CASE 7
History: A patient with a second-trimester pregnancy undergoes imaging because of an abnormally small increase in uterine enlargement on physical examination.
1. What should be included in the differential diagnosis for the main finding of the very small amount of amniotic fluid in the second-trimester fetus of the patient (Figures A and B) and a different third-trimester fetus (Figure C)? (Choose all that apply.)
A. Spontaneous rupture of the membranes (SROM)
B. Gestation extending beyond the due date
D. Fetal demise
2. What quantitative measure is used to evaluate the severity of decreased amniotic fluid?
3. What is the most likely cause of death of the newborn?
4. What is the potentially serious short-term complication of membrane rupture?
C. Clubfoot
