level I examination, which refers to: in the first trimester, a. documentation of the location of the gestational sac. b. documentation of the crown-rump length. c. documentation of the presence or absence of fetal life. d. evaluation of the uterus (including cervix) and adnexa. in the second and third trimester, a. documentation of fetal life, number, and presentation. b. documentation of an estimate of amniotic fluid volume. c. documentation of placental location. d. documentation of gestational age. Assessment of the BPD, FL, AC and othe fetal parameters. e. documentation of basic fetal anatomy (including a basic 4 chamber view of the heart, spine, stomach, kidneys, bladder, umbilical cord insertion ... etc ). One should not not dwell too much on the definitions or guildlines for a level II ultrasound scan. In a level II scan the sonologist should try as hard as he can to look for and assess any abnormality that is present in the fetus. It's meaningless to be thinking about level III or even level IV scans.
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