11 results
Triplets on Fetal Ultrasound

- Howard T Heller MD FAIUM @hellersound

#Triplets #pregnancy #Fetal #Ultrasound #clinical #obgyn #obstetrics
Triplets on Fetal ... hellersound #Triplets #pregnancy ... #Fetal #Ultrasound ... #clinical #obgyn ... #obstetrics #POCUS
Subchorionic Hemorrhage on Pelvic Ultrasound

Sagittal view of uterus with uterine landmarks (bladder & vag stripe) showing
on Pelvic Ultrasound ... showing intrauterine pregnancy ... #Pelvic #Ultrasound ... clinical #POCUS #obgyn ... #obstetrics #radiology
Fetal breathing demonstrated by color Doppler. Looks like a  fire-breathing dragon (if only we had
Fetal breathing ... color Doppler scale ... breathing #Doppler #Ultrasound ... Fetus #Clinical #Obstetrics ... #Radiology #OBGyn
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
Treatment of Ectopic Pregnancy ... 3.5 cm - No fetal ... cardiac activity on ultrasound ... #Management #Criteria ... #Candidates #Obstetrics
Causes of Growth Discrepancy: Large for Gestational Age - Differential Diagnosis Algorithm
Maternal Factors:
 • Multiparity
 •
over course of pregnancy ... • Post-partum hemorrhage ... Uterine rupture Fetal ... Algorithm #Causes #Obstetrics ... #OBGyn
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
Post-abortion Hemorrhage ... Management Algorithm ... while obtaining OBGYN ... Repeat D&C Ectopic pregnancy ... #obstetrics #obgyn
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Tubal Ectopic Pregnancy ... on Pelvic Ultrasound ... assume that acute hemorrhage ... #clinical #OBGyn ... #Obstetrics #Sagittal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fatty Liver of Pregnancy ... : • Defect in fetal ... Antithrombin Ill • Ultrasound ... #hepatology #obstetrics ... #obgyn #diagnosis
Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound

A 31yo female s/p tubal ligation presents with right lower
Transvaginal Pelvic Ultrasound ... will not change management ... Transvaginal #Pelvic #Ultrasound ... POCUS #clinical #obgyn ... #obstetrics
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy ... related cause Hemorrhage ... PO Outpatient OBGYN ... Uterine #Bleeding #Management ... #Obstetrics #Gynecology