eMedicine Specialties > Clinical Procedures > Radiology

Bedside Ultrasonography, First-Trimester Pregnancy: Multimedia

Author: Timothy Jang, MD, Assistant Professor of Medicine, Director of Emergency Ultrasound, David Geffen School of Medicine at UCLA, Olive View-UCLA Medical Center; Clinical Faculty, Washington University School of Medicine
Coauthor(s): Jennifer C Chen, MD, MPH, Staff Physician, Departments of Internal Medicine and Emergency Medicine, University of California at Los Angeles/Olive View Medical Center
Contributor Information and Disclosures

Updated: May 29, 2009

Multimedia

Transverse probe placement for transabdominal obs...Media file 1: Transverse probe placement for transabdominal obstetric examination.
Transverse probe placement for transabdominal obs...

Transverse probe placement for transabdominal obstetric examination.

Sagittal or longitudinal probe placement for tran...Media file 2: Sagittal or longitudinal probe placement for transabdominal obstetric examination.
Sagittal or longitudinal probe placement for tran...

Sagittal or longitudinal probe placement for transabdominal obstetric examination.

Sagittal viewing showing bladder, uterus (behind ...Media file 3: Sagittal viewing showing bladder, uterus (behind the bladder), and endometrial stripe (within the uterus).
Sagittal viewing showing bladder, uterus (behind ...

Sagittal viewing showing bladder, uterus (behind the bladder), and endometrial stripe (within the uterus).

Picture of gestational sac with yolk sac.Picture of gestational sac with yolk sac.
Picture of gestational sac with yolk sac.

Picture of gestational sac with yolk sac.

Transverse picture of intrauterine pregnancy.Media file 5: Transverse picture of intrauterine pregnancy.
Transverse picture of intrauterine pregnancy.

Transverse picture of intrauterine pregnancy.

Transverse picture of gestational sac with yolk s...Media file 6: Transverse picture of gestational sac with yolk sac.
Transverse picture of gestational sac with yolk s...

Transverse picture of gestational sac with yolk sac.

Picture of abnormal endometrium in a patient with...Picture of abnormal endometrium in a patient with an ectopic pregnancy.
Picture of abnormal endometrium in a patient with...

Picture of abnormal endometrium in a patient with an ectopic pregnancy.

Picture of uterus without a fetal pole and a comp...Picture of uterus without a fetal pole and a complex adnexal mass consistent with ectopic pregnancy.
Picture of uterus without a fetal pole and a comp...

Picture of uterus without a fetal pole and a complex adnexal mass consistent with ectopic pregnancy.

Free fluid in the Morison pouch from a ruptured e...Media file 9: Free fluid in the Morison pouch from a ruptured ectopic pregnancy.
Free fluid in the Morison pouch from a ruptured e...

Free fluid in the Morison pouch from a ruptured ectopic pregnancy.

More on Bedside Ultrasonography, First-Trimester Pregnancy

Overview: Bedside Ultrasonography, First-Trimester Pregnancy
Treatment & Medication: Bedside Ultrasonography, First-Trimester Pregnancy
Multimedia: Bedside Ultrasonography, First-Trimester Pregnancy
References

References

  1. American College of Obstetricians and Gynecologists (ACOG). ACOG Practice Bulletin No. 101: Ultrasonography in pregnancy. Obstet Gynecol. Feb 2009;113(2 Pt 1):451-61. [Medline].

  2. Kaplan BC, Dart RG, Moskos M, et al. Ectopic pregnancy: prospective study with improved diagnostic accuracy. Ann Emerg Med. Jul 1996;28(1):10-7. [Medline].

  3. Shih CH. Effect of emergency physician-performed pelvic sonography on length of stay in the emergency department. Ann Emerg Med. Mar 1997;29(3):348-51; discussion 352. [Medline].

  4. Mateer JR, Valley VT, Aiman EJ, Phelan MB, Thoma ME, Kefer MP. Outcome analysis of a protocol including bedside endovaginal sonography in patients at risk for ectopic pregnancy. Ann Emerg Med. Mar 1996;27(3):283-9. [Medline].

  5. Durston WE, Carl ML, Guerra W, Eaton A, Ackerson LM. Ultrasound availability in the evaluation of ectopic pregnancy in the ED: comparison of quality and cost-effectiveness with different approaches. Am J Emerg Med. Jul 2000;18(4):408-17. [Medline].

  6. Dighe M, Cuevas C, Moshiri M, Dubinsky T, Dogra VS. Sonography in first trimester bleeding. J Clin Ultrasound. Jul-Aug 2008;36(6):352-66. [Medline].

  7. Bhatt S, Ghazale H, Dogra VS. Sonographic evaluation of ectopic pregnancy. Radiol Clin North Am. May 2007;45(3):549-60, ix. [Medline].

  8. Dart R, McLean SA, Dart L. Isolated fluid in the cul-de-sac: how well does it predict ectopic pregnancy?. Am J Emerg Med. Jan 2002;20(1):1-4. [Medline].

  9. Rodgerson JD, Heegaard WG, Plummer D, Hicks J, Clinton J, Sterner S. Emergency department right upper quadrant ultrasound is associated with a reduced time to diagnosis and treatment of ruptured ectopic pregnancies. Acad Emerg Med. Apr 2001;8(4):331-6. [Medline].

  10. Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. Jun 2005;21(2):69-85; quiz 149-50, 153-4. [Medline].

Further Reading

Keywords

first-trimester vaginal bleeding, ectopic pregnancy, pelvic ultrasound, obstetric ultrasound, ultrasonography, Doppler, pelvic ultrasonography, obstetric ultrasonography, Morison pouch, Morison’s pouch, ruptured ectopic pregnancy, free fluid, gestational sac, yolk sac, fetal pole, transducer, endometrium, intrauterine pregnancy, IUP, cul-de-sac

Contributor Information and Disclosures

Author

Timothy Jang, MD, Assistant Professor of Medicine, Director of Emergency Ultrasound, David Geffen School of Medicine at UCLA, Olive View-UCLA Medical Center; Clinical Faculty, Washington University School of Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Jennifer C Chen, MD, MPH, Staff Physician, Departments of Internal Medicine and Emergency Medicine, University of California at Los Angeles/Olive View Medical Center
Disclosure: Nothing to disclose.

Medical Editor

James Quan-Yu Hwang, MD, Attending Physician, Department of Emergency Medicine, Brigham & Women's Hospital; Clinical Instructor, Harvard Medical School
James Quan-Yu Hwang, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and American Institute of Ultrasound in Medicine
Disclosure: 3rd Rock Ultrasound, LLC Salary Speaking and teaching; Schlesinger Associates Consulting fee Consulting

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Chief Editor

Rick Kulkarni, MD, Medical Director, Assistant Professor of Surgery, Section of Emergency Medicine, Yale-New Haven Hospital
Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: WebMD Salary Employment

 
 
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