Radiology Imaging, Diagnostic Imaging, Medical Imaging News, Education, Resources

Health Imaging Hub - YouTube Health Imaging Hub - YouTube Health Imaging Hub - Facebook Health Imaging Hub - Linkedin Health Imaging Hub - RSS Feed
21 year old female, pelvic pain
Representative Image of Uterus (sagittal)
DDx? Further studies, course of action?
F/U trans-vaginal US (Rt. Adnexal area)
Final Dx, Recommendations?
Thumbnail imageThumbnail imageThumbnail image
Answers
Ectopic Pregnancy (unruptured)
Thumbnail imageThumbnail image
  • Reproductive age female, positive pregnancy test, cystic structure in right adnexa, clearly thickened endometrial stripe (decidual reaction), but apparently empty uterus
  • Ectopic Pregnancy until Proven Otherwise
  • However, this could also be an early IUP with a corpus luteum cyst, or an abnormal IUP (i.e, miscarriage)
  • A normal IUP should be visualized when β-HCG >= 6,500 mIU/mL (transabdominal) or >=2,000 -3,000 mIU/mL (by transvaginal)
Thumbnail image

  • Visualization of fetal pole in mass, w/ heartbeat (*not shown) clinches the diagnosis
  • ”Pseudogestational Sac” refers to fluid within otherwise empty uterine cavity
  • Risk factors: prior tubal surgery, PID (especially Chlamydia), in-vitro fertilization, endometriosis, prior ectopic, current use of IUD, advanced age
  • Note that in an ectopic, β-HCG rises more slowly than with an IUP
Tags
These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.
javporn.cc

Warning: include(/home/hihadmin/public_html/includes/wrapper.php) [function.include]: failed to open stream: No such file or directory in /home/hihadmin/public_html/templates/ja_teline_iii/layouts/default.php on line 133

Warning: include() [function.include]: Failed opening '/home/hihadmin/public_html/includes/wrapper.php' for inclusion (include_path='.:/opt/php53/lib/php') in /home/hihadmin/public_html/templates/ja_teline_iii/layouts/default.php on line 133