《uterine rupture imaging with MRI and ultrasound》.pdfVIP

May 26, 2009 Uterine Rupture: Imaging with Uterine Rupture: Imaging with MRI and Ultrasound MRI and Ultrasound Kristina Mirabeau-Beale Kristina Mirabeau-Beale Harvard Medical School Year IV Harvard Medical School Year IV Gillian Lieberman, MD Gillian Lieberman, MD Agenda Agenda Introduce Patient JP Introduce Patient JP Discuss the work up of the pregnant patient with Discuss the work up of the pregnant patient with abdominal pain abdominal pain Review of how pregnancy affects our differential Review of how pregnancy affects our differential diagnosis diagnosis Menu of tests Menu of tests Radiologic findings on US and MRI in case of Radiologic findings on US and MRI in case of Patient JP Patient JP Our patient JP: History Our patient JP: History History of Present Illness: JP is a 40 year-old- History of Present Illness: JP is a 40 year-old- woman (G5P1) at 29w5d presenting with woman (G5P1) at 29w5d presenting with increasing pelvic pain over past two weeks. increasing pelvic pain over past two weeks. Pain is constant, sharp, and shooting with Pain is constant, sharp, and shooting with intermittent bursts. Acutely worse in last day, intermittent bursts. Acutely worse in last day, more localized to RUQ more localized to RUQ ROS: +fetal movement; negative for shortness ROS: +fetal movement; negative for shortness of breath, contractions, vaginal bleeding or of breath, contractions, vaginal bleeding or leakage of fluid leakage of fluid Our patient RS: Additional History Our patient RS: Additional History Past Medical History Past Medical History • Gesta