10 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
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
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
Ruptured Ovarian Cyst on Pelvic Ultrasound

22 year old female w/ acute onset RLQ pain & TTP
old female w/ acute ... Urine pregnancy ... though (just in case ... Pelvic #Ultrasound #Transabdominal ... clinical #gynecology #obgyn
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
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... fibrosis - Acute ... fatty liver of pregnancy ... peritonitis #Ascites #Causes ... #differential #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... of Pregnancy (AFLP ... = nonspecific (nausea ... #hepatology #obstetrics ... #obgyn #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... Post-Hepatic: • Cardiac causes ... • Cirrhosis/acute ... Fatty liver of pregnancy ... #hepatology
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
Emergent Causes ... system function - Acute ... infection Glaucoma—acute ... Female gender - Pregnancy ... Subarachnoid hemorrhage