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OB Module 2: Normal 2nd and 3rd Trimester
Sections A, B
70
Medical
Undergraduate 2
11/21/2011

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Cards

Term
What are the three maternal scan planes?
Definition

1. Sagittal

2. Transverse

3. Coronal

Term
What are the three fetal scan planes?
Definition

1. Sagittal

2. Transverse or transaxial

3. Coronal

Term
what is fetal lie?
Definition
long axis of the fetus compared to the long axis of the uterus.
Term
what is fetal presentation?
Definition
fetal part closest to the cervix
Term
what is normal presentation?
Definition
longitudinal lie with the head first
Term
fetal lie where head is closest to the cervix
Definition
cephalic or vertex
Term
anything other than normal presentation is considered what?
Definition
malpresentation
Term
what is the most common malpresentation?
Definition
breech
Term
breech with hips flexed and knees extended is...
Definition
frank breech
Term
breech with both hips and knees flexed is....
Definition
complete breech
Term
breech with one or both hips and knees flexed is...
Definition
footling breech
Term
what is cord prolapse?
Definition
when the cord enters the cervical os during vaginal delivery.
Term
Thalamic view is also know as what?
Definition
BPD
Term
fold of dura mater dividing cerebral hemispheres
Definition
Falx cerebri
Term
partial falx is associated with what?
Definition

holoprosencephaly

and

hydranencephaly

Term
elongated oval shaped head
Definition
dolichocephaly
Term
round shaped head
Definition
brachycephaly
Term
lemon shaped head is associated with what abnormality?
Definition
spina bifida
Term
cloverleaf shaped head is associated with what abnormality?
Definition
thanatophoric dwarfism
Term
what do the choroid plexus produce?
Definition
cerebral spinal fluid
Term
What are the superior and inferior structures to the BPD
Definition

superior stucture is the ventricular atrium

inferior stuctures are the orbits and cerebellum

Term

what is a triangular reservoir between the frontal horns of the lateral ventricles?

 

Definition
cavum septi pellucidi
Term
what does presents of the cavum septi pellucidi rule out?
Definition
CNS anomalies
Term
what does the thalamus provide?
Definition
a synopsis between cerebrum and posterior brain
Term
what is in between the two thalami?
Definition
third ventricle
Term
what is a fused thalami associated with?
Definition
holoprosencephaly
Term
what is the falx cerebri?
Definition
fold of dura mater dividing cerebral hemispheres
Term
when does the cranium begin ossification?
Definition
around 11 weeks
Term
which bones make up the lateral cranium?
Definition
parietal bones
Term
what orientation is the frontal bone?
Definition
anterior
Term
which bone is the posterior portion of the skull?
Definition
occipital bone
Term
what is absent in anencephaly and exencephaly?
Definition
cranium
Term
what shape is normal shape for the cranium?
Definition
oviod
Term
what term refers to an elongated oval shaped head?
Definition
Dolichocephaly
Term
what term refers to a more round shape head
Definition
Brachycephaly
Term
what view is at the level of the atrium of the lateral ventricle
Definition
ventricular view
Term
what is glomus of choroid plexus?
Definition
where the walls of the ventricle become parallel
Term
lateral ventricles are reservoirs for what?
Definition
cerebral spinal fluid
Term
when do most cysts in the choroid plexus disappear?
Definition
26 weeks
Term
larger cysts in the choroid plexus that do not regress are associated with which Trisomy?
Definition
Trisomy 18
Term
which view is taken in the transaxial scan plane angled towards posterior fossa of fetal brain?
Definition
Posterior fossa view
Term
what are the main structures of interest in the posterior fossa view?
Definition
cerebellum and cisterna magna
Term
which portion of the brain assists in balance?
Definition
cerebellum
Term
what is the middle connection of the cerebellum called?
Definition
cerebellar vermis
Term
what is a reservoir for CSF behind the cerebellum?
Definition
cisterna magna
Term
a banana shaped cerebellum is associated with what?
Definition
abnormalities that put traction on the spinal cord
Term
what should the cerebellum measure?
Definition
1 mm per week of gestation
Term
in what abnormality is the vermis of the cerebellum small or absent?
Definition
Danny-Walker malformation
Term
cerebellum hemispheres should have no fluid between them after what week?
Definition
week 18
Term
what are average cisterna magna measurements?
Definition
3mm-8mm
Term
an abnormally large cisterna magna exceeds what measurement?
Definition
10mm
Term
What can an enlarged cisterna magna be associated with?
Definition
Dandy-Walker malformation
Term
What is Megacisterna magna and what Trisomy is it associated with?
Definition
Trisomy 18, includes large cisterna magna with intact cerebellar vermis.
Term
What is an obliterated cisterna magna associated with?
Definition
spina bifida and Arnold Chiari type II malformation.
Term
What will not be present behind the cerebellum if there is an obliterated cisterna magna?
Definition
fluid space
Term
What causes spina bifida and Arnold Chiari type II malformation?
Definition
traction of hind-brain towards skull
Term
What observations should be made of the fetal face?
Definition
Forehead, Eyes, Nose, Lips and Palate, Tongue, Mandible
Term
How is the fetal forehead best seen?
Definition

the fetal profile

(sag. scan of the face)

Term
What is the fetal forehead assessed for?
Definition

abnormally prominent forehead

(frontal bossing)

Term
What is frontal bossing associated with?
Definition
skeletal dysplasias
Term
What about the fetal eyes are assessed?
Definition
the distance between orbits
Term
Which plane is used when assessing fetal eyes?
Definition
coronal
Term
What two diameters should be measured on fetal orbits?
Definition

outer to outer orbital diameter OOD

inner orbital diameter IOD

Term
What should the fetal orbit measurements be compared to?
Definition
gestational age
Term
What is hypotelorism?
Definition
fetal orbits are too close
Term
what is hypotelorism associated with?
Definition
Trisomy 13 or holoprosencephaly
Term
what is hypertelorism?
Definition
Fetal orbits are too far apart
Term
what is hypertelorism associated with?
Definition
anterior encephalocele
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