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
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Ruptured Ectopic Pregnancy
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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)
Narration
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