Download - USG-cacat Bawaan Kromosomal Padang2012
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ULTRASOUND MARKER OFCHROMOSOMAL ANOMALY IN
FIRST TRIMESTER PREGNANCY
Johanes C. Mose
Dept. Obstet Gynecol Facultyof Medicine
Padjadjaran UniversityBandun
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• First Trimester Detection of
Congenital Anomalies - Early Sonographic Markers
- Common Chromosomal
Anomalies
•
Second Trimester Detection ofCongenital Anomalies
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irst trimester detectio
of fet! nom!ies
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N"c#!N"c#!
trns!"cenc$trns!"cenc$•S"%c"tneo"s edem &'(&) *ee+s
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N"c#!N"c#!
trns!"cenc$trns!"cenc$
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NASAL BONE
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Absent nasal bone, Amniocentesis : Trisomy 21
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Absent nasal bone
! #
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U!trsono,r-#$U!trsono,r-#$
for c#romosom!for c#romosom!
nom!$nom!$&. Str"ct"r! nom!ies
/. Mr+ers forc#romosom! nom!ies
( min!$ Trisomies /&0 &1 2 &3
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• Trisom$ /&
• Trisom$ &1
•
Trisom$ &3• Tri-!oid$
• T"rner’s
ommonommonC#romosom!C#romosom!
Anom!iesAnom!ies
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Mr+ers ofMr+ers of
Trisom$ /&Trisom$ /&
SKULL 4 5RAIN
– %rc#$ce-#!$ &67
– 8entric"!ome,!$ &97
–
c#oroid -!e:"s c$sts 17– en!r,ed cistern m,n ;7
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NECK
–n"c#! edem 317 CHEST
–crdic %norm!it$ /97
Mr+ers ofMr+ers of
Trisom$ /&Trisom$ /&
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A5DOMEN
– d"oden! tresi 17
– %sent stomc# 37
– mi!d #$drone-#rosis 3'7
– ot#er ren! -ro%!ems ;7
Mr+ers ofMr+ers of
Trisom$ /&Trisom$ /&
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OTHERS
– #$dro-s /'7
– SGA /'7
– s#ort fem"r /17
– %norm! #nds 4 feet /67
–
t!i-es 37
Mr+ers ofMr+ers of
Trisom$ /&Trisom$ /&
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SKULL 4 5RAIN
– str*%err$(s#-ed #ed 6)7
– %rc#$ce-#!$ /<7
– 8entric"!ome,!$ &)7
– #o!o-rosence-#!$ 37– CPC );7
– %sent cor-"s c!!os"m ;7
– -osterior foss c$st &'7
– en!r,ed cistern m,n &97
Mr+ers ofMr+ers of
Trisom$ &1Trisom$ &1
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FACE 4 NECK
fci! c!eft &'7
micro,nt#i 637
n"c#! edem 67c$stic #$,rom /7
CHEST
crdic %norm!ities 6/7
di-#r,mtic #erni &'7
Mr+ers ofMr+ers of
Trisom$ &1Trisom$ &1
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A5DOMEN
– om-#!ocoe!e 3'7
– %sent stomc# /'7
– mi!d #$drone-#rosis&97
Mr+ers ofMr+ers of
Trisom$ &1Trisom$ &1
M + fM + f
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OTHERS– #$dro-s )7
– SGA 9&7
– s#ort fem"r /67
– %norm! #nds 4 feet&/7
– t!i-es 3'7
Mr+ers ofMr+ers of
Trisom$ &1Trisom$ &1
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SKULL 4 5RAIN– %rc#$ce-#!$ /97
– 8entric"!ome,!$ <7
– microce-#!$ /)7
– #o!o-rosence-#!$ 3<7– CPC /7
– -osterior foss c$st &67
– en!r,ed cistern m,n /67
Mr+ers ofMr+ers of
Trisom$ &3Trisom$ &3
M + fMr+ers of
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FACE 4 NECK
– fci! c!eft 3<7
– micron,t#i <7
–
n"c#! oedem //7 CHEST
– di-#r,mtic #erni 97
– crdic %norm!it$ )37
Mr+ers ofMr+ers of
Trisom$ &3Trisom$ &3
Mr+ers ofMr+ers of
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A5DOMEN
– om-#!ocoe!e &;7
–
mi!d #$drone-#rosis 3;7– ot#er ren! %norm!ities /)7
Mr+ers ofMr+ers of
Trisom$ &3Trisom$ &3
Mr+ers ofMr+ers of
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OTHERS
– #$dro-s ;7
– SGA 9&7
– re!ti8e!$ s#ort fem"r <7
– %norm! #nds 4 feet 6/7
– t!i-es &&7
Mr+ers ofMr+ers of
Trisom$ &3Trisom$ &3
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