8 results
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Lower abdominal pain ... 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 ... Management Algorithm ... atony or unsure of cause ... → Repeat D&C Ectopic ... pregnancy or uterine
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Treatment of Abnormal ... rule out possible ectopic ... cause Hemorrhage ... PO Outpatient OBGYN ... Uterine #Bleeding #Management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... of Pregnancy (AFLP ... = nonspecific (nausea ... vomiting, abdominal pain ... hepatology #obstetrics #obgyn
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
Emergent Causes ... - History of pain ... Female gender - Pregnancy ... Subarachnoid hemorrhage ... and severe pain
Ruptured Ovarian Cyst on Pelvic Ultrasound

22 year old female w/ acute onset RLQ pain & TTP
onset RLQ pain ... Urine pregnancy ... though (just in case ... Pelvic #Ultrasound #Transabdominal ... clinical #gynecology #obgyn
Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... atypical chest pain ... first trimester pregnancy ... loss) • Hemorrhage ... hematology #diagnosis #management