This case study describes a pregnant patient with vaginal bleeding who had a bedside endovaginal ultrasound in the emergency department (ED). The emergency physician identified a live intra-uterine pregnancy (IUP) with another structure that appeared to be a second gestational sac. The patient subsequently had an endovaginal ultrasound in the radiology department 46 minutes later. The attending radiologist described one live IUP and a subchorionic hemorrhage. Comparison of the ED and radiology ultrasound showed that the second structure, identified as a subchorionic hemorrhage, had significantly decreased in size. Endovaginal ultrasound in the evaluation of possible ectopic pregnancy is a useful bedside tool in the ED. We discuss a pitfall that can occur with endocavitary ultrasound when a twin gestation is presumed.

While group work is commonly discussed as an important aspect of communicative language teaching, its configuration is usually considered to be small groups of students rather than an entire group of course participants. Drawing upon Mikhail Bakhtin’s theory of dialogism (Bakhtin, 1984; Holquist, 2002), this paper explores a view of group work as potential community building activity in the L2 classroom through the use of a group reflection tool involving the whole class.