症例 challenge · Imaging / Fetal medicine / Maternal-fetal medicine · teaching

Fetal Hydrops (Immune/Non-immune) Diagnostic Workflow · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on SMFM Consult #75

Case #1Imaging / Fetal medicine / Maternal-fetal medicine

📋 Case data

Immune vs non-immune + cause-directedNon-immune — cardiovascular/arrhythmia or monochorionic complication or chest mass

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Immune vs non-immune + cause-directed

Immune vs non-immune + cause-directed?

💡 Hydrops = ≥2 abnormal fluid collections (ascites, pleural effusion, pericardial effusion >2–3 mm, skin edema >5 mm); associated (non-diagnostic) placentomegaly (≥4 cm mid-trimester/≥6 cm third trimester), polyhydramnios, hepatosplenomegaly. First screen maternal antibodies to separate immune (alloimmune, now rare) vs NIHF (85–95%).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.