Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Pregnancy Ultrasound Potpourri
First trimester bleeding is one of the highest value POCUS moments in the ED. A quick transabdominal scan that shows a clear intrauterine pregnancy lets you safely discharge most patients in minutes. If the IUP is not obvious, move to transvaginal imaging to nail down the diagnosis and guide next steps.