Tag: ectopic pregnancy
Scanning the adnexa…a no-go zone?
Since 2001, The EDE Course has been teaching Obstetrical EDE, both the abdominal and transvaginal approaches. Ever since then, participants have been counseled to simply evaluate for a definitive intrauterine pregnancy. If the answer to the binary question is yes, then an ectopic pregnancy has been effectively ruled out, unless one happens to be concerned […]
Cleanliness is next to…
Every so often, we receive a question regarding endocavitary probe cleaning procedures. So I thought I would post some information regarding our process in Sudbury. In essence, you cannot go wrong if you use the same procedure as your radiology department. Our cleaning process has been stable for many years. We involved different stakeholders in […]
Lloyd’s Corner: Ectopic until proven otherwise
Here is a case from Dr Lloyd Gordon from Humber in Toronto: A women in her late 30s presented with a sudden onset of lower abdominal pain that started couple of hours before. She had some sort of ovarian surgery years ago. The LNMP was a week or two ago and she didn’t think she […]
Send the right patients home with POCUS
Dr. Tim Van Aerde sent us this great case which illustrates some important points. This lady came in with vaginal bleeding, hCG 2500 and very minor left flank pain. Vitals normal. Hemoglobin normal. In the past I would have sent this patient home with an ultrasound in the morning. Threw on the probe and saw […]
Ectopic & Left FAST
This patient who was known to be pregnant came in quite shocky. POCUS showed blood around the spleen only, none in Morison’s Pouch or in the pelvis. A bit weird? Maybe because the ectopic was in the left tube? The patient went right to the OR without any further imaging and did well. [Editor’s note: […]
Pseudogestational sac
You all know to be wary of the pseudogestational sac in the setting of a potential ectopic pregnancy. An article by Benson this past March in the Journal of Ultrasound in Medicine gives us a little more data regarding this entity. The pub med link: http://www.ncbi.nlm.nih.gov/pubmed/23443178 The quick and dirty summary… This article was from […]
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