. >
> Please give your inputs -
> personal>experiences and view-points.>
> >
> Thanks,>
> LN.>
> Bangalore,
> India>>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)----art
> fougner, md"If you don't know where you are going, you will wind
> up somewhere else."Lawrence Peter Berra
> Berck, MD, MPH
>
>--Boundary_(ID_dV12T2m/vzAGD/uXD4hYgg)--
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
