Wednesday, July 30, 2008
During my last call duty we've delivered two cases of fetal hydrops by emergency cesarean section. The second one we sectioned at midnight. It's heavy-duty work on Neonatology team I have to say; but thumbs up to them with all arrangements they made in the middle of the night for this very fragile baby; one NICU staff at the head of the bed intubating; while additional two Neonatologists on each side of the baby's chest draining those pleural effusions.. very impressive work ! It just spoke of what ' Team Work ' really means !
I didn't post 2-D ultrasound images of fetal hydrops on purpose because I want you guys to look it up and tell us about the diagnostic criteria for fetal hydrops on ultrasound.. so that is your first question to look into.
And while doing your reading around the topic.. try finding answers or elaborations on the following questions:
- Mention 4 or 5 causes of non-immune fetal hydrops ?
- What pregnancy work-up would you do once you diagnose hydrops on ultrasound ?
- Mention 3 modalities of reversing / treating fetal hydrops in utero ?
- What is maternal " Mirror-Syndrome " ?
Good luck guys.. your contribution is most welcomed in the comment section below..
Fayeza..
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