POCUS Hepatorenal Space: + free fluid caudal tip of the liver.
A young woman presents to the ED with scant vaginal bleeding, nausea, vomiting, and lower abdominal pain. BP 106/73, pulse 81, T 98.6, Resp 16, Sp02 97%.
POCUS Hepatorenal Space is positive for free fluid in Morison’s Pouch and the caudal tip of the liver. A point of care urine pregnancy test results positive.
POCUS Pearl: Vital signs fail to correlate with hemoperitoneum from ruptured ectopic pregnancy [PMID: 11593468], a good argument for early ultrasonographic evaluation.