Transcription
Non-Lethal Fetal Abnormalities:Where do they go from here?Jill D. Trotter, BS, RT(R), RDMS, RVTDirector, Diagnostic Medical Sonography ProgramVanderbilt University/Vanderbilt Medical CenterNashville, Tennesseejill.trotter@vanderbilt.edu
Disclosures I have no financial disclosures to make.
Today’s Objectives Identify fetal abnormalitiessonographically which are non-lethalbut have long-term implications for thepatient/family. Describe the prognostic value of prenataldiagnosis for postnatal treatment. Describe the long-term medical treatmentassociated with many non-lethal fetalabnormalities.
Today’s Objectives Identify fetal abnormalities sonographicallywhich are non-lethal but have long-termimplications for the patient/family. Describe the prognostic value ofprenatal diagnosis for postnataltreatment. Describe the long-term medical treatmentassociated with many non-lethal fetalabnormalities.
Today’s Objectives Identify fetal abnormalities sonographicallywhich are non-lethal but have long-termimplications for the patient/family. Describe the prognostic value of prenataldiagnosis for postnatal treatment. Describe the long-term medicaltreatment associated with many nonlethal fetal abnormalities.
Esophageal Atresia?
Esophageal Atresia!
PUVS
Obstruction
@ 1 Day Old
@ 2 Years Old (TXP)
Differential Diagnoses?
“Foregut Duplication Cyst”
Amelia
Bilateral Clubfeet
Bilateral Clubfeet
Possible Kyphoscoliosis
Possible Kyphoscoliosis:Final Dx: Tethered Cord/Fatty Filum
Poss Thrombocytopenia-Absent RadiusVs. Holt-Oram?
Poss Thrombocytopenia-Absent RadiusVs. Holt-Oram?
Poss Thrombocytopenia-Absent RadiusVs. Holt-Oram?
Final Dx: Cornelia deLange Syndrome
How Bad Can This Be?
How Bad Can This Be?
How Bad Can This Be?FATCO Syndrome:Fibular Aplasia TibialCampomelia OligosyndactylySyndrome
Pleural Effusions
Pleural Effusions
Ebstein’s Anomaly
Situs Inversus
Situs Inversus
Gastroschisis
Right Renal Agenesis
ARPKD
Empty Bladder/Anhydramnios
@ 1 Day Old
@ 2 Months Old
Conclusion Non-lethal have long-term implications forthe patient/family Sonography/-ers have a prognostic value ofprenatal diagnosis for postnatal treatment. There are significant long-term medicaltreatments associated with many non-lethalfetal abnormalities.
Non-Lethal Fetal Abnormalities: Where do they go from here? Jill D. Trotter, BS, RT(R), RDMS, RVT . Director, Diagnostic Medical Sonography Program . Vanderbilt University/Vanderbilt Medical Center
