Review the Learning Outcomes, Hx, PE and Labs, and begin the module with your Provisional Diagnosis. Keep hitting "Next" to move through the module.
- Articulate your relationship with the consulting diagnostic radiologists in the evaluation of a pregnant patient with abdominal pain.
- Review the DDx considerations in a pregnant patient with abdominal pain.
- Identify the spectrum of imaging findings in appropriate modalities for evaluating a pregnant patient with abdominal pain.
What is your assessment of the likely acuity for this patient?
First Imaging Study
What is the first imaging study you will order?
Pertinent Imaging Observations
Click on the links below to view images from the study, and assess these key findings as best you can.
CT of chest, abdomen, and pelvis w/ contrast
What best describes the findings on the CT?
Watch our video
Second Imaging Study
What is the next imaging study you will order?
What is your Diagnosis now that you have seen the imaging results?
Initially, you selected and we suggested acuity.
Has your concern for this patient changed?
Assessment and Plan
Please provide your assessment and plan for this patient
- Placental abruptions can present with painful vaginal bleeding following blunt trauma.
Risk factors for placental abruption include chronic hypertension, history of abruption, smoking, cocaine use, polyhydramnios, preterm rupture of membranes, and advanced maternal age.
- Most placental abruptions occur in the third trimester.
- Ultrasound is the modality of choice but CT may be performed first in the unstable patient. CT may demonstrate areas of hypodensity forming acute angles with the myometrium.
- Low socioeconomic status is associated with the risk of placental abruptions. It is postulated that certain lifestyle factors and health behaviors (like smoking and cocaine use) that occur disproportionally in lower socioeconomic populations are contributory to spontaneous placental abruptions.
- African American mothers were found to be at significantly increased risk for placental abruption compared to Caucasian mothers.
That's the end of the module! Once you've reviewed the video(s), you can click here for another case challenge.
John Cerillo, MS2 - Content Contributor
Kevin Pierre, MD - Editor
Robbie Slater, MD - Supervising Editor
Bayar Batmunh, MS - Coordinator