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 in 1st trimester
  • Abdominal pain in 1st trimester
  • Shock or hypotension in 1st trimester

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
• Identify the bladder and then uterus next to the bladder
• Sweep through entire uterus in both longitudinal and transverse planes

Transvaginal approach (best with empty bladder):

• Probe marker to ceiling in sagittal plane
• Probe marker to patient right in coronal plane
• Identify the uterus and sweep through the uterus in both sagittal and longitudinal planes

When to scan:

When to Scan:

Patients presenting with a positive pregnancy test and:

  • Vaginal bleed in 1st trimester
  • Abdominal/pelvic pain in 1st trimester
  • Shock or hypotension in 1st trimester

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
• Identify the bladder and then uterus next to the bladder
• Sweep through entire uterus in both longitudinal and transverse planes

Transvaginal approach (best with empty bladder):
• Probe marker to ceiling in sagittal plane
• Probe marker to patient right in coronal plane
• Identify the uterus and sweep through the uterus in both sagittal and longitudinal planes

Findings

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

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