MMC Department of Emergency Medicine - Correlation of ...

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Department of Emergency Medicine

Emergency Residency

Limited Bedside Transvaginal Ultrasound

Clinicians

Correlation of Gestational Age, b-HCG level, and TVUS findings

Clinical Programs

Gestational age

B-HCG (mIU/ml)

TVUS findings

Clinical Resources

4.5-5 weeks

<1,000

Gestational sac

Research

5 weeks

1,000-2,000

Gestational sac + DDS*

Useful Links

5-6 weeks

>2,000

Yolk sac** (+/- fetal pole)

6 weeks

10,000-20,000

Embryo with cardiac activity

7 weeks

>20,000

Embryonic torso/head

Health Information
--Select A Topic--

**DDS = double *DDS = double decidual sign

**First definitive evidence of IUP
Tips:
B-HCG of 1,500 is considered the discriminatory zone, i.e. minimum
quantitative level of HCG at which intrauterine pregnancy should be
seen by ultrasound.
Abnormal gestation or embryonic demise if:
Gestational sac > 10 mm without a yolk sac
Gestational sac > 18 mm without a fetal pole
Fetal pole > 5 mm without cardiac activity
If the B-HCG is > 1500 and no GS is seen
Ectopic pregnancy
Completed abortion
If the B-HCG is < 1500 and the uterus is empty
Early normal pregnancy
Ectopic pregnancy
Completed abortion
Serial B-HCG value in 48 hours
Live IUP: doubles
Completed abortion: decreases
Ectopic pregnancy: stable or small rise
Return to Limited Bedside Transvaginal Ultrasound page.
Return to Department of Emergency Medicine Homepage

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