Pelvic First Trimester Pregnancy

Pelvic: First Trimester Pregnancy Evaluation

Course time: 2h 59min

Understand the basic ultrasound views and techniques associated with performing an ultrasound pelvic examination for first trimester pregnancy, surrounding anatomical structures, and proper equipment settings. In addition, support literature, case studies, pathology images, and videos may be included for review. 

of 7 sections completed
 

Pregnancy: Mid-Test

Assess your knowledge of the material presented in lesson 1 with a mid-test

Pregnancy: Post-Test

Assess your knowledge of the material presented in lesson 1 and lesson 2 with a post-test. Score 80% or higher to receive a certificate of completion.

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Adhikari S, Blaivas M, Lyon M. Diagnosis and management of ectopic pregnancy using bedside transvaginal ultrasonography in the ED: a 2-year experience. Am J Emerg Med. 2007;25:591–596.”
Blaivas M, Sierzenski P, Plecque D, Lambert M. Do emergency physicians save time when locating a live intrauterine pregnancy with bedside ultrasonography? Acad Emerg Med. 2000;7:988–993.
Cacciatore B. Can the status of tubal pregnancy be predicted with transvaginal sonography? A prospective comparison of sonographic, surgical, and serum hCG findings. Radiology. 1990;177:481–484.
Chiang G, Levine D, Swire M, McNamara A, Mehta T. The intradecidual sign: is it reliable for diagnosis of early intrauterine pregnancy? AJR Am J Roentgenol. 2004;183:725–731.
Durham B.B, Lane B.B, Burbridge L.L, Balasubramaniam S.S. Pelvic ultrasound performed by emergency physicians for the detection of ectopic pregnancy in complicated first-trimester pregnancies. Ann Emerg Med. 1997;29:10.
Kaplan B.C, Dart R.G, Moskos M, et al. Ectopic pregnancy: prospective study with improved diagnostic accuracy. Ann Emerg Med. 1996;28:10–17.
Kohn M.A, Kerr K, Malkevich D, O’Neil N, Kerr M.J, Kaplan B.C. Beta-human chorionic gonadotropin levels and the likelihood of ectopic pregnancy in emergency department patients with abdominal pain or vaginal bleeding. Acad Emerg Med. 2003;10:119–126.
Shih C.H. Effect of emergency physician-performed pelvic sonography on length of stay in the emergency department. Annals Emerg Med. 1997;29:5.
Stein J.C, Wang R, Adler N, et al. Emergency physician ultrasonography for evaluating patients at risk for ectopic pregnancy: a meta-analysis. Ann Emerg Med. 2010;56:674–683.
Yeh H.C, Goodman J.D, Carr L, Rabinowitz J.G. Intradecidual sign: a US criterion of early intrauterine pregnancy. Radiology. 1986;161:463–467.
Accuracy of emergency physician performed bedside ultrasound in determining gestational age in first trimester pregnancy
Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in
Diagnosing ectopic pregnancy: decision analysis comparing six strategies
Efficacy of transabdominal ultrasound examination in the diagnosis of early pregnancy complications in an emergency department.
Emergency Physician Ultrasonography for Evaluating Patients at Risk for Ectopic Pregnancy: A Meta-Analysis
First Trimester Bleeding
Free Fluid in Morison’s Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.