Always make sure the "IUP" is actually in the uterus by observing the uterus superior to the bladder in the sagittal view. This young lady could have been diagnosed easily with IUP and her abdomen pain dismissed as pain with pregnancy instead of a 10 week ectopic.
Matt Rutz, MD @IUEM_Ultrasound Indiana University School of Medicine Department of Emergency Medicine Division of Ultrasound
Bicornuate Uterus with IUP
WCUME 2017 Submission for "Best POCUS"
23 y/o female, pelvic pain, no vb or discharge, g1p0 found to be pregnant at this ER visit. Approximately 4 weeks by dates.
Found to be pregnant and found to have a bicornuate uterus with IUP on the right side.
Carl Alsup, MD - Sierra Nevada Memorial Hospital
This is a transverse view of the RLQ in a young female who presented with dysuria and a history of constipation. On physical exam, a visible mass was noted to the right of her umbilicus. Urinalysis and urine pregnancy test were negative. Bedside transabdominal ultrasound revealed a septated mass containing heterogeneous material with scattered hyperechoic foci most consistent with an ovarian teratoma.
Allison Perkins MD, PGY-1, Jared Toupin MD, PGY-2
Carnegie Mellon University Emergency Medicine Residency
40 y/o F with abdominal pain, syncopal, +HCG. POCUS reveals free fluid in RUQ at inferior pole of the kidney and caudal tip of liver. Patient taken immediately to the OR and 800mL of blood evacuated. A left fallopian ectopic pregnancy was found.
Always look for free fluid at the inferior pole of the kidney. POCUS saves lives.
Dr. Cian McDermott - Dublin, Ireland
Uterine Rupture (Positive FAST)
21 year old female that was having prolonged labour and pain, presented in shock and delivered a non-viable fetus with minimal amount of blood loss from vagina. Continued to be hypotensive and became altered requiring intubation and crash central line. RUSH (including FAST) exam performed to determined etiology of undifferentiated shock.
FAST revealed free fluid in abdomen and pt was taken to the OR with GYN and Trauma Surgery. Found to have uterine rupture in OR.
Dr. Sathya Subramaniam, Pediatric EM Fellow - Kings County/SUNY Downstate