
TEACHINGS
/ LECTURES / CASES
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The
Anomaly
Scan Pictograms on this page have been supplied with compliments from Dr I Erasmus.
To
open as PDF documents click here:
PDF Article 1
PDF Article 2
Link
to ISUOG Guidelines
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Intrauterine, viable, placental position, no. of
fetuses, cervix

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3VC, amniotic fluid

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BPD, HC, skull shape, midline, CSP, thalami

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Lateral ventricles: anterior and posterior horns
(<10mm = N)

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Cerebellum, cysterna magna (N <10mm), nuchal
skinfold (N <6mm)

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Profile check, chin, lips

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Nose and lips check to exclude clefts

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Orbits check ,size distance

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Upper palate check to exclude cleft palate
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Spine
check saggital /longitudinal view - check all
vertebral
segments for presence and skin covering
from neck
to sacrum

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Spine check coronal view

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Spine check in transverse or axial plane for
defects and vertebral splaying

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4ch, apex left , axis septum, valve offsetting,
foramen ovale, VSD check (obligatory view)

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"Trouser" sign of RVOT
(advanced/ extra view)

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5ch view
Check aorta outflow,
aorta and pulm vessel
crossing exclude
to exclude
transposition of
the great
vessels
(advanced/ extra view)

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Aortic arch head and neck vessels (obligatory
view)

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Ductal arch (obligatory view)

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Heart Rate:
Bradicardia < 100 bpm
Tachicardia > 180 bpm
Heart Rhythm
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Measure AC, check stomach, and umbilical vein
TOF and Double bubble check

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Confirm 2 kidneys and check renal pelvises normal
= (N£ 5mm)

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Check cord insertion and exclude exomphalos and
gastroschisis

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Check presence of bladder, 2 supra vessical
arteries= 3VC

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Check stomach below diaphragm

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Measurementchecklist:
BPD, HC, AC, FL, EFW, HL, NT, AFI
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Check that hand opens and no clinodactyly
Measure Humerus length

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Check for clubfoot
Measure Femur length

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Check for sandal gap

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Fetal upper limbs
Hands x 2
Radius x 2 ulna x 2 Humerus x 2
Fetal lower limb
Feet x 2
Tibia x 2 Fibula x 2 Femur x 2
Check echogenicity, shape, movements, position |
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Intrauterine, viable, placental position,
no. of fetuses, cervix

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3VC, amniotic fluid

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BPD, HC, skull shape, midline, CSP, thalami

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|
Lateral ventricles: anterior and posterior
horns (<10mm = N)

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Cerebellum, cysterna magna
(N <10mm), nuchal skinfold
(N <6mm)

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Profile check, chin, lips

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|
Nose and lips check to exclude clefts

|
Orbits check ,size distance

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Upper palate check to exclude cleft palate

|
|
Spine check saggital /longitudinal view -
check all vertebral segments for presence and skin covering
from neck to sacrum

|
Spine check coronal view

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Spine check in transverse or axial plane for
defects and vertebral splaying

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|
4ch, apex left, axis septum, valve
offsetting, foramen ovale, VSD check (obligatory view)

|
"Trouser" sign of RVOT
(advanced / extra view)

|
5ch view
Check aorta outflow,
aorta and pulm vessel
crossing exclude
to
exclude transposition of
the
great vessels
(advanced / extra view)

|
|
Aortic arch head and neck vessels
(obligatoryview)

|
Ductal arch (obligatory view)

|
Heart Rate:
Bradicardia < 100 bpm
Tachicardia > 180 bpm
Heart Rhythm

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|
Measure AC, check stomach, and umbilical
vein
TOF and Double bubble check

|
Confirm 2 kidneys and check renal pelvises
normal = (N£ 5mm)

|
Check cord insertion and exclude exomphalos
and gastroschisis

|
|
|
Check presence of bladder, 2 supra vessical
arteries= 3VC

|
Check stomach below diaphragm

|
Measurementchecklist:
BPD,HC,AC,FL,EFW,HL,NT,AFI

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|
Check that hand opens and no clinodactyly
Measure Humerus length

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Check for clubfoot
Measure Femur length

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Check for sandal gap

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|

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Fetal upper limbs
Hands x 2
Radius x 2 ulna x 2 Humerus x 2
Fetal lower limb
Feet x 2
Tibia x 2 Fibula x 2 Femur x 2
Check echogenicity, shape, movements, position |

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Link
to
ISUOG
Guidelines
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