Doctor insights on:
Persistent Fetal Circulation
If high bp, what is risk for fetal injury from reduced placental perfusion secondary to vasospasm?
Core temp 92°F, temp in feet 75°F. Could this be blood perfusion issue causing leg pain/weakness/burning? Ultrasound shows normal blood circulation.
Leg pain/weakness/burning: Are your symptom's uni or bilateral? A neurologic problem may be present, How do you check your "core" and internal foot temperature ? ...Read more
There is single active intrauterine fetus with Breech presentation. Fetal body movement and cardiac activity are present.
Breech: This means your baby is in the uterus, butt first, the baby is alive and doing well. The only issue here is, if you are near your due date and the baby is breech (butt first), you will likely need a cesarean section unless you opt for an version, a procedure to flip the baby from butt to head first, then you can deliver vaginally. If you are early on the baby changes position all the time. ...Read more
Movement fine: It may be an increase in movement, or it may be the baby is getting big to that point where you can really feel every litle thing he/she does. The baby may also be getting into that final position for birth. Too little movement is concerning, but "too much" not a problem. ...Read more
Can a fetal doppler detect womb sounds, maternal heart beat, and umbilical cord (abdomen the size of a 26 week pregnancy) with a pseudo pregnancy. ?
What is the possibility of hearing fetal heart tones, 6 weeks after conception? With a hand held doppler only. Not an ultrasound.
Call your doc: If you are feeling decreased movement, you should speak to your doctor today, even if you have an appointment tomorrow. They can go over kick counts with you to help you differentiate normal variation versus a worrisome decrease. ...Read more
Sort of: Pulmonary edema can be related to heart failure. If the heart fails as a pump, this elevates the blood pressure in the pulmonary circulation, because the fluid gets "backed up", the elevated pressure causes the capillaries to leak fluid into the air spaces. In non cardiac edema, there is an inflammatory injury to the capillaries, from a toxin or infection etc.. This causes the capillaries to leak. ...Read more
29 preemie nw at 41wks. Occasional bilateral provoked ankle clonus at 10 to 15 beats. High chance of cerebral palsy?! no history of ivh or pvl. Thnx
What does this mean Other Anomalies Of Pulmonary Artery And Pulmonary Circulation with collateral flow?
Partial description: That sounds like only part of a larger description? Anomalies usually refers to a congenital or birth defect. Collateral flow means blood is reaching its target tissue by alternate routes. Taken all together, my guess is: there is some congenital obstruction or diversion of blood from the right ventricle thru the lungs that, nonetheless, has found a way to get through. ...Read more
Emg: increased insertional and abnormal spontaneous activity present however not accompanied by decreased recruitment motor unit. What does this mean?
Difficult to say: Normal muscle should not be active at rest so spontaneous activity should not be present. That said, a diagnosis depends on what muscle was being tested, the kind of spontaneous activity seen, and the symptoms. Without more information it is similar to asking one to guess the design of a large jigsaw puzzle from looking at a couple pieces. Discuss the full report with the doctor that ordered it. ...Read more
6 weeks and 3 days pregnant. US showed gestational sac and fetal pole shown, no heart beat. HCG decreased from 17407 to 10943. Is this a problem?
Yes: I am more concerned with the falling HCG than the lack of Fetal heart at 6 wks. If the dates are wrong, the fetal heart beat may not be visible. This can be checked by repeating the U/S in two weeks. Falling HCG is abnormal at this stage of pregnancy. I recommend you have it rechecked and the U/S repeated. The image is of a 6 wk preg. See how small the fetus is. It is easy to miss a heart beat ...Read more
Decreased perfusion: Oligo can be either loss of fluid or decreased production. A stressed infant will shunt oxygenated blood to more vital organs, less renal perfusion, therefore less urine produced. Anything that decreases placental perfusion can cause it (abruption or placental separation, poor implantation, vascular problems, clots, uterine abnls, etc). There are too many causes to list here, ask your ob. ...Read more
Are you referring: to fetal lobulation of the kidneys? That is a normal anatomic variant, not related to an in utero twin. ...Read more
My dopler scan says a loop of cord vessel seen close to the fetal neck .is their any complication in normal delivery?
Common: This is common and usually causes no problem but the cord can tighten during delivery. The fetal monitor should show if there is a problem and you might have to have a C-section but I have delivered many babies with the cord around the neck vaginally and just lifted the cord over the baby's head after the head came out with no problem. ...Read more
Small left sided heart with abnormal septal motion in ventricle EF 60-65% heart is normal including thickness. Possible pulmonary hypertension cause?
MRI: If you have severe pulmonary hypertension, you may have Primary Pulmonary Hypertension. This is potentially a serious diagnosis. Intracardiac and intrapulmonary shunting must be ruled out. A cardiac MRI and nuclear shunt test can make this determination. These tests are likely only available at a major referral center - London. Good luck. ...Read more