Robert F. Reardon Dietrich V. K. Jehle
Sonographic,, PeiyicAnatomy Transabdominal, ,y,e„r,s„u,s „T1rans,vaginal,,!mag|ng Uterus
Normal. Early, Pregnancy Ultrasound,, Findings
Pregniancy,Je,st!ng Determining, Gestational, Age
Initial EyaIua.ti.onof,Patients,,at,Risk, ,,fo,r„,E.P Ultrasound,, ,Evaluation
Quantitatiye,, Serum,, bh.C.G, „and,Discriminatory,Zone Po.tentiaiEiro.rsin,, the„,Diagno,sis, „o,f,,EP HeterotopicPregnancy
Ectopic,Rregnancy„with„Low, „Serum, ,b,h,C,G Abnormal,, First-Trimester, Intrauterine, Pregnancy
Viability,, of„an„,Early, ,IUP Subc,h,o,ri„onic, „Hematoma yaginal Ble1eding„with„,N,o„, IUP MolalPregnancy
Second-, ,and„Jhird,:TIime,Ste,r„Pregnlancy Immediate, „FetaLyiabiliSv Oligohydramnios, and „Polyhy.d.ram.nios Umbili,cal,,Cord FetalGender
Fle,tal„,St,r,u,ctu„r,e,s„,a,n,d,, Abnormalities ThiId-Jri.mesterB!eeding—Pi,acenta„PIeyia Ultrasound,,, Exam,, ,fo,r, , S,u,s,pected„,Place,n,ia„ PMreyia
False-Positiye,, ,Diagn,o,sis„,o,f, Placenta, Preyia
Third „Tr|meste.r„B|eeding—P|acenta! Abruption
Trauma„in, Pregnan.cv Fetal„Spnpgraphic, Eyaluation
Complex Adnexal Masses
Pelyic Infla.m.matoryD.iseas.e, and „Tubooya.rianAbsc.ess oyarian„Jprsipn Chapter,, References
Ultrasonography is a standard diagnostic tool used in the evaluation of pregnancy and female pelvic pathology. 1 Bedside pelvic ultrasound is commonly used in the emergency department (ED) in order to guide the evaluation of women with pelvic pain, pregnancy problems, and maternal trauma. The use of early pelvic ultrasound is essential for the timely diagnosis of ectopic pregnancy and placenta previa. Recent studies have demonstrated that bedside transvaginal ultrasound performed by emergency physicians improves early detection and decreases morbidity of patients with ectopic pregnancy. 23 and 4 The availability of bedside pelvic sonography decreases the ED length of stay for women with early pregnancy.5 This chapter describes many other indications for ED bedside pelvic sonography, all of which may be useful to the practicing emergency physician. Since training and experience with pelvic sonography is highly variable among emergency physicians, a cautious approach to "ruling out" serious conditions should be employed initially. For example, ordering a "formal" ultrasound to be performed in the radiology or ob/gyn department is reasonable when no intrauterine pregnancy is identified in a symptomatic pregnant patient.
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