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Ectopic pregnancy

Yu VYY - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Ectopic pregnancy

History: She is a G4P3013 who presented for irregular vaginal spotting and abdominal cramping for the past 2-5 days. Cramping is described as dull pressure localized to right lower abdomen. Pain level is described as 4-5 out of 10. She denies fever, chills, night sweats, nausea or vomiting. OB Hx: 1. 1999 spontaneous abortion 2. Spontaneous vaginal deliveries in 2001, 2002, and 2003. 3. LMP: 15 days ago GYN Hx: 1. Chlamydia in 2000 2. Denies h/o PID or ectopic pregnancy 3. Normal Pap smears to date

Findings: Normal uterus with no intrauterine pregancy. Bilateral normal ovaries. Right adnexal mass with "ring of fire" appearance on color Doppler inage.

Ddx: Ectopic pregnancy

Dxhow: Ultrasound and quantitative beta-HCG

Exam: Vitals: T: 98.1 BP: 98/55 HR: 69 RR: 19 PaO2: 100% RA Pelvic Exam 1. Cervical os noted to be closed 2. Mild pooling of blood with clot in posterior vaginal vault CBC: 6.9>13.9/40.5<249 CMP: 136/4.1/101/29/8/0.59<86 Ca: 9.6 AST: 30 Alb: 4.3 Tot Prot: 7.6 ALT: 26 Alk Phos: 68 Quantitative HCG: 4888

No MeSH data available.


Ultrasound showing right ovary
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MPX2259_synpic50687: Ultrasound showing right ovary


Ectopic pregnancy

Yu VYY - MedPix (2009)

Ultrasound showing right ovary
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2259&req=5

MPX2259_synpic50687: Ultrasound showing right ovary

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Ectopic pregnancy

History: She is a G4P3013 who presented for irregular vaginal spotting and abdominal cramping for the past 2-5 days. Cramping is described as dull pressure localized to right lower abdomen. Pain level is described as 4-5 out of 10. She denies fever, chills, night sweats, nausea or vomiting. OB Hx: 1. 1999 spontaneous abortion 2. Spontaneous vaginal deliveries in 2001, 2002, and 2003. 3. LMP: 15 days ago GYN Hx: 1. Chlamydia in 2000 2. Denies h/o PID or ectopic pregnancy 3. Normal Pap smears to date

Findings: Normal uterus with no intrauterine pregancy. Bilateral normal ovaries. Right adnexal mass with "ring of fire" appearance on color Doppler inage.

Ddx: Ectopic pregnancy

Dxhow: Ultrasound and quantitative beta-HCG

Exam: Vitals: T: 98.1 BP: 98/55 HR: 69 RR: 19 PaO2: 100% RA Pelvic Exam 1. Cervical os noted to be closed 2. Mild pooling of blood with clot in posterior vaginal vault CBC: 6.9>13.9/40.5<249 CMP: 136/4.1/101/29/8/0.59<86 Ca: 9.6 AST: 30 Alb: 4.3 Tot Prot: 7.6 ALT: 26 Alk Phos: 68 Quantitative HCG: 4888

No MeSH data available.