Obstetrics and Gynecology Board Review Pearls of Wisdom

(Elliott) #1

••• Chapter 16^ First Trimester Ultrasound^175


❍ How would you describe the amnionicity and chorionicity of this first trimester pregnancy?


Monochorionic and triamniotic.

❍ How are the number of yolk sacs and amnionicity related?
The number of yolk sacs equals the number of amniotic sacs.


❍ What is the chance of delivering twins if two gestational sacs are seen on early US studies?
57%.


❍ What does this percentage increase to if two embryonic poles with cardiac activity are visualized?
87%.


❍ When is the best time to determine amnionicity and chorionicity in a multiple gestation?
8 to 10 weeks (the earlier the better).


❍ What structure are the arrows pointing to in the ultrasound images?


Corpus luteum cysts.
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