Case from Ultrasound of the Week

23 year old female G1P0 taking fertility drugs complains of abdominal cramping and vaginal bleeding. 

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What to know
  1. Explain the clinically relevant anatomy of the female pelvis.
  2. Describe the indications, contraindications and pitfalls of CUS for first trimester pelvic pain and bleeding.
  3. Perform ultrasound protocol including transabdominal and endovaginal views.
  4. Understand the role of CUS, consultative US, and quantitative b-hCG in a clinical algorithm.
  5. Describe the differential diagnosis for first trimester pelvic pain and bleeding including intrauterine pregnancy, embryonic demise, molar pregnancy, ectopic pregnancy, and indeterminate classes.
  6. Recognize CUS findings and pitfalls when evaluating for early intrauterine pregnancy and ectopic pregnancy including recognition and location of early embryonic structures, direct and indirect findings of ectopic pregnancy and adnexal masses.

Introduction to Bedside Ultrasound
Free iBook download Vol 1 and Vol 2
Chapter 7: Pregnancy
Self Assessment Quiz

Where to Learn More

US Podcasts
Intrauterine Ketamine? Pregnancy Part 2 by Casey Parker 2015
Ultrasound for Late Pregnancy with Casey Parker 2015
Interstitial Pregnancy with Resa Lewiss 2015
Pregnancy US Part I 2014
Pregnancy US Part II The Ectopics 2014

ACEP US Section Resources
ACEP Sonoguide US in Early Pregnancy Page by William Hosek
ACEP OB/Gyn Test by Mike Stone and Rob Blakenship

SAEM Academy of EUS Resources
Transvaginal Pelvic Ultrasound by Meghan Herbst
Transabdominal Pelvic Ultrasound by Lorraine Ng

Eastern Virginia Medical School 
Ultrasound in Obstetrics and Gynecology - A Practical Approach. eBook by Alfred Abuhamad

Emergency Ultrasound by Geoff Hayden
OB Lecture

Key Articles to Review and Discuss