5. Pelvic Ultrasound

Pelvic Ultrasound

  • Heterogeneous, thickened and indistinct endometrial stripe, with a marked amount of primarily echogenic material noted within the endometrial cavity, likely representing clot and hemorrhage. No other abnormalities noted.
    Hgb/Hct4.9/15.3 Platelets256 x 1000/ul
     MCV
    88   
     RBC colorpoly   
     Baso Stippprsnt PT
    > 2 min
     Retic10.4 PTT> 2 min
     RDW12.4   
          
    WBC15.6   
     Segs91   
     Lymphs8   
     Monos
    1   

Breakpoint #2

  • What is your initial impression?
  • How would you manage this patient in the ER?