PMID: 9639175Jun 25, 1998Paper

Efficacy of transabdominal ultrasound examination in the diagnosis of early pregnancy complications in an emergency department

Journal of Accident & Emergency Medicine
T W WongC M Tai

Abstract

To assess the value of ultrasound in an emergency department in the diagnosis of early pregnancy complications, the efficacy of a study protocol in identifying ectopic pregnancies, and the agreement on ultrasound findings among emergency department staff and gynaecologists. All women presenting with early pregnancy complications had a transabdominal ultrasound scan performed by the attending doctor and checked by a senior doctor. The ultrasound findings were classified as normal intrauterine pregnancy (IUP), probable abnormal pregnancy, definite ectopic pregnancy, no definite IUP, and other. Women with clinical and ultrasound findings compatible with threatened abortion were referred to a gynaecologist, or were admitted if findings suggested abnormal or ectopic pregnancy, or if a definite IUP could not be confirmed on ultrasound scan. For patients who were admitted or referred, a transvaginal ultrasound scan was performed by the attending gynaecologist. The findings of the gynaecologist were used as the gold standard. 151 cases were enrolled during a four month study period. Ultrasound findings in the emergency department included definite IUP in 95 (63%), probable abnormal IUP in 20 (13%), no definite IUP in 23 (21%), and othe...Continue Reading

References

Oct 1, 1990·Annals of Emergency Medicine·T G StovallJ E Buster
May 1, 1984·Annals of Emergency Medicine·D J Shea, R V Aghababian
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Citations

May 19, 2010·Internal and Emergency Medicine·Americo TestaNicolò Gentiloni Silveri
Jul 5, 2012·Emergency Medicine Journal : EMJ·Shuk Ting Christine MaColin A Graham
Feb 12, 2011·Annals of Emergency Medicine·Ralph WangJohn C Stein
Dec 12, 2001·Tropical Medicine & International Health : TM & IH·H BussmannJ Troeger
Mar 27, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Brian B MorganJohn L Kendall

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