11 results
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Pregnancy on Pelvic ... Pelvis Sag See thread ... Don't assume that acute ... hemorrhage is anechoic ... Ultrasound #clinical #OBGyn
Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis,
Causes of Acute ... Extrauterine: • Ectopic ... pregnancy* Pelvic ... Hydrosalpinx #Acute ... #OBGyn #Gynecology
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
Post-abortion Hemorrhage ... atony or unsure of cause ... while obtaining OBGYN ... → Repeat D&C Ectopic ... pregnancy or uterine
Subchorionic Hemorrhage on Pelvic Ultrasound

Sagittal view of uterus with uterine landmarks (bladder & vag stripe) showing
Subchorionic Hemorrhage ... landmarks (bladder & vag ... showing intrauterine pregnancy ... clinical #POCUS #obgyn ... obstetrics #radiology #transabdominal
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy ... rule out possible ectopic ... vs pregnancy related ... cause Hemorrhage ... PO Outpatient OBGYN
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
encephalitis, SAH ... stroke • Severe nausea ... lesions, subhyaloid hemorrhage ... cerebellar hemorrhage ... signs #symptoms #clues
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
Emergent Causes ... of Headache and ... Female gender - Pregnancy ... Subarachnoid hemorrhage ... of life" - Acute
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... of Pregnancy (AFLP ... = nonspecific (nausea ... abdominal pain, headache ... hepatology #obstetrics #obgyn
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... herniation (Comatose), Acute ... pupil, Migraine Headache ... Neuro: Pontine hemorrhage ... Robertson pupils), DM, SAH
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
13 Dangerous Causes ... of Headache: ... - subarachnoid hemorrhage ... or at work) - acute ... preeclampsia: late pregnancy