PPT-Abdominal Pain and Vaginal Bleeding

HPI CL 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 nickelsized blood clots The lower abdominal pain started yesterday is . Care for Injuries of the . Female Genitalia . (1 of 2). Female internal genitalia is well protected and usually not injured.. The exception is the pregnant uterus which is vulnerable to both blunt and penetrating injuries.. 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?. Mr Philip Kaloo. Consultant Gynaecologist and Laparoscopic Surgeon. Symptoms. Until proven . otherwise - . All . vaginal bleeding is due to pregnancy. All . pelvic pain is due to ectopic . pregnancy. (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. 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. General . Considerations. Abdominal pain can result from injury to the . intraabdominal. organs . or overlying . somatic structures in the abdominal wall, or . from . extraabdominal. . diseases. . . Anagheem. . Sheyyab. Dr. lama . mhesen. Abdominal pain during pregnancy is a common complaint .. It’s management represents a challenge to the clinician as the causes may be due to pregnancy or related to pregnancy but not directly caused by it or may be not related to pregnancy at all .. Objectives. . At the end of this subject you should be able to:. 1. Define Intussusception.. 2. Classify the Intussusception.. 3. List the symptoms and signs of Intussusception.. 4. Name the investigations used to confirm the diagnosis.. EMC SDMH 2015. Objectives. Briefly revise patterns of pain . radiation. Differentials of lower abdominal . pain. Review assessment of . appendicitis. Review assessment of . diverticulitis. Review assessment of types of bowel . Yara. . saleh. outline. Approach. Bacterial vaginosis. Vulvovaginal candidiasis. PID. Physiologic Discharge. • clear, white, flocculent, . odourless. discharge; pH 3.8-4.2. • smear contains epithelial cells, Lactobacilli. Hannah Jeffery . Charlotte Marshall . Hannah Wallace . (FY2) . Case 1. A 25 year old female patient walks into ED complaining of left sided abdominal pain and PV spotting, following 9 weeks of amenorrhoea. Whilst in the waiting room she collapses.. Dr . zhila. . Abedi. . asl. Fellowship of infertility. Bahman. hospital . IVF center. Tehran . Iran . Content . 1. APPROACH. 2. EQUIPMENTS . 3. TECHNIQUE . 4. PRECAUTIONS . 5. COMPLICATIONS . 6. PROFICIENCY. . Laboratory investigations. ESR: . increased: inflammation, tumors . (but can be normal). Blood count . leukocytes: . : inflammation. eosinophilia: helminthiasis, allergy. anemia (Hb, HCT): .