Doctor insights on:
Separation Of The Symphysis Pubis Gestational Diabetes
Symphysis dysfuntion: Is most commonly associated with pregnancy and childbirth. It is a condition that causes excessive movement of the pubic symphysis, either anterior or lateral, is a dysfunction that is associated with pelvic girdle pain and the names are often used interchangeably. It is thought to affect up to one in four pregnant women to varying degrees, with 7% of sufferers continuing to experience serious sym. ...Read more
Gestation diabetes is diabetes that occurs during pregnancy. This develops when pregnancy hormones change a patient's metabolism so that they can not regulate their blood sugar. A patient with GDM will have to go on a low sugar and low carb diet and monitor blood sugars very carefully. Sometimes they will require medications. There is a 30% chance ...Read more
X-rays: This abnormally wide gap can be diagnosed by radiologic studies such as x-ray, mri, ct scan or bone scan. Manual testing by a healthcare professional can also be used. The patient is placed in various positions and pressure is applied in such a way that it provokes pain and maybe movement in the pubis. ...Read more
Pubic symphysis : Disruption of the pubic synthesis usually results from trauma, or in some cases during pregnancy. Traumatic injuries are usually part of pelvic ring injuries and often require surgical treatment. Those injuries do not require surgical treatment will generally require three months until symptoms gradually improve. This is only an estimate and the results are based on the individual injury pattern and treatment. Disruption that occurs as a result of pregnancy or delivery is generally self-limited and symptoms resolve within a few weeks to months after delivery. In rare cases the disruption that occurs as a result of pregnancy can persist and be symptomatic. ...Read more
The femur length and the , head circumference and the AC gives you the accurate fetal age? (2nd trimester) .thank you!
I'm being advised to terminate due to risk of uterine rupture what are your thoughts? The ultrasound shows a small peri sac bleed on the fundal aspect of the sac
Why???: I am sorry...what is the rationale? If there is no fetal heart beat...understandable. Uterine rupture probably will not occur because of a pregnancy. There is no reason to undergo a termination based on the history given. If your doctor is concerned about said pregnancy....see somebody else. You can carry a pregnancy close to term. Chance of uterine rupture is less than 1%.... ...Read more
The crl & mean sac diameter measured during 7th wk of pregnancy gives fetal age:age from conception/implantation or the gestational age:age from lmp?
Lmp: All pregnancy dating is based on lmp. So even when lmp is unknown the age given by crl assumes when lmp "should have been. Ie about two weeks prior to implantation. So a pregnancy is 40 weeks from lmp and 38 weeks from implantation. All studies, all research, all dating, dating by ultrasound goes by the 40 week designation or from time of lmp. ...Read more
Great question; yes.: Current thinking is that both conditions have the same pathophysiology, involving placental release of anti-angiogenic peptides that aim to increase placental perfusion at the expense of maternal well-being. The main difference is proteinuria, which is an indirect measure of maternal renal involvement without correlation to perinatal outcome. ...Read more
My MRI-RightShoulder Joint says below comments. 1) Avulsion fracture of the greater tuberosity is seen at the supraspinatus
tendon attachment. The fracture fragment measures 16 x 18 x 12 mm. There
is adjacent marrow edema.
2) Thin rim of fluid is seen in
Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
At 30 wks ultrasound there is a single loop of umbilical cord loosely entwining baby's neck..is there any risk?.what are the chances of stillbirth?
Chances low: It is not uncommon to have the cord around the neck before birth. It may become disentangled naturally. Sometimes during labor if the cord is around the neck the infant may have fetal distress that can be picked up by fetal monitoring during labor. I would not be too worried right now as long os the fetus shows signs of movement. Your OB doc can follow this during the pregnancy. ...Read more
I'm pregnant and my gestational sac measures 13mm. I believe i'm between 4.5 &6.5 weeks. The sac is empty. Is there any chance of a baby?
Which fetal measurement holds accuracy the longest in later ultrasounds (ex. Femur, bpd, hc, ac)?
Ac: Measurements later in pregnancy become less accurate. Dating usually happens from your first ultrasound done. Sometimes the baby develops growth restriction. The measurement of the abdominal circumference is usually the first sign of that. The average of all measurements together can also show growth restriction or actually a large baby! ...Read moreSee 1 more doctor answer
Surgery for a 4mm length 2mm wide under surface tear to my supra at the insertion point to the humeral head, bursitis. Ac arthritis? In lots of pain.
What does the below mean from a CT scan of the hip? The distal shaft and distal articular margin of the femur are rotated externally at 35 degrees?
CT scan: It means that the distal femur is rotated counterclockwise(as if you are looking up from the feet) 35 degrees from the neutral position. If you have a fracture of the proximal femur or shaft, it means that the distal fracture piece is rotated relative to the proximal fractured piece of the femur. ...Read more
In case of a pregnant woman , what is the relation between premature rupture of membrane and relative marriage?
Gestational diabetes occurs in women who are pregnant. Prior to becoming pregant the woman was not diabetic and once the woman delivers the baby the diabetes goes away, although she has a higher chance of getting non-insulin-dependent diabetes in the future. With gestational diabetes, hormones from the pregnancy ...Read more
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