9 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 ... #Obstetrics #Sagittal
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
Subchorionic Hemorrhage on Pelvic Ultrasound

Sagittal view of uterus with uterine landmarks (bladder & vag stripe) showing
landmarks (bladder & vag ... showing intrauterine pregnancy ... clinical #POCUS #obgyn ... #obstetrics #radiology ... #transabdominal
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
atony or unsure of cause ... → Repeat D&C Ectopic ... pregnancy or uterine ... Management #Algorithm #obstetrics ... #obgyn
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
rule out possible ectopic ... vs pregnancy related ... cause Hemorrhage ... PO Outpatient OBGYN ... Bleeding #Management #Obstetrics
Causes of Growth Discrepancy: Large for Gestational Age - Differential Diagnosis Algorithm
Maternal Factors:
 • Multiparity
 •
Causes of Growth ... Excessive weight gain ... over course of pregnancy ... • Post-partum hemorrhage ... #Obstetrics #OBGyn
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... of Pregnancy (AFLP ... vomiting, abdominal pain ... #hepatology #obstetrics ... #obgyn #diagnosis
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