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Female Pelvic Case Study Cynthia Donaldson, Ann Marie Eaton, Kirsten Paalova, Amanda Schomborg, Heather Snook, Rachel Wade BAKER COLLEGE

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Page 1: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Female Pelvic Case Study

Cynthia Donaldson, Ann Marie Eaton, Kirsten Paalova,

Amanda Schomborg, Heather Snook, Rachel Wade

BAKER COLLEGE

Page 2: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Chief Complaints

• RLQ pain x 7 days • Increasing severity of pain• Vaginal bleeding with passing clots• Pain level 10/10

dailymail.co.uk, 2012

Page 3: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Patient History

• Female, age 28

• Ultrasound five days prior results

suspected complete miscarriage

• HCG quantitative 1244 miu/ml

• 5 gravida, 0 para Lookingfordiagonis.com, 2014

Page 4: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 5: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 6: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 7: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 8: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 9: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 10: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,
Page 11: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Images

Page 12: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Radiologist Findings

• Position, size, shape, and echotexture of uterus are normal• Right adnexal heterogeneous mass • Mass measures 6.9 x 0.43 x 4.6 cm• Free fluid found • Lab finding-hemoglobin 10 g/dL

Page 13: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Radiologist Findings

uwmedicine.org, 2015

Page 14: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Summary of Findings

• Ectopic pregnancy

• Location-right fallopian tube

• Internal bleeding hemoglobin level 9 g/dL

ourbodiesourselves.org, 2014

Page 15: Female Pelvic Case Study - michigansonographerssociety.org · US Pelvis Non-OB Complete Se: 1/1 1m: 1 (ASC) Mag: (BSpline) W: 109 L: 71 PHILIPS DQR FR 28Hz RS 55% c 58 P Low BUSH,

Reference

Obos Pregnancy. (2014, April). Miscarriage in the first trimester. Retrieved fromhttp://www.ourbodiesourselves.org/health-info/miscarriage-in-the-first-trimester/