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 . Dr. Matthew Smith. Emergency Specialist. Types of pain. Special Populations. Assessment. History. Examination. Investigations. Differential Diagnosis. Management - overview. Cases ( if time permits). HPI:. C.B, a former heavy smoking 69 . yo. M with a h/o hypertension and COPD presents to the ED with sudden onset abdominal, lower back and R flank pain that started 45 min ago while at home watching TV. He also c/o feeling ‘dizzy’ and some nausea at the time. He denies LOC, chest pain, dyspnea, vomiting, difficulty urinating or blood in his stool. He has not ever had a pain like this before. The pain was a 9/10 initially, but is about a 6/10 after taking some Tylenol at home. His dizziness and nausea are improved at this time.. Dr Helen Goodyear, Consultant Paediatrician HEFT and Associate Postgraduate Dean HEE (. wm. ). What are the causes of abdominal pain in children?. Causes. Acute Chronic. Gastroenteritis Constipation. Valerie Stewart, DO. Clearwater Surgical Associates. March 27, 2018. Objectives. Describe types of acute abdominal pain . Describe common causes of acute abdominal pain. Describe appropriate diagnostic workup of common causes of acute abdominal pain. 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 . 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 .. 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).. Kevin . Biese, . MD, MAT. Ellen Roberts, . PhD, MPH. Jan Busby-Whitehead, MD. University . of North Carolina . at . Chapel Hill. Division of Geriatric Medicine. Center for Aging and Health . Department of Emergency Medicine. Common. 40-50% NSAP. 30% Misdiagnosed. Causes. GI. Urological. O&G. Vascular. Causes. Inflammation. Obstruction. Ischaemia. Perforation. Arterial Rupture. Non-surgical. Appendicitis. SBO. Volvulus. 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. 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. 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.