The article below is, for me, the single most valuable resource on managing first trimester pregnancy patients. Dr. Tabbut references it in his video. Thanks, Dr. Tabbut.
Diagnostic criteria for nonviable pregnancy early in the first trimester [PubMed Citation-No abstract] [Full-Text PDF]. N Engl J Med. 2013 Oct 10;369(15):1443-51.
In this post, I link to and embed the outstanding video from Dr. Matthew Tabbut‘s lecture from MetroHealth Emergency Ultrasound, Diagnosing Pregnancy Failure, 41:44, Dec 8, 2021.
Although I will be placing slides from Dr. Tabbut’s video tutorial in this post, I do this only to enhance my learning and to enable me to rapidly review the subject matter. [This blog is my study notes.]
I recommend that all readers use the YouTube video for Dr. Tabbut’s lecture. By following his lecture on YouTube, you can follow the excellent YouTube (usually very accurate) autogenerated transcript.
Are there ultrasound criteria that we can use in the Emergency Department to point toward the diagnosis of miscarriage when women present with pain and bleeding in the first trimester? In this lecture from our ultrasound lecture series Dr. Matthew Tabbut, MD from the ED talks about using bedside ultrasound to assess for pregnancy failure in the first trimester?
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All that follows is from Dr. Tabbut’s outstanding MetroHealth YouTube resource above.
2:31
3:25:
See Speculations on the Speculum: Is a pelvic exam ever needed in the ED?
APR 8TH, 2019 KIMBERLY CHRISTOPHE from emDocs.
4:27 There are three possibities [actually, there is a fourth possibility: The patient may have passed the pregnancy, may have a completed miscarriage.]
5:53 Often, as we do our workup, we are left with a pregnancy of undiagnosed location.
6:24: In the study below, 40% of the presumed ectopics were viable pregnancies.
6:39: In the above study, 40% of the presumed ectopics were viable pregnancies.
7:51:
8:05:
8:12:
1o:17:
10:17:
Diagnostic criteria for nonviable pregnancy early in the first trimester [PubMed Citation-No abstract] [Full-Text PDF]. N Engl J Med. 2013 Oct 10;369(15):1443-51.
