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    Early Pregnancy (beta)

    Official guideline from the American College of Emergency Physicians.

    Summary by Eric Steinberg, DO
    Strength
    Level A
    Level B
    Level C

    Recommendations

    Diagnosis
    1. Perform or obtain a pelvic ultrasound for symptomatic pregnant patients with any β-human chorionic gonadotropin (β-hCG) level.
    2. Do not use the β-human chorionic gonadotropin (β-hCG) value to exclude the diagnosis of ectopic pregnancy in patients who have an indeterminate ultrasound result.
    3. Obtain specialty consultation or arrange close outpatient follow-up for all patients with an indeterminate pelvic ultrasound result.
    What do the icons mean?  
    Research PaperHahn SA, Promes SB, Brown MD. American College of Emergency Physicians. Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in Early Pregnancy. Ann Emerg Med. 2017;69(2):241-250.