Template:VACTERL Diagnosis table: Difference between revisions
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|+ '''VACTERL/VATER Diagnostic Methods''' | |+ '''VACTERL/VATER Diagnostic Methods''' | ||
|-bgcolor="CEDFF2" | |-bgcolor="CEDFF2" | ||
! Feature | ! width=200px|Feature | ||
! Intitial test(s) | ! Intitial test(s) | ||
! Notes | ! Notes | ||
|- | |- | ||
| Vertebral anomalies | | Vertebral anomalies | ||
| X-ray; ultrasound and/or MRI of the spine | | {{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 | | X-ray may not show subtle spinal anomalies, and will be unable to detect associated anomalies such as tethered cord or syrinx | ||
|-bgcolor="F5FAFF" | |-bgcolor="F5FAFF" | ||
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| 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. | ||
|- | |- | ||
| colspan=3|Table reference {{#pmid:21846383|PMID21846383}} '''Links:''' {{VACTERL}} | {{vertebra}} | {{heart}} | {{renal}} | {{limb}} | |||
| colspan= | |}<noinclude>[[Category:Human]][[Category:Abnormal Development]][[Category:Chromosome]][[Category:Genetics]][[Category:Vertebra]][[Category:Heart]][[Category:Gastrointestinal Tract]][[Category:Renal]][[Category:Limb]]</noinclude> | ||
|}<noinclude> |
Latest revision as of 14:31, 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-ray | 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] Links: VACTERL | vertebra | heart | renal | limb |