Pitfall: Blood clots and ruptured ectopic pregnancy

Images and text Genevieve Carbonatto It is a busy Thursday evening in the Emergency Department. There is no place to put patients and assess them.  The only bay which may be available is occupied by a lady who  refuses to leave the bay because she feels so ill. You call the nurses and together you Read more about Pitfall: Blood clots and ruptured ectopic pregnancy[…]

Pitfall: Painless ruptured ectopic pregnancy

Images Mark Russel, text Genevieve Carbonatto A 35 year old women  presents to the Emergency Department for a review of a possible ectopic pregnancy. She is 7 weeks pregnant by dates. An outpatient scan was performed the day before for painless vaginal bleeding . It did not show an intrauterine gestational sac. A complex left Read more about Pitfall: Painless ruptured ectopic pregnancy[…]

Twins, 2 gestational sacs, 10 weeks

Images Genevieve Carbonatto A 10 week pregnant lady presents with PV spotting. On ultrasound 2 gestational sacs are present indicating heterozygous twins. This lady had had no previous scans. Each  gestational sac contains a viable fetus with an active heart beat. Longitudinal scan through uterus Fetal heart beat visible twin 1 Fetal heart beat visible Read more about Twins, 2 gestational sacs, 10 weeks[…]

Ruptured ectopic pregnancy

Images Sarah Vaughan (Emergency Registrar) Text Genevieve Carbonatto A young 30 year old lady is brought in by ambulance with acute onset severe lower abdominal pain. The first thing you want to exclude is a ruptured ectopic. On arrival she is pale and looks shocked. She says she had a positive pregnancy test 2 days Read more about Ruptured ectopic pregnancy[…]

8 weeks 5 days PV bleeding

An 8 week old pregnant lady presents with 5 days of PV bleeding. A transabdominal ultrasound shows an anteverted uterus with an intrauterine gestastional sac. The fetal pole, yolk sac are visible. Yolk sac, 0.71 cm. Crown rump length 2.25 cm. There is fetal heart beat present. No sinister cause for her bleeding is seen.   Read more about 8 weeks 5 days PV bleeding[…]

Ruptured right ectopic, 7 weeks

Images by Genevieve Carbonatto A 7 week pregnant lady presents to the Emergency department with sudden onset of severe abdominal pain. Her BP is 100/80. She is pale and sweaty. She is directed immediately to the resuscitation room. This is her pelvic scan. A  small gestational sac is visible in the right adnexa  with a visible Read more about Ruptured right ectopic, 7 weeks[…]

In vitro fertilisation, ovarian hyperstimulation syndrome, 4 weeks pregnant

Images by Genevieve Carbonatto A patient presents to the Emergency department with severe abdominal pain. She is 4 weeks pregnant . Thus is an IVF pregnancy. She has ovarian hyperstimulation syndrome.The ovary measures 14.7 cm X 9.38 cm.It is polycystic. There is a large amount of fluid in the peritoneal cavity. The gestational sac not yet Read more about In vitro fertilisation, ovarian hyperstimulation syndrome, 4 weeks pregnant[…]