ARDMS Flashcards
Most accurate meas to detect IUGR asymmetric
HC/AC
SUA assoc
Maternal alcohol, IUGR, trisomies,
Spalding sign
Overlapping of fetal skull bone
BPD landmarks
Thalamus, CSP
Outer to inner
No gb seen, suspect
Cystic fibrosis
Club foot
Talipes
Bladder flap
Done in c section to separate bladder from LUS during procedure
Anencephaly confirmed in utero
8 weeks
C section scar concerns for placenta
Placenta accreta
C section + previa = 25% chance accreta
Fibroids in cervix
Impede vag delivery
Mid gut herniation seen
8-12 weeks
YS
In GS
< 6 mm
Heart flicker
5.5 wks
Umb vein
Goes to liver by pass liver by ductus venosus and dumps IVC
Hep vein to IVC to right atrium. Right ventricle.
Main Pulm artery. By pass lungs via ductus Arteriosus.
To aorta.
Blood in Right atrium mix with blood from SVC, crosses foramen ovale to left atrium. Then to left ventricle. To aorta.
Ductus venosus
Becomes lig venosum and bypasses liver to IVC
Structures make up ductus Arteriosus
Bypass lungs.
Connects pulmonary artery to descending aorta
Rhombencephalon
8-11wks
Incompetent cx
< 3 cm
Amnion & Chorion fuse
14-15wks
May see up to 16 wks
Fallopian tube
Middle 1/3 ampulla. Fertilization occurs. MC site for ectopic.
Supine hypotensive syndrome
Turn patient LLD
Indication sono hystogram
Polyp endo
Hydrocephalus
Ventriculomegaly with macrocephaly
Turners
45XO
Cystic hygroma
Coarctation of aorta
Webbed neck shield chest
Beckwith Wiedemann
Large tongue/ macroglossia
Hemihypertrophy
Brachycephaly
> 85% CI
Rounded head
Dolichocephaly
Narrow flat head
< 70%
CI
(BPD/OFD)*100
Normal 70-85%
Immune Hydrops
Rh- mom
+ fetus
Non immune hydrops
CV MC cause
Poly Oli
Twin twin transfusion
Donor: IUGR & oligo
Recipient: CHF, hydrops, poly
Transposition
Parallel outflow tracts
Aorta comes of Rt Vent
Pulm artery comes off Lt Vent
VSD
MC ❤️ defect
Assoc with tri 21, 13, 18, AV canal
Ebstein’s ️anomaly
Tricuspid valve displaced Inferiorly
Atrialized right ventricle
Assoc with Lithium
Aortic Arch
Candy cane appearance
TRAP sequence
Acardiac monster
Pump twin : CHF
Artery to artery communication
Twin peak sign
Di di
Conjoined twin egg splits
13 days
CRL
6 weeks
Previa
Covers cx
Complete
Partial
Low lying
Accreta
Abnl attach
Accreta: touches myo
Increta: into myometrium
Percreta: out though serosa
Assoc with c section and previa
MC placental tumor
Chorioangioma
On fetal side
Wharton’s jelly
Covers umbilical cord
Ectopic HCG
Subnormal hCG
Best time amnio & CVS
CVS: 9-12 wks
Amnio: 14 wks
L/s ratio
Lung maturity
Coronal nose lips
Asses cleft lip / palate
NB image
11-14 wks
NT
11-14wks
< 3 mm
NF
Meas < 5 mm
15-20 wks
Best way to view diaph
Long axis
Hypo band
Renal anomalies
MCDK
Potters: bilateral renal agenesis, pulmonary hypoplasia, facial anomalies, malformed extremities
UPJ: uni, associate with contralateral MCDK or agenesis. MC hydro cause.
Renals start to function when
Nephron function 8 weeks
Fluid comes from fetus at 20 weeks
Renal artery pic coming off long aorta with color
:)
Stomach seen
< 14 wks
Embryonic period
1st 10 weeks
Fetal period at 10 wks
LH peaks & cause
Ovulation
FSH
Stimulates follicular development
Estrogen
Inc estrogen stops FSH
Estrogen inc 24-46 hours before ovulation to stop FSH
LH is made, peaks, causes ovulation
Middle cerebral artery
In brain. Top part of circle of wilis
2.5 MOM MSAFP
Normal
CCAM
Cyst in lungs
Type 3 echogenic
Displaced heart
Septate uterus
Best image plane trvs
Uterus
3cmL child
Nulliparous 6-8cm
Multiparous 8-10cm
Post meno 3.5-5.5cm
Endo
Menses < 3 mm. Thin
Proliferative 3 line sign < 8 mm
Secretory thickest 8-15mm
Menopause < 5 mm
With hormones < 8mm
Menstruating 7-14mm
MC lethal skeletal Dysplasia
Thenatophoric
Achondrogenesis
2nd MC lethal
Achondroplasia
MC non lethal
Hand stuff
Clinodactyly: overlapping
Syndactyly: fused
Ectrodactyly: lobster claw
Endometrioma
Chocolate cyst ectopic endo tissue
Post meno bleeding
Cancer, endo hyperplasia, fibroid
Broad ligament
Double fold peritoneum
Ovary to uterus
PCOS
Stein Leventhal: hairy fat
Numerous small cyst displaced string of pearls
Infertility
Spina bifida
2nd MC NTD
Inc AFP
Myelomeningocele: most severe.
Meningocele: more common
Bulging sac seen better trvs
Banana sign. Lemon sign. Ventriculomegaly.
Clenched fist
Trisomy 18