Late First Trimester (11-13w 6d)

📝 Fetal 1 🧾 Early First Trimester (GS) 2 🧾First Trimester (embryo 6-10w 6d) 3 🧾 First Trimester (11-13w 6d) 4 🧾 Second Trimester 5 🧾 Third Trimester 6 🧾 NT Screening 7 🧾 NT Screening Specific Dopler 8 🧾 Fetal Anomalies Screening / TIFA 9 🧾 TIFA-Specific Fetal Doppler 10 🧾 Doppler Studies 11 🧾 Biophysical Profile / NST 12 🧾 RMT Assessment

Diagnos

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NORMAL FETAL FINDINGS (11–13 WEEKS 6 DAYS)

📄 Single Live Intrauterine Fetus

📄 Normal Crown–Rump Length (CRL)

📄 Normal Cardiac Activity

📄 Normal Fetal Movements

📄 Physiological Midgut Herniation ❌No

FETAL VIABILITY ABNORMALITIES

📄 Absent Cardiac Activity (Fetal Demise)

📄 Persistent Bradycardia

📄 Persistent Tachycardia

FETAL GROWTH ABNORMALITIES

📄 CRL Smaller than Expected for Dates

📄 Failure of Interval Fetal Growth

📄 CRL–Gestational Age Discordance

EARLY PREGNANCY FAILURE (LATE FIRST TRIMESTER)

📄 Missed Abortion

📄 Incomplete Abortion

📄 Inevitable Abortion

MULTIPLE PREGNANCY (11–13 WEEKS)

📄 Dichorionic Diamniotic Twins (Lambda sign)

📄 Monochorionic Diamniotic Twins (T-sign)

📄 Monochorionic Monoamniotic Twins

📄 Vanishing Twin (Residual GS / Placental Remnant)

📄 CRL Discordance (>10–15%)

📄 Nuchal Translucency Discordance

📄 Early Twin-to-Twin Transfusion Syndrome (Stage 0 / NT discordance)

📄 Single Fetal Demise in Twin Pregnancy

📄 Vanishing Twin (Residual Findings)

📄 Fetus Papyraceus ❌No (Seen in 2nd Trimester)

📄 Tubal Ectopic ❌No

PLACENTAL ABNORMALITIES (EARLY DIAGNOSABLE)

📄 Low-lying Placenta

📄 Placenta Previa (Early)

📄 Placental Thickness Abnormality

📄 Placental Cyst / Lacunae

📄 Placental Mass (Suggestive of Partial Mole)

📄 Subchorionic / Retroplacental Hematoma

UMBILICAL CORD ABNORMALITIES

📄 Single Umbilical Artery (Early suspicion)

📄 Short Umbilical Cord (Subjective)

📄 Marginal Cord Insertion

📄 Velamentous Cord Insertion (Early)

📄 Umbilical Cord Cyst (True / Pseudocyst)

AMNIOTIC FLUID ABNORMALITIES

📄 Oligohydramnios (Early)

📄 Polyhydramnios (Early suspicion)

📄 Amniotic Band / Sheet

📄 Discordant Amniotic Fluid in Twins

📄 Absent Amniotic Membrane (Monoamniotic Twins)

NUCHAL TRANSLUCENCY & EARLY ANEUPLOIDY MARKERS

📄 Increased Nuchal Translucency (>95th percentile)

📄 Cystic Hygroma (Septated NT)

📄 Absent / Hypoplastic Nasal Bone

📄 Abnormal Ductus Venosus Flow (Absent / Reversed a-wave)

📄 Tricuspid Regurgitation (>60 cm/s)

📄 Increased NT with Normal Karyotype (Risk of Cardiac Defect)

📄 Abnormal Frontomaxillary Facial Angle

📄 Enlarged Intracranial Translucency

EARLY STRUCTURAL ABNORMALITIES (NT SCAN)

📄 Anencephaly

📄 Acrania / Exencephaly Sequence

📄 Holoprosencephaly (Alobar)

📄 Absent Intracranial Translucency (Early Spina Bifida Marker)

📄 Cleft Lip (Early Detection)

📄 Micrognathia (Early Suspicion)

📄 Suspected Congenital Heart Disease

📄 Abnormal Cardiac Axis

📄 Abnormal Four-Chamber View

📄 Omphalocele

📄 Gastroschisis

📄 Megacystis (Bladder >7 mm)

📄 Bilateral Renal Agenesis (Early Suspicion)

📄 Short Long Bones (Early Dysplasia Marker)

📄 Limb Reduction Defect

📄 Hydrops Fetalis (Early)

📄 Increased NT with Multiple Anomalies

MOLAR PREGNANCY (LATE FIRST TRIMESTER)

📄 Partial Hydatidiform Mole with Fetus

📄 Twin Pregnancy: Complete Mole with Coexisting Fetus

📄 Complete Mole ❌No

📄 Invasive Mole ❌No

📄 Choriocarcinoma ❌No

ASSOCIATED COMPLICATIONS

📄 Subchorionic Hematoma

📄 Early Placental Insufficiency

📄 Retroplacental Hemorrhage

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Patient Info

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NORMAL VARIANT
🧾 Normal (HSG)
🧾 Myometrial Folds