Intermediate OB Ultrasound
This course provides and in depth evaluation of the 2nd trimester gestation.
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Case Study Details
|No symptoms. 2nd Trimester pregnancy
|Additional Symptoms (observed)
|Prior tests ordered
|10wk ultrasound only
|2nd Trimester Exam performed
|Additional testing ordered
|U/S performed by
|OnSite Students/Julie Gaston BS, RDMS, RVT
|U/S was read by
|Describe (where, when, how):
|Basic 2nd trimester screening protocol including measurements, placenta assessment, cervical length, outflow tracts, and anatomy.
|What equipment was used?
|What technique did you feel was most important for this exam?
|If I did not look at the lower leg bones and check the feet I could have easily missed this finding. It shows the importance of being vigilant and not cutting corners.
|Bilateral clubfoot -Patient being referred to Stanford for further testing.
|Will follow up.
| Talipes Equinovarus or Clubfoot, to be confirmed with a full diagnostic ultrasound.
Risk factors include:
Treatment options include:
- Stretching and casting (Ponseti method)
- Stretching and taping (French method)
Even with treatment, clubfoot may not be totally correctable. But in most cases when treatment happens early, these children grow up to wear normal shoes and lead normal, active lives. In this case, the specific treatment method is unknown. It will likely be decided by the volunteer, her spouse and their medical team.
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