Exploring POCUS Essentials with a video demonstrating the ultrasound during first trimester pregnancy evaluating for ectopic pregnancy
Cullen sign: superficial bruising in the subcutaneous fat around the umbilicus. 1918 Thomas Cullen (1869-1953) ruptured ectopic pregnancy
Thomas Stephen Cullen (1869 – 1953) was a Canadian gynecologist. Eponymously affiliated with Cullen sign (1918)
Stabler Sign - atraumatic abdominal wall ecchymosis in the inguinal-pubic area associated with ectopic pregnancy. Francis (Frank) Edward Stabler (1902–1967)
Francis (Frank) Edward Stabler (1902 – 1967) English surgeon, obstetrician and gynaecologist. Eponym: Stabler Sign - atraumatic abdominal wall ecchymosis
Ectopic pregnancy = fertilized ovum which implants outside the lining of the uterus
A 32 year woman presents with severe lower abdominal pain and shock in early pregnancy. She has had vaginal bleeding. You consider the differential diagnosis and whilst resuscitation is commenced and gynaecology called you put the probe on her abdomen.
23 year old female presents with lower and then diffuse abdominal pain with transient hypotension and bradycardia. Urine pregnancy test is positive.