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• Case of the Week - Case # 88

  During your ED shift, a resident comes to you and asks you to look at a 1st trimester OB scan he has performed. He is concerned about impending fetal demise due to severe fetal bradycardia. The resident shows you the following video and you note the following... Posted Aug 11 2008, 09:52 AM by Rob with | with no comments Filed under: Pelvic, Beginner, OB, Pregnancy, Pelvic US, Practical Scanning

• Case of the Week - Case # 87

  24-year-old female presents with vaginal spotting and cramping. Her quant HCG is 2241. She is at 10 weeks by dates. She is hemodynamically stable. You perform a focused ultrasound. The mean sac diameter was calculated (28 mm)...... Posted Aug 03 2008, 09:41 PM by Rob with | with 3 comment(s) Filed under: Pelvic, Beginner, Intermediate, OB, Pregnancy, Pelvic US

• Case of the Week - Case # 83

  A 24-year-old G1P0 female presents to the ED with pelvic cramping and spotting. Her vitals are stable EMsono July Case - Emergency Medicine Ultrasound and she is afebrile. The patient states she has had some lower pelvic pain for 36 hours and has bleed less than 2 pads in the last 12 hours. Her quantitative hCG is 3,680. You perform a focused bedside ultrasound and note the following…... Posted Jul 07 2008, 12:01 AM by Rob with | with no comments Filed under: Pelvic, Beginner, Intermediate, Pregnancy, Pelvic US

• Case of the Week - Case # 77

  24-year-old G2P1001 female who is approximately 9.5 weeks by dates presents with mild cramping and spotting. Her vital signs are stable and she is afebrile. You perform a pelvic ultrasound and note the following...... Posted May 27 2008, 08:04 AM by Rob with | with no comments Filed under: Beginner, Intermediate, Pregnancy

• Case of the Week - Case # 72

  22-year-old female presents with cramping and vaginal bleeding. She is uncertain of her first day of her last menstrual period. Her quant is 586. You perform an focused ultrasound and note the following... ... Posted Apr 20 2008, 02:41 AM by Rob with | with no comments Filed under: Intermediate, Pregnancy, Pelvic US

• Case of the Week - Case # 65

  22-year-old female presents with vaginal spotting and suprapubic cramping. Her vital signs are stable and she only has mild bleeding noted on examination. She estimates that she is approximately 8 weeks by dates but she is uncertain...... Posted Feb 26 2008, 08:06 PM by Rob with | with 2 comment(s) Filed under: Intermediate, Pregnancy, Pelvic US

• Case of the Week - Case # 61

  A 23-year-old female presents with vaginal bleeding and lower abdominal pain. She is approximately 6 weeks pregnant by date and has a positive bedside UCG. Her vitals are as follows: BP 88/46, HR 122, RR 24 and T 37.1C. Her physical exam reveals moderate lower abdominal tenderness with guarding. She has mild, nonclotted blood in the vaginal vault but bimanual examination is limited due to pain. You are concerned about an ectopic pregnancy and perform a bedside ultrasound...... Posted Jan 30 2008, 09:36 PM by Rob with | with no comments Filed under: FAST, Pelvic, Intermediate, Advanced, Pregnancy

• Case of the Week - Case # 40

  A 15 y.o. hispanic female presents to the ED 4 days after delivery of her first child with difficulty breathing and edema. Her prenatal course was complicated by preeclampsia but she had an uneventful delivery and was discharged home on postpartum day number 2. She noticed swelling in her legs since coming home and she has been unable to lay flat. She denies any other PMH and does not take any meds. Her vitals are: BP 124/78, HR 100, RR 24, PO 94% on RA, and T 37.1 orally. On exam you note that she has bilateral LE edema, diminished breath sounds at the bases, and positive JVD. You perform a bedside ultrasound and note the following...... Posted Aug 18 2007, 12:51 PM by Rob with | with no comments Filed under: Beginner, Intermediate, Cardiac, Pregnancy

• Case of the Week - Case # 38

  A 24-year-old hispanic female comes in with suprapubic cramping and mild vaginal bleeding. This is her first pregnancy and she has no known ectopic risk factors. She is about 8.5 weeks by her last menstrual period. Her vitals are stable and her physical examination is only significant for mild suprapubic tenderness without guarding or rebound. You perform a transabdominal ultrasound and note the following:... Posted Aug 04 2007, 03:54 PM by Rob with | with no comments Filed under: Pelvic, Beginner, OB, Pregnancy

• Case of the Week - Case # 23

  24-year-old female presents with suprapubic cramping and bleeding. Her vitals are stable and she is afebrile. By dates she is 11w5d and her quantitative HCG is 5897 mIU/ml. You perform an EV ultrasound and note the following...... Posted Apr 18 2007, 01:10 AM by Rob with | with no comments Filed under: Pelvic, Intermediate, OB, Pregnancy

• Case of the Week - Case # 11

  A 22-year-old female presents with spotting and cramping. She is G1P0 and is @12 weeks by dates. Her vitals are stable and on exam her uterus is enlarged to @10 weeks and her cervix is closed. You perform a bedside ultrasound and note the following... Posted Jan 10 2007, 02:13 PM by Rob with | with no comments Filed under: Pelvic, Beginner, OB, Pregnancy

• Case of the Week - Case # 9

  McBurney’s point and you are suspicious for appendicitis. Your surgical colleagues are not impressed and request that you perform “some form of imaging” to confirm the diagnosis. You decide to perform a sonographic evaluation of the appendix and...... Posted Dec 27 2006, 12:00 AM by Rob with | with no comments Filed under: Intermediate, OB, Pregnancy, Appendicitis

• Case of the Week - Case # 6

  A 27-year-old female without PMH who is pregnant (19w4d by dating from a 1st trimester OB ultrasound) presents with right flank pain and vomiting. She was initially sent to L&D triage but is sent back to the ED since she is under 20 weeks. Her vitals... Posted Dec 06 2006, 12:00 PM by Rob with | with no comments Filed under: Renal, Pelvic, Beginner, Intermediate, OB, UTI, Pregnancy

• Clinical Case # 3

  22 y.o. G1P0 female who is approximately 5.5 weeks pregnant by dates presents with spotting and suprapubic cramping. Her vitals are stable and her physical exam is unremarkable except for the mild suprapubic tenderness and minimal spotting. Her B-hCG is 3420 mIU/ml. You perform a transabdominal ultrasound examination...... Posted Nov 15 2006, 12:00 AM by Rob with | with no comments Filed under: Pelvic, Beginner, OB, Pregnancy, Pelvic US