PPT-Vaginal Bleeding in ER

Dr Dianne MP Graham MD 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. GUIDE TO DIAGNOSIS . AND TREATMENT. Anita Showalter, DO, FACOOG (Dist.). Assistant Dean of Clinical Education. Associate Professor and Chief, Division of Women's Health. College of Osteopathic Medicine. 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). (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. 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).. 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. Obstetrics & Gynecology in Chinese Medicine, . Maciocia. Uterine Bleeding. Manifests either a heavy discharge of blood from the vagina or a constant dribbling of blood from the vagina that occurs during or beyond the regular menstrual period. . 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 . 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. د ميسون شريف. Genital tract tumors. Embryonal Rhabdomyosarcoma( sarcoma . botryoides. ). Carcinoma of the vagina and cervix. Clear cell adenocarcinoma. Benign vaginal .