BCPoCUS - BC Point of Care Ultrasound

BC Point of Care Ultrasound

Your go-to resource for point-of-care ultrasound rapid summaries and videos.

Ruling out Ectopic Pregnancy

Rapid Summary

When to Scan:

Patients presenting with a positive pregnancy test and:

  • Vaginal bleed <20 weeks gestational age
  • Abdominal pain
  • Shock or hypotension

 

Transabdominal Approach:

  • Best with full bladder
  • Don't forget to change exam setting to OB
5 Minute Video

Where to put the probe:

OB pos 1 Long
OB pos 1 Trans

• Midline in longitudinal and transverse planes
• Just cephalad to pubic symphysis
• Sweep through entire uterus

Transvaginal approach (best with empty bladder):
• Probe marker to ceiling in sagittal plane
• Probe marker to patient right in longitudinal plane

When to scan:

When to Scan:

Patients presenting with a positive pregnancy test and:

  • Vaginal bleed <20 weeks gestational age
  • Abdominal pain
  • Shock or hypotension

Transabdominal Approach:

  • Best with full bladder
  • Don't forget to change exam setting to OB

Where to put the probe:

OB pos 1 Long
OB pos 1 Trans

• Midline in longitudinal and transverse planes
• Just cephalad to pubic symphysis
• Sweep through entire uterus

Transvaginal approach (best with empty bladder):
• Probe marker to ceiling in sagittal plane
• Probe marker to patient right in longitudinal plane

Findings

If concerned for ectopic pregnancy, add RUQ or FAST scans.

Exercise caution when declaring positive IUP. Be mindful of false positive scans.