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Transcript: CVS (Chorionic Villi Sampling) › ... › chorionic villus sampling index › ... › Prenatal Care & Tests › Prenatal Tests › Health Library Yes. Harm may include a miscarriage & having a baby with arm or leg abnormalities. It may also cause bleeding that could cause mixing in your blood as well as the baby's. Chorionic Villi are tiny finger-shaped growths found in the placenta. Their genetic material is the same of that which is found in the baby's cells. When is Chorionic Villi Sampling performed? Who should have a CVS? For most women this procedure is quite uncomfortable and painful. Some describe it as feeling like menstrual cramps. It may also cause soreness of the belly. The results for Chorionic Villi Sampling are almost always accurate. An abnormality called mosaicism may show up on the CVS test when it does not actually exist in the baby. This procedure is done during the early stages of pregnancy. What are specific types? There are two ways to do this test: 1) Through the cervix (transcervical) 2) Through the belly (transabdominal) What are Chorionic Villi? Will having this procedure hurt? Antonia Stewart When are Chorionic Villi Sampling results known? Are the results accurate? The results for this screening test are not immediate because your doctor has to send the tissue from your placenta to the lab for testing. The results are almost always reliable. What is Chorionic Villi Sampling? The people who are affected by CVS include: 1) people with abnormal results from a prenatal screening test. 2) people who have a chromosomal abnormality in previous pregnancy. 3) people 35 an older 4) people who have a family history of a specific genetic disorder. 5) a couple is a known carrier of a genetic disorder. Chorionic Villi Sampling is a prenatal screening test that is carried out by examining cells from the tiny hairy outgrowths villi of the outer membrane chorion surroundings an embryo, which have the same DNA as the fetus. You should have Chorionic Villi Sampling to help you detect serious problems with the fetus. Work Cited Will having this screening cause harm to the fetus? Why should you have a CVS?


Transcript: Central Venous Stenosis ARF requiring HD How can we help? APS ~Anti phospholipid syndrome – 2 DVTs ~Digital vasculitis – 1989 ~Catastrophic anti phospholipid syndrome – 1998/9 ~ARF requiring HD – 1999 ~Heparin induced thrombocytopenia – 1999 ~Recurrent biliary sepsis 2o to CBD stricture – multiple ERCPs for dilatation & stenting ~Hepatico-jejunostomy with cholecystectomy – 2006 ~Retro uterine haemorrhage – ruptured fallopian tube – 1998 ~Previous recurrent small bowel obstruction 2o adhesion ~Grand mal seizure with left occipital infarct on CT - 1999 ~Non transmural MI with moderate to severe LV dysfunction ~Hypertension – 2002 ~Decline in renal function, assoc with presumed intra abdominal sepsis – 2010 ~Central stenosis with recurrent plasty of left brachiocephalic vein, recurrent venopasties every 6-8 weeks ~Chronic subdural haematoma – 2011 ~Calciphylaxis with lesion on shin – 2011/2 Allergies: Heparin, ciprofloxacin, livofloxacin ESRF secondary to antiphospholipid syndrome Arthritis in siblings "Dead" Left hand Common problem in the management of HD patient Prevalence: 25-40% among HD population (Kundu, 2010) Disrupts the vascular access circuit Higher risk with previous central line placement Recurrent venoplasties are stressful to Miss BP Post-traumatic stress disorder (PTSD) Miss BP 46 year old Psychotherapist Kidney diagnosis: ESRF secondary to anti-phospholipid syndrome (APS) On haemodialysis (HD) for 18 months DH Ruptured fallopian tube ESRF secondary to anti phospholipid syndrome FH Reference Central Venous Stenosis (CVS) Madihah Abu Kassim, CP2 Kundu, S (2010) Central venous disease in hemodialysis patients: prevalence, etiology and treatment. [The journal of Vascular Access, 2010; 11: 1-7] Haage, P, Vorweck, D, Piroth W, Schuermann, K, Guenther, RW (1999) Treatment of hemodialysis-related central venous stenosis or occlusion: results of primary Wallstent placement and follow-up in 50 patients. [Radiology; 212. 175-180] Central Venous Stenosis (CVS) Options for Miss BP Calciphylaxis CKD Percutaneous transluminal angioplasty High technical success rate High recurrence rate  multiple intervention (stressful) Create fistula on the Right side Risk of Right hand “dying” Surgical bypass procedure Reserved if PTA fails Associated with high morbidity & mortality Kidney transplant Currently no living donor High risk of rejection SH Thank you Subdural haematoma Madihah Abu Kassim PMH CKD patients often have other co-morbidities Central venous stenosis is a common problem in management of chronic HD patient First line therapy for CVS is PTA Biopsychosocial approach for management of patients with CKD/ESRF Conclusion Background Medical History Lives alone (with her dog) Works from home Good friends around Medically: Sedatives & anxiolytics prior to procedure ?GA – high risk Psychologically: Systemic desensitisation Hypnosis

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