PPT-Postmenopausal bleeding 55 year –old female presented to you with history of vaginal

menapause How you will Mange her What about history taken confirm menopausal when was your last period Frequency Length quantity of bleeding The woman may report individual episodes of spotting or she may report days or months of profuse bleeding. Megan McClintock, MS, RN. Fall 2011. Infertility. Can’t conceive after 1 year of regular, unprotected intercourse. Risk factors. Tobacco/illicit drug use. Abnormal BMI (obesity or too thin). Age > 35 (in women). Dr. Dianne M.P. Graham M.D.. Vaginal Bleeding in the ER Sept 2014. 2. Basic Questions. Is the patient hemodynamically stable?. Is the patient pregnant?. If YES, is it first trimester or late stage?. (Non-Pregnant Patient). Heavy vaginal bleeding. Lower abdominal pain. Vulval. lumps. Vaginal foreign body. Common ED . Gynae. Presentations. Heavy vaginal bleeding. What’s normal?. Heavy Vaginal Bleeding. HPI:. C.L. is a 46 . yo. F G5P4 who presents with 5 days of increased vaginal bleeding and lower abdominal pain. The bleeding was spotty at first, but has increased over the past few days and is heavier than her normal period. She has passed some nickel-sized blood clots. The lower abdominal pain started yesterday, is . Patient. Patient: 25 . y.o. G3P1011 at 27 5. Vaginal spotting after wiping with urination x 1 day. Lower abdominal cramps every 10 minutes x 12 hours, improving. ROS: FM, - LOF, - . Ctx. , - dysuria . G. eneral Practice . Dr. Lubna Qayam. Outline. Causes. Approach. Management. Scenario 1. . A 32 year old lady P2 c/o spotting in between her periods, post coital bleeding with regular periods which lasts for 4-6 days, mild dysmenorrhoea, no dyspareunia. There is no significant medical history. There was a h/o STI in past which was treated successfully and she is in stable relationship for . Eui. -Young Son. Department of . Emergency . Medicine, . Bundang. . Jesaeng. General Hospital. Introduction. Abscess. Vaginal Bleeding. One of the m. ost frequent chief complaints of women presenting for EM care. 26-year-old man who presented with rectal bleeding. 80-year-old woman presented with severe . diarrhea. , hypokalemia, and rectal bleeding. perimenopause. and post menopause . Marzieh. . Ghafarnejad. , OB & GYN. Tehran University of Medical Sciences. Agenda:. Defnitions. :. Perimenopause. Menopause . AUB. AUB in . peri. North Central and East London. Adeela.ashraf1@nhs.net. Tutorial 7: Gynaecology. Disorders of menstruation. Abnormal Uterine Bleeding. Heavy Menstrual Bleeding . Intermenstrual Bleeding. Amenorrhoea . د.الاء ابراهيم. Objective:. Definition of PMB.. Causes of PMB.. Stepwise approach to PMB.. Management.. Definition:. Is vaginal . bleeding that occurs a year or more after your last menstrual period. The bleeding can be light (spotting) or heavy. . Vaginal bleeding is common in the first trimester, . occurring.g. . in 20 to 40 percent of pregnant . women .. The four major sources of . nontraumatic. bleeding in early pregnancy are:. ●. Ectopic pregnancy. . Vaginal bleeding during pregnancy has many causes. Some are serious and others are not. Bleeding can occur early or later in pregnancy. Bleeding in early pregnancy is common. In many cases, it does not signal a major problem. Bleeding later in pregnancy can be more serious. Dr Elizabeth Tunney. Dr Naomi Burke. Background & Objective. Postmenopausal bleeding ( PMB) is a red flag symptom. . Endometrial Cancer – most common Gynaecological Malignancy worldwide. However most women with PMB end up having benign disease..