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fetal doppler
diagnostic medical sonography
45
Medical
Undergraduate 1
11/05/2011

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Cards

Term
<94mW/cm
Definition
SPTA  must be leass than what?
Term
1-46 mW/cm
Definition
Most equipment us variable acoustic outputs between what?
Term
60 min
Definition
TI of 0.7 max exposure time is what?
Term
30 min
Definition
TI of 1.0 max exposure time is what?
Term
15 min
Definition
TI of 1.5 max exposure time is what?
Term
4 minutes
Definition
TI of 2.0 max exposure time is what?
Term
1 minute
Definition
TI 2.5 max exposure time is what?
Term
qualitative and quantitative
Definition
Doppler measurements of blood flow are two-fold:
Term
qualitative
Definition
information of waveform shape and characteristics
Term
Quantitative
Definition
velocity and amount of flow
Term
qualitative
Definition

flow waveform shape

provides info on circulation and changes in circulation

Term
PSV/EDV
Definition
S/D ratio =
Term
PSV-EDV/PSV
Definition
RI=
Term
PSV-EDV/MV
Definition
PI=
Term

does not provide quantitative flow

information

Definition
disadvantage of qualitative
Term
  • does not require beam/vessel angle correction
  • reproducible across different ultrasound systems
Definition
Advantages to qualitative
Term
Acceleration time
Definition

time from beginning of systole to peak of systole

 

Term

shorter AT

(acceleration time)

Definition
high resistant flow has what kind of AT?
Term

Longer AT

(acceleration time)

Definition
low resistant flow has what kind of AT?
Term

Deceleration time

(DT)

Definition
time from peak systole to end diastole
Term
increases
Definition
fetuses with asymmetric IUGR vasular resistance does what in the aorta and umbilical artery
Term
decreases
Definition
fetuses with asymmetric IUGR vascular resistance does what in the fetal middle cerebral artery?
Term
increased S/D ratio or PI
Definition
Increased vascular resistance is reflected by what?
Term
maternal uterine artery
Definition
branch off internal iliac artery close to the bifurcation of the common iliac artery
Term
ove 2.6
Definition
S/D ratio above what in the uterine artery suggest increased vascular resistance meaning that there is decreased blood supply to the uterus
Term
>3.o after 30 weeks
Definition
abnormal S/D ratio in the umbilical artery is what?
Term
34 weeks
Definition
Absent or reversed flow in the umbilical artery after how many weeks is associated with high rates of morbidity and mortality?
Term
little to no end diastolic flow
Definition
Normal middle cerebral artery waveform from 22 to 28 weeks show shows how much end diastolic flow
Term
34 weeks
Definition
after how many weeks is there a resistance in the middle cerebral artery?
Term
hypoxia
Definition
there is a progressive reduction in resistance in the MCA
Term
  • umbilical artery S/D ratio
  • maternal uterine artery S/D ratio
  • Fetal middle artery S/D ratio
Definition
best method of solving if the fetus has IUGR or just SGA is combine these parameters:
Term
for poor perinatal outcome
Definition
SGA fetus with an increased S/D ratio is at higher ridk for what than one with normal S/D ratioi in umbilical artery?
Term
Macrosomia
Definition
EFW of > or = 4000g or above the 90th percentile for estimated gestational age
Term
fetal hyperinsulinemia
Definition
increased levels of glucose result in this which promotes accelerated somatic growth, and a characteristic pattern of organomegaly
Term
  • beckwith- wiedemann syndrome
  • Marshall-smith syndrome
  • sotos' syndrome
  • weaver's syndrome
Definition
malformation syndromes in which fetal overgrowth, with or without organomegaly:
Term

head and shoulder injuries and

cord compression

Definition
macrosomic fetus has an increased incidence of morbidity and mortality as a result of what?
Term
  • result of genetic factors
  • prolonged pregnancy
  • multiparity
Definition
reasons for large fetus:
Term
diabetic pregnancy
Definition
fetuses that are large but with especially large shoulders
Term
  • genetic constitution (family traits)
  • pathologic process (hydrocephalus)
Definition
fetuses with normal trunk but large head
Term
1.2cm per week
Definition
 able to predict macrosomia when a change in AC was greater than or equal to what  measurement per week between 32nd and 39th weeks of pregnancy
Term
macrsomia index
Definition

subtract BPD from chest diameter

 

Term
> 1.4
Definition
infants weighing >4000g has a macrosomic index of what?
Term
  • polyhydramnios (diabetic mothers)
  • significantly larger placentas (>5cm)
Definition
other methods of determing macrosomic fetuses:
Term
oligohydramnios
Definition
renal anomalies
Term
polyhydramnios
Definition
GI anomalies
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