23 yo 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 bicoronate uterus with IUP on the right side.
Carl Alsup, MD - Sierra Nevada Memorial Hospital
This is a transverse view of a 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 was 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 kideny and caudal tip of liver. Patient taken immediately to the OR and 800mL of blood and a left fallopian ectopic pregnancy is found.
Always look for free fluid at the inferior pole of the kidney. POCUS saves lives.
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 was taken to the OR with GYN and Trauma Surgery. Found to have uterine rupture in OR.
Dr. Sathya Subramaniam - Kings County/SUNY Downstate - Pediatric EM Fellow