Ecografía 2do

trimestre
Jenniffer Florencia – Postgradista
UNIVERSIDAD CENTRAL DEL ECUADOR
 Contenido
01 02 03
Evaluación general Anatomía fetal Cinética fetal

04 05
Introductio
n
Asignar la edad gestacional:
según fecha de última
menstruación (FUM) y
ecografía precoz (primer
 01
Evaluación general
 Evaluación general
Asignar la edad gestacional: según fecha de última menstruación (FUM) y
ecografía precoz (primer trimestre con medición de la longitud embrionaria
máxima si ésta es menor a 84mm).
Si la diferencia entre ambas es mayor o igual a 5 días, la edad gestacional se
consignará según la ecografía precoz.
•De no contarse con ecografía precoz se datará la gestación según biometría
cefálica.
•Determinar cantidad de fetos .
•En caso de embarazo múltiple, consignar amnionicidad y corionicidad, de ser
posible.
•Determinar vitalidad y estática fetal.
Evaluación general
BIOMETRÍA FETAL
1. Debe incluir:
•Diámetro Biparietal (DBP).
•Circunferencia Cefálica
•Circunferencia AbdominaL.
•Longitud Fémur
•Peso Fetal Estimado (Optativo antes
de las 24 semanas).
2. Cada dato se informará de forma
independientemente.
Evaluación general
Evaluación general
EVALUACIÓN DE LÍQUIDO
AMNIÓTICO
1. Se efectuará de forma subjetiva.
2. Ante la sospecha de una cantidad
inadecuada se sugiere confirmar con los
métodos semicuantitativos de bolsillo
vertical máximo, ó índice de líquido
amniótico (correlacionado con percentil
para la edad gestacional), informándose el
valor.
Evaluación general
PLACENTA
1. Se determinará la localización de la
placenta, referida a la cara uterina que
ocupa.
2. Se informará su relación con el orificio
cervical interno.
a. Se considera inserción baja cuando la
distancia entre el polo inferior de la
placenta y el OCI es menor a 20mm.
Evaluación general
PLACENTA
a. Se considera placenta previa si el
polo inferior placentario contacta o
sobrepasa al OCI.
b. Ante estas situaciones se reevaluará a
las 30 semanas por vía transvaginal.
3. Se debe consignar la ecoestructura como
homogénea o heterogénea.
Evaluación general
CORDÓN UMBILICAL
1. Número de vasos. En cordón libre
(corte axial), o con Doppler color para
visualizar el ingreso y la bifurcación en
la región paravesical.
2. Se recomienda descartar Vasa Previa
mediante el examen del OCI, o
verificando la inserción del cordón en
la placenta. En ambos casos la
utilización del Doppler Color puede
facilitar la tarea.
 02
Anatomía Fetal
Anatomía Fetal
CABEZA FETAL
Calota:
Osificación y morfología.
Endocráneo:
1. Hoz del cerebro, cavum de
septum pellucidi, tálamos,
ambos ventrículos laterales.
2. Cerebelo y cisterna magna (a
nivel de plano transcerebeloso).
Anatomía Fetal
 Anatomía Fetal

CARA FETAL
Se debe documentar:
1. Órbitas.
2. Perfil.
3. Indemnidad del labio
superior.
Anatomía Fetal
 Anatomía Fetal

CUELLO
Evaluarlo en cortes sagital o
coronal.
 Anatomía Fetal
TÓRAX FETAL
1.- Aparato Cardiovascular:
1a. Situs abdominal y cardíaco.
1b. Corte de 4 cámaras constatando:
• Región retrocardíaca (arteria aorta descendente).
• Relación cardiotorácica.
• Eje cardíaco.
• Identificación de las 4 cavidades, verificando su
simetría.
•Inserción diferencial de las válvulas AV (cruz
cardíaca).
•Ingreso de por lo menos 2 venas pulmonares a la
aurícula izquierda.
•Descartar derrame pericárdico.
 Anatomía Fetal
TÓRAX FETAL
1.- Aparato Cardiovascular:
1c. Tractos de Salida:
• Tracto de salida del ventrículo
izquierdo (continuidad septo-
aórtica).
• Tracto de salida del ventrículo
derecho (bifurcación de la arteria
pulmonar)
 Anatomía Fetal
TÓRAX FETAL
1.- Aparato Cardiovascular:
1d. Corte de 3 Vasos:
• Número
• Posición.
• Calibre.
• Alineación.
1e. Corte de 3 vasos tráquea (Signo de la “V”)
• Posición, calibre y orientación de los vasos.
NOTA: Si bien no se considera obligatoria la
utilización del Doppler color, se sugiere su uso
como herramienta complementaria para
facilitar el diagnóstico.
 About the Disease
Earth is where
01 we live on
Mars
Despite being red, Jupiter is the
Mars is actually a 02 biggest planet
cold place
Saturn is the
03 ringed planet
 Concepts and Typology

Concept Typology Features

Type A Mars Jupiter Venus

Type B Saturn Mercury Neptune

 Pathology

Mercury Mars Jupiter Saturn

Mercury is the Despite being It’s the biggest It’s composed of
closest planet to red, Mars is a planet in the hydrogen and
the Sun cold place Solar System helium
A Picture is Worth
a Thousand Words
 Symptoms of the Disease
A
A B
Mars Mercury
Despite being red, Mercury is the
Mars is actually a B smallest planet in
cold place the Solar System
 Risk Factors
Mars
Despite being red,
Mars is a cold place

Jupiter
It’s the biggest
planet of them all

To modify this graph, click on it, follow the link, change

the data and paste the new graph here
200,000,000
Big numbers catch your
audience’s attention
 Key Numbers
Mars is actually a cold
50,000 place full of iron oxide dust

Jupiter is a gas giant and

20,000 also the biggest planet

Saturn is composed mostly

5,500 of hydrogen and helium
“This is a quote, words full of wisdom
that someone important said and can
make the reader get inspired.”
—Someone Famous
 Diagnosis

Mercury Venus Mars

Mercury is the closest Venus is the second Despite being red, Mars
planet to the Sun planet from the Sun is actually a cold place

Jupiter Saturn Neptune

It’s the biggest planet in Saturn is composed of Neptune is the farthest
the Solar System hydrogen and helium planet from the Sun
 Prevention
Mercury Mars
Mercury is the closest Despite being red,
planet to the Sun Mars is a cold place

01 02 03 04
Jupiter Saturn
It’s the biggest planet Saturn is composed of
in the Solar System hydrogen and helium
 Treatment

Venus Mercury
Venus has a beautiful Mercury is the closest
name and is the second planet to the Sun and the
planet from the Sun smallest one
 Recommendations
X V
What not to do What to do
● You can describe here what the ● You can describe here what the
patient shouldn’t do patient should do
● You can describe here what the ● You can describe here what the
patient shouldn’t do patient should do
● You can describe here what the ● You can describe here what the
patient shouldn’t do patient should do
 Prevalence

02 01 Mars
Despite being red,
01 Mars is a cold place

02 Jupiter
It’s the biggest
planet of them all
 Healthy
Habits
Mercury is the closest planet to
the Sun and the smallest one in
the Solar System—it’s only a bit
larger than the Moon
 Conclusions
Jupiter is a gas giant, the
biggest planet in the Solar
System and the fourth-brightest
object in the night sky
 Our Team

Dr. John
James Dr. Jenna Doe
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