Case of the Week: April 29, 2019

A 30-year-old female, presents to the emergency department with acute lower abdominal pain. She is 9 weeks pregnant by dates and has had no formal ultrasound prior to presentation. Her initial vitals are; HR 102, BP 116/70, RR 24, T 36.2 and SpO2 98% on RA. A bedside ultrasound is completed and demonstrates: