1. FETAL CONGENITAL INFECTIONS – CORE ASSESSMENT
๐ Ultrasound Findings Suggestive of Congenital Infection
๐ Normal Fetal Anatomy with No Infection Markers
๐ Isolated vs Multiple System Involvement
๐ Early-Onset vs Late-Onset Infection Pattern
2. CENTRAL NERVOUS SYSTEM
๐ Ventriculomegaly
๐ Intracranial Calcifications (Periventricular / Diffuse)
๐ Microcephaly
๐ Abnormal Cortical Development (Lissencephaly / Polymicrogyria)
๐ Cerebellar Hypoplasia
3. EXTRA-CNS STRUCTURAL FINDINGS
๐ Hepatomegaly
๐ Splenomegaly
๐ Echogenic Bowel
๐ Ascites
๐ Pleural Effusion
4. PLACENTA & AMNIOTIC FLUID
๐ Placentomegaly
๐ Placental Calcifications
๐ Polyhydramnios
๐ Oligohydramnios
5. FETAL HYDROPS
๐ Non-Immune Hydrops Fetalis
๐ Generalized Skin Edema
๐ Multicompartment Fluid Accumulation
6. GROWTH & DOPPLER ASSESSMENT
๐ Symmetrical Fetal Growth Restriction
๐ Abnormal Umbilical Artery Doppler
๐ Abnormal Middle Cerebral Artery Doppler
7. TORCH-SPECIFIC PATTERNS
๐ Toxoplasmosis – Diffuse Intracranial Calcifications, Hydrocephalus
๐ CMV – Periventricular Calcifications, Ventriculomegaly
๐ Rubella – Cardiac Defects, Cataracts
๐ Herpes – Microcephaly, Destructive Brain Lesions
๐ Syphilis – Hepatosplenomegaly, Hydrops
8. NON-TORCH & EMERGING INFECTIONS
๐ Zika Virus – Severe Microcephaly, Cortical Malformations
๐ Parvovirus B19 – Severe Fetal Anemia, Hydrops
๐ Varicella – Limb Hypoplasia, Skin Scarring
9. LAB CORRELATION & MANAGEMENT
๐ Maternal TORCH Serology Correlation
๐ Amniotic Fluid PCR Recommended
๐ Fetal Blood Sampling (Selected Cases)
๐ Serial Ultrasound Follow-Up
๐ Multidisciplinary Counseling Advised
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