Articles

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786 results found
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Fetal abdominal circumference

Abdominal circumference (AC) is one of the basic biometric parameters used to assess fetal size. AC together with biparietal diameter, head circumference, and femur length are computed to produce an estimate of fetal weight. In the second trimester, this may be extrapolated to an estimate of ges...
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Cervical cerclage

Cervical cerclage is a treatment that is undertaken during pregnancy to reduce the chances of preterm labor. It involves the placement of a suture around the neck of the cervix. It aims to reduce the risk of preterm birth and provides mechanical support to keep the cervix closed 1,2. Cervical c...
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Enhanced myometrial vascularity

Enhanced myometrial vascularity (EMV), often misdiagnosed as an acquired uterine arteriovenous malformation, is the presence of transiently increased blood flow within the uterine myometrium, typically associated with complications of pregnancy.  Terminology Somewhat confusingly, the term “enh...
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Cleft lip and palate

Cleft lip and palate is one of the commonest neonatal facial anomalies. In ~80% of cases, the two features tend to occur together 6. Epidemiology It is estimated to occur with an incidence of ~1 in 700-1000 live births 1. This can increase to 4% for a sibling of a previously affected fetus and...
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Atelencephaly

Atelencephaly (also termed atelencephalic microcephaly) is a rare and extreme disorder with only a handful of published cases. In this anomaly, the derivatives of the telencephalon are absent or dysplastic, while more caudal structures are normal or mildly deformed. It falls under the aprosencep...
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Cervix

The cervix or uterine cervix is the lower constricted segment of the uterus providing the passage between the uterus proper and the vagina.  Gross anatomy The cervix is somewhat conical in shape, with its truncated apex directed posteriorly and inferiorly. The inferior aspect of the cervix pro...
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Intracranial teratoma

Intracranial teratomas are uncommon intracranial neoplasms, which can have a bewildering variety of components and thus a wide range of appearances. They can be divided into two broad categories, intra- and extra-axial, which differ in epidemiology and clinical presentation. Another method of cl...
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Cervical incompetence morphological changes on ultrasound (mnemonic)

Sequential morphological ultrasound changes of the endocervical canal with cervical incompetence can be remembered using the mnemonic: Trust Your Vaginal Ultrasound Mnemonic T-shaped (normal internal cervical os) Y-shaped V-shaped  U-shaped Related article cervical incompetence funnelin...
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Acute abdominal pain

Acute abdominal pain is a common acute presentation in clinical practice. It encompasses a very broad range of possible etiologies and diagnoses, and imaging is routinely employed as the primary investigative tool in its modern management. Terminology A subgroup of patients with acute abdomina...
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Ovarian vein thrombosis

Ovarian vein thrombosis (actually most often thrombophlebitis) occurs most commonly in postpartum patients and can result in pulmonary emboli. A presentation is usually with acute pelvic pain in the postpartum period, then termed puerperal ovarian vein thrombosis or postpartum ovarian vein throm...
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Cervical cancer (staging)

Staging of cervical cancer can either be based on the TNM or FIGO system. Classification Revised FIGO staging of cervical carcinoma (2018) FIGO no longer includes stage 0 (Tis) I: confined to cervix uteri (extension to the corpus should be disregarded) IA: invasive carcinoma only diagnosed ...
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Obstructive cystic renal dysplasia

Obstructive cystic renal dysplasia, or Potter type IV cystic renal disease, is a potential complication that can occur from prolonged obstruction of the bladder outlet or urethra during gestation.  Pathology Ureteric obstruction during active nephrogenesis results in cystic renal dysplasia; th...
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Agenesis of the diaphragm

Agenesis of the diaphragm is a congenital diaphragmatic developmental anomaly where all or part of diaphragm fails to form. It can sometimes be thought of as an extreme form congenital diaphragmatic herniation 1. Pathology The agenesis can either be unilateral or bilateral. Herniation of abdom...
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Prolonged rupture of membranes

Prolonged rupture of membranes refers to a rupture of membranes lasting longer than 18-24 hours (i.e. between time of rupture and time of delivery) 1-2. This situation can occur in either the term or pre-term newborns where in the latter case it is also termed prolonged preterm rupture of membra...
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Interocular distance

The interocular distance (IOD) is a measurement between the two medial canthi of each eye. It is often measured as an accessory biometric parameter on routine antenatal ultrasound scans on the axial images. As a rule of thumb, the interorbital distance should be roughly equal to the ocular diame...
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Feto-maternal rhesus incompatibility

Feto-maternal rhesus (Rh) incompatibility is a situation when the maternal blood is Rh-negative blood and the fetal blood is Rh-positive (from paternal inheritance). It is a type fetomaternal blood group incompatibility and can, in turn, lead to several complications which classically includes t...
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Apple-peel intestinal atresia

Apple-peel intestinal atresia, also known as type IIIb or Christmas tree intestinal atresia, is a rare form of small bowel atresia in which the duodenum or proximal jejunum ends in a blind pouch and the distal small bowel wraps around its vascular supply in a spiral resembling an apple peel. Oft...
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Congenital granular cell myoblastoma

A congenital granular cell myoblastoma (also known as congenital epulis) is a very rare benign tumor which classically presents in the fetal-neonatal population. Epidemiology It occurs almost exclusively in females when it presents in the fetal-neonatal population although no such predilection...
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Small gestational sac

A small gestational sac in early first trimester is considered a poor prognostic factor. Some authors use the mean sac diameter to crown rump length difference of 5 mm or greater to be normal 1.   The smaller than expected sac diameter in pregnancies 36-42 days from the last menstrual period ha...
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Breus mole

A Breus mole is a term that was given to a very large subchorionic hemorrhage, an unfortunate misnomer because this entity bears no relationship to the molar pregnancy. Pathology The lesions are a mass of fibrin formed secondary to thrombosis. They dissect and form a subchorionic thrombohemato...

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