Ultrasound of the Week Case #11

"Generalized Abdominal Pain"

Initial thoughts? How do you want to proceed with the work-up?

Of course you are going to order labs, but while you are waiting for the results, how about do an ultrasound?

Transvaginal Ultrasound Images

Uterus


Right Ovary



Left Ovary

Labs are back...


Lab Results
UPT: Positive
Hb: 10.6
Lipase 63
U/A: 1.020/8.5/prot 30/neg LE/ neg nitrites
RBC 0-3/WBC 0-4/Epi 5-15
BHCG 865

But the patient is still in significant pain...hmmmm...anything else to do? What's your next move?

Click here for remainder of workup...

Ultrasound Teaching Cases