《ultrasound fingdings of ectopic pregnancy》.pdfVIP

Ultrasound Findings of Ultrasound Findings of Ectopic Pregnancy Ectopic Pregnancy Claudia Diaz, HMS III Claudia Diaz, HMS III Radiology - BIDMC Radiology - BIDMC May 2008 May 2008 Objectives Objectives Index case Index case DDX of abdominal pain DDX of abdominal pain Clinical presentation Clinical presentation Diagnostic Tests Diagnostic Tests Transvaginal Ultrasonography Transvaginal Ultrasonography Female Reproductive Anatomy Female Reproductive Anatomy Imaging of index case Imaging of index case Transvaginal sonographic findings Transvaginal sonographic findings Additional patient cases Additional patient cases Ectopic pregnancy locations Ectopic pregnancy locations Ectopic pregnancy facts management Ectopic pregnancy facts management Take-home points Take-home points Image: /afp1707.pdf Image: /afp1707.pdf Patient Index Case Patient Index Case HPI: 32-year-old G1P1 with LMP 8 wks ago, presenting with HPI: 32-year-old G1P1 with LMP 8 wks ago, presenting with 3 weeks of ongoing LLQ pain. Reports mild vaginal bleeding for the 3 weeks of ongoing LLQ pain. Reports mild vaginal bleeding for the last 10 days. Negative pregnancy test and normal ultrasound last 10 days. Negative pregnancy test and normal ultrasound 3 weeks ago. 3 weeks ago. EXAM: EXAM: VITALS : T 98.4 HR 100 RR 20 BP 123/67 VITALS : T 98.4 HR 100 RR 20 BP 123/67 ABDOMEN: Tender to palpation in LLQ with radiation to RLQ. ABDOMEN: Tender to palpation in LLQ with radiation to RLQ. PELVIC: No active bleeding. Mild cervical motion tenderness, left PELVIC: