Ob/Gyn

Vulvar Hematoma. CT Coronal Unannotated. JETem 2024

Computed Tomography Findings in Non-Obstetric Vulvar Hematoma: A Case Report

Eleanor M Birch, MD, MPH*, Theodore McClean, MD* and Scott Szymanski, MD*

DOI: https://doi.org/10.21980/J8194H Issue 9:4[mrp_rating_result]
Bedside ultrasound was first used to evaluate for evidence of abscess or cyst formation. Ultrasound demonstrated a hypoechoic area within the right labia without evidence of a cyst or abscess wall. Based on these findings, an angiogram CT of the pelvis was obtained which revealed a vulvar hematoma with evidence of active arterial extravasation. In both the coronal and axial view, there is an asymmetric area of isodensity in the right labia representing a hematoma (blue circled area). Angiography may show areas of active extravasation, which appears as hyperdensity within the area of hematoma (see red arrow in coronal plane).
Visual EMOb/Gyn

High-Fidelity Simulation with Transvaginal Ultrasound in the Emergency Department

Levi Filler, DO* and Katrina Lettang, MD*

DOI: https://doi.org/10.21980/J8606Q Issue 9:3[mrp_rating_result]
By the end of the session, learners should be able to 1) recognize the clinical indications for transvaginal ultrasound in the ED, 2) practice the insertion, orientation, and sweeping motions used to perform a TVPOCUS study, 3) interpret transvaginal ultrasound images showing an IUP or alternative pathologies, and 4) understand proper barrier, disinfection, and storage techniques for endocavitary probes.
Ob/GynProceduresSimulation

Septic Abortion Complicated by Disseminated Intravascular Coagulation

Lauren Moore, MD* and Jennifer Yee, DO*

DOI: https://doi.org/10.21980/J8GH1G Issue 9:2[mrp_rating_result]
At the conclusion of the simulation session, learners will be able to: 1) Obtain a relevant focused history including pregnancy history, medication use, and past medical history. 2) Develop a differential for fever and vaginal bleeding in a pregnant patient. 3) Discuss management of septic abortion, including empiric broad-spectrum antibiotics and obstetric consultation for source control with dilation and curettage (D&C).  4) Discuss expected laboratory findings of disseminated intravascular coagulation (DIC). 5) Discuss management of DIC, including identification of underlying etiology and supportive resuscitation with blood products. 6) Review the components of blood products. 7) Identify appropriate disposition of the patient to the intensive care unit (ICU).
Hematology/OncologyInfectious DiseaseOb/GynSimulation
Iatrogenic Uterine Perforation. US Unannotated. JETem 2024

Vaginal Bleeding Due to Iatrogenic Uterine Perforation – A Case Report

John Costumbrado, MD*^, Leah Snyder, MD^, Sassan Ghassemzadeh, MD*^ and Daniel Ng, MD*^

DOI: https://doi.org/10.21980/J83643Issue 9:2[mrp_rating_result]
The bedside transabdominal US of the pelvis showed a heterogeneous mixture of hypoechoic and hyperechoic endometrial thickening extending to the lower uterine segment (blue arrow), which was thought to represent active hemorrhage. Computed tomography of the abdomen and pelvis showed evidence of a large amount of endometrial hyperdensity (red arrow) suggestive of hemorrhagic contents within a grossly enlarged uterus. There was relative decreased enhancement of the uterine body and fundus, concerning for devascularization. There was also active extravasation along the left lateral uterus (yellow arrow).
Visual EMOb/Gyn

A Homemade, Cost-Effective, Realistic Pelvic Exam Model

Jessie Godsey, MD*, Ilya Kott, MD*, Adrienne Payden* and Patricia Ward*

DOI: https://doi.org/10.21980/J8HM0F Issue 8:3[mrp_rating_result]
After utilizing this pelvic examination model, the learner will be able to: 1) demonstrate ability to perform a pelvic examination comfortably and safely, 2) demonstrate ability to obtain a cervical swab on female patients, and 3) show proficient understanding of female anatomy.
ProceduresInnovationsOb/Gyn

Peripartum Cardiomyopathy

Victoria L Morris, MD*, Carolina Mendoza, MD*, Gowri S Stevens, MD*, Jessica L Wilson, MD*and Adeola A Kosoko, MD*

DOI: https://doi.org/10.21980/J8ZS9M Issue 8:2[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) initiate a workup of a pregnant patient who presents with syncope, 2) accurately diagnose peripartum cardiomyopathy, 3) demonstrate care of a gravid patient in respiratory distress due to peripartum cardiomyopathy, 4) appropriately manage cardiogenic shock due to peripartum cardiomyopathy.
Cardiology/VascularOb/GynSimulation
Creative Commons images

Point-of-Care Ultrasound to Diagnose Molar Pregnancy: A Case Report

Katherine Wietecha, MD*, Caitlin A Williams, MS^ and Valori Slane, MD*

DOI: https://doi.org/10.21980/J82W7T Issue 7:2[mrp_rating_result]
A transabdominal point-of-care ultrasound (POCUS) was initiated to determine whether an abnormality to the pregnancy could be identified. Curvilinear probe was used. Our transabdominal POCUS, in the transverse plane, showed a heterogenous mass with multiple anechoic areas in the uterus. The white arrow on the ultrasound identifies these findings. The classic “snowstorm” appearance was concerning for molar pregnancy.
Ob/GynVisual EM

Syncope Due to a Ruptured Ectopic Pregnancy

Derek JC Hunt, DO*, Kevin McLendon, DO* and Jodi Conrad, DO*

DOI: https://doi.org/10.21980/J86M0N Issue 7:1[mrp_rating_result]
At the conclusion of this simulation, the learner will be able to: 1) review the initial management of syncope; 2) utilize laboratory and imaging techniques to diagnose a ruptured ectopic pregnancy; and 3) demonstrate the ability to resuscitate and disposition an unstable ruptured ectopic pregnancy.
Ob/GynSimulation