ABC’s and Resuscitation if necessary
2 large bore IVs
Urine pregnancy, beta-HCG
CBC with differential
BMP, Mg/Phos, LFTs
UA/Urine Culture
PTT/PT/INR
Type and cross 2 units PRBC if bleeding concern
Transvaginal Ultrasound
Non-emergent MRI if unable to obtain transvaginal ultrasound
Consider post-void residual
Incarcerated uterus
The same abdominal pain differential as non-pregnant patients, plus:
Vaginal foreign body
Ectopic pregnancy
Tubo-ovarian abscess
First trimester abortion
Testicular trauma
Complete abortion