Case: A 28yo female presents with syncope. Initial vital signs are HR 115, BP 90/60, afebrile. She complains of some lower abdominal pain and tenderness.
Next step?
Narration
28yo Female With Syncope And Hypotension
Narration
Ruptured Ectopic Pregnancy
Narration
Transabdominal Pelvic Scanning
Transabdominal often sufficient to determine pregnancy, free fluid
Pelvic ultrasound should begin with transabdominal scanning
If non-definitive may need transvaginal (next lecture)