Uterus

The uterus is a pelvic organ that can be visualized with point-of-care ultrasound and can be helpful in patients with pelvic pain, vaginal bleeding, and newly diagnosed pregnancies. The primary goals of a focused uterus ultrasound are to assess for size, pathology, the location of an IUD, and in the case of pregnancy, an intra-uterine pregnancy. Pathology such as fibroids, cysts, free fluid, ectopic pregnancy, and empty gestational sac can be seen. The test characteristics for ruling out ectopic pregnancy using point-of-care ultrasound are excellent, with a sensitivity of 99.3% and negative predictive value approaching 100% [1]. Point-of-care ultrasound use has been shown to decrease evaluation time in patients being assessed for pregnancy complications [2]. Figures 30.1, 30.2, 30.3, 30.4, 30.5, 30.6, 30.7, 30.8, 30.9, and 30.10 and Videos 30.1, 30.2, 30.3, 30.4, 30.5, 30.6, 30.7, 30.8, and 30.9 provide examples of normal and pathological findings that may be found on transabdominal scanning.