Screen Shot 2014-12-31 at 2.59.44 PMEarly 1st trimester pregnancies can be challenging to risk stratify when patient present with bleeding or pain. The pregnancy may be still too early for transabdominal ultrasonography, which was covered in last week’s PV card. The same authors, Drs. Matt Lipton, Mike Mallon, and Mike Stone provide a great bedside clinical reference tool on performing the focused transvaginal ultrasound in pregnancy.

PV: Focused 1st Trimester Pregnancy Transvaginal Ultrasound


Adapted from  1,2
See other Paucis Verbis cards.

1.
Tayal V, Cohen H, Norton H. Outcome of patients with an indeterminate emergency department first-trimester pelvic ultrasound to rule out ectopic pregnancy. Acad Emerg Med. 2004;11(9):912-917. [PubMed]
2.
Wang R, Reynolds T, West H, et al. Use of a β-hCG discriminatory zone with bedside pelvic ultrasonography. Ann Emerg Med. 2011;58(1):12-20. [PubMed]
Scott Kobner
ALiEM New Submissions Editor
Medical Student
New York University School of Medicine
2014-15 ALiEM-EMRA Social Media and Digital Scholarship Fellow