Episode 61 - Abnormal Uterine Bleeding
Sep 08, 2021•38 min
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Episode description
EMplify - September 2021
Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net !
Abnormal Uterine Bleeding in the Emergency Department
Authors:
Tazeen Abbas, MD
Abbas Husain, MD, FACEP
- Physiology review
- Terminology
- Differentiating Causes: PALM-COEIN
- Structural: Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia
- Non-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specified
- Other causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exercise
- Age Based Differential
- 12-18
- Immaturity of the hypothalamic-pituitary- ovarian axis
- Sexually transmitted infections
- Coagulopathies, and bleeding disorders (von Willibrand disease)
- 19-39
- polyps
- fibroids
- malignancy
- PCOS
- Age 40 and older
- endometrial atrophy
- malignancy
- History
- Physical Exam
- Diagnostic Studies
- Treatment
- Unstable
- Stable
- Special Cases
- DOACs
- Prepubescent girls
- genital injuries
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