43000 women 013 required acute intervention for

  • No School
  • AA 1
  • 360

This preview shows page 125 - 128 out of 360 pages.

4/3000 women (0.13%) required acute intervention for ovarian pathology during their pregnancy. Further evidence that focused assessment for intrauterine pregnancy is safe. Diagnostic ultrasound 111 First trimester ultrasound
Image of page 125

Subscribe to view the full document.

(2) have no pelvic free fluid seen on ultrasound, (3) are hemodynamically stable, and (4) have an hCG level < 1500 are safe for discharge without gynecology consultation but with a plan for follow-up in 48 hours for repeat evaluation. Although this is not recommended for departments that are new to bed- side scanning, this protocol further highlights the progress of ultrasound. As technology becomes more routine and techniques are mastered, the diagnos- tic envelope continues to be pushed forward. References 1. Reardon RF, Martel ML. First trimester pregnancy. In Ma OJ, Mateer JR (eds.), Emergency Ultrasound . New York, NY: McGraw-Hill; 2003: 239–76. 2. Moore C, Promes SB. Ultrasound in pregnancy. Emerg Med Clin North Am 2004; 22 : 697–722. 3. Lyons E, Levi C, Dashefsky S. The first trimester. In Rumack C, Wilson S, Carboneau J (eds.), Diagnostic Ultrasound , Vol 2. St. Louis, MO: Mosby- Year Book; 1998: 978–1011. 4. Richards SR, Stempel LE, Carlton BD. Heterotopic pregnancy: reappraisal of incidence. Am J Obstet Gynecol 1982; 142 : 928–30. 5. Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extrauterine gestations: a review. Am J Obstet Gynecol 1983; 146 : 323–30. 6. Bright DA, Gaupp FB. Heterotopic pregnancy: a reevaluation. J Am Board Fam Pract 1990; 3 : 125–8. 7. Gamberdella FR, Marrs RP. Heterotopic pregnancy associated with assisted reproductive technology. Am J Obstet Gynecol 1999; 160 : 1520–2. 8. Dart RG, Kaplan B, Cox C. Transvaginal ultrasound in patients with low beta-human chorionic gonadotropin values: how often is the study diag- nostic? Ann Emerg Med 197; 30 : 135–40. 9. Chambers SE, Muir BB, Haddad NG. Ultrasound evaluation of ectopic pregnancy including correlation with human chorionic gonadotropin levels. Br J Radiol 1990; 63 : 246–50. 10. DiMarchi JM, Kosasa TS, Hale RW. What is the significance of the human chorionic gonadotropin value in ectopic pregnancy? Obstet Gynecol 1989; 74 : 851–5. 11. Kadar N, Bohrer M, Kemmann E, Shelden R. The discriminatory human chorionic gonadotropin zone for endovaginal sonography: a prospective randomized study. Fertil Steril 1994; 61 : 1016–20. 12. Gracia CR, Barnhart KT. Diagnosing ectopic pregnancy: decision analy- sis comparing six strategies. Obstet Gynecol 2001; 97 : 464–70. 13. Yeh HC, Goodman JD, Carr L, Rabinowitz JG. Intradecidual sign: a US criterion of early intrauterine pregnancy. Radiology 1986; 161 : 463–7. 14. Blaivas M, Sierzenski P, Plecque D, Lambert M. Do emergency phys- icians save time when locating a live intrauterine pregnancy with bed- side ultrasonography? Acad Emerg Med 2000; 7 : 988–93. 112 Diagnostic ultrasound First trimester ultrasound
Image of page 126
15. Brennan DF. Diagnosis of ectopic pregnancy. J Fla Med Assoc 1997; 84 : 549–56.
Image of page 127

Subscribe to view the full document.

Image of page 128
  • Fall '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes