Template:VACTERL Diagnosis table: Difference between revisions
From Embryology
(Created page with "{| |+ '''VACTERL/VATER Diagnostic Methods''' |-bgcolor="CEDFF2" ! Feature ! Intitial test(s) ! Notes |- | Vertebral anomalies | X-ray; ultrasound and/or MRI of the spine | X-r...") |
mNo edit summary |
||
Line 11: | Line 11: | ||
|-bgcolor="F5FAFF" | |-bgcolor="F5FAFF" | ||
| Anal atresia | | Anal atresia | ||
| Physical examination/observation, abdominal ultrasound for genitourinary anomalies | | Physical examination/observation, abdominal {{ultrasound}} for genitourinary anomalies | ||
| Additional testing is typically required to define anatomy, especially if concomitant genitourinary anomalies are present | | Additional testing is typically required to define anatomy, especially if concomitant genitourinary anomalies are present | ||
|- | |- | ||
| Cardiac malformations | | Cardiac malformations | ||
| Echocardiogram | | Echocardiogram | ||
| Other, more precise techniques, such as cardiac CT or MRI may be helpful to further detail anomalies | | Other, more precise techniques, such as cardiac {{CT}} or {{MRI}} may be helpful to further detail anomalies | ||
|-bgcolor="F5FAFF" | |-bgcolor="F5FAFF" | ||
| Tracheo-esophageal fistula | | Tracheo-esophageal fistula | ||
Line 27: | Line 27: | ||
|-bgcolor="F5FAFF" | |-bgcolor="F5FAFF" | ||
| Limb anomalies | | Limb anomalies | ||
| Physical examination, X- | | Physical examination, {{X-ray}}s | ||
| Important not to overlook, as the presence of limb anomalies often prompts testing for Fanconi anemia | | Important not to overlook, as the presence of limb anomalies often prompts testing for Fanconi anemia | ||
|- | |- | ||
| colspan=3|Suggested testing for patients (in addition to a careful physical examination by an experienced clinician) suspected to have VACTERL association. Specific modalities used should be dictated by the risk-benefit ratio for the specific situation. | | colspan=3|Suggested testing for patients (in addition to a careful physical examination by an experienced clinician) suspected to have VACTERL association. Specific modalities used should be dictated by the risk-benefit ratio for the specific situation. | ||
|- | |- | ||
| Table reference {{#pmid:21846383|PMID21846383}} | | Table reference {{#pmid:21846383|PMID21846383}} | ||
|}<noinclude>[[Category:Spleen]][[Category:Human]][[Category:Abnormal Development]][[Category:Chromosome]][[Category:Genetics]][[Category:Vertebra]][[Category:Heart]][[Category:Gastrointestinal Tract]][[Category:Renal]][[Category:Limb]]</noinclude> | |}<noinclude>[[Category:Spleen]][[Category:Human]][[Category:Abnormal Development]][[Category:Chromosome]][[Category:Genetics]][[Category:Vertebra]][[Category:Heart]][[Category:Gastrointestinal Tract]][[Category:Renal]][[Category:Limb]]</noinclude> |
Revision as of 13:22, 13 April 2019
Feature | Intitial test(s) | Notes |
---|---|---|
Vertebral anomalies | X-ray; ultrasound and/or MRI of the spine | X-ray may not show subtle spinal anomalies, and will be unable to detect associated anomalies such as tethered cord or syrinx |
Anal atresia | Physical examination/observation, abdominal ultrasound for genitourinary anomalies | Additional testing is typically required to define anatomy, especially if concomitant genitourinary anomalies are present |
Cardiac malformations | Echocardiogram | Other, more precise techniques, such as cardiac CT or MRI may be helpful to further detail anomalies |
Tracheo-esophageal fistula | Physical examination/observation (contrast studies are rarely required) | Patients with VACTERL association but without true TEF may still present with swallowing/breathing anomalies, and clinicians should have a low index of suspicion for confirmatory radiological testing |
Renal anomalies | Renal ultrasound | Further testing, such as a voiding cystouerethrogram, may be required in the presence of renal anomalies or if there is other evidence of issues such as vesicoureteral reflux |
Limb anomalies | Physical examination, X-rays | Important not to overlook, as the presence of limb anomalies often prompts testing for Fanconi anemia |
Suggested testing for patients (in addition to a careful physical examination by an experienced clinician) suspected to have VACTERL association. Specific modalities used should be dictated by the risk-benefit ratio for the specific situation. | ||
Table reference [1] |