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in a patient with a first trimester pregnancy with cramping or bleeding an intrauterine pregnancy can be quickly identified at the bedside to perform this scan ill use the curvilinear scanner on an ob gyn preset with the indicator to the patients right well start the scan by going in the transverse orientation and really aiming that transducer just above the suprapubic area into the pelvis to identify the bladder its very important to first identify the bladder to get your bearings and from here were going to scan from the bladder and then identify the uterus hopefully just adjacent to the bladder once ive identified the uterus ill continue sweeping through until ideally an intrauterine pregnancy is identified early signs could be a yolk sac but in this one i can even see fetal heart tones present once ive scanned all the way through the uterus its always a good idea to do a second axis to go lateral this time with the indicator to the patients head and do another sweep just