Er treatment of vaginal bleeding

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Your radio goes off and a panicked paramedic reports that they are en route with a year-old woman who is having profuse vaginal bleeding and appears very ill. She is pale, tachycardic, and hypotensive. She has a history of fibroids.

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Many women experience abnormal vaginal bleeding or spotting between periods sometime in their lives. Vaginal bleeding is considered to be abnormal if it occurs:. Abnormal vaginal bleeding has many possible causes.

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Urgent message : Vaginal bleeding is a common presentation in the urgent care setting. An assessment of hemodynamic status, as well as an understanding of potential causes, is necessary to initiate treatment and triage the patient correctly. Thomas Sunshine, MD Introduction Patients presenting with what they perceive to be vaginal bleeding will not know whether that bleeding is specifically uterine, cervical, or rarely vaginal in origin.

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In the emergency department, gynecologic complaints are common presentations for adolescent girls, who may present with abdominal pain, pelvic pain, vaginal discharge, and vaginal bleeding. The differential diagnosis for these presentations is broad, and further complicated by psychosocial factors, confidentiality concerns, and the need to recognize abuse and sexual assault. This clinical pathway will help you improve care in the management of abnormal uterine bleeding in adolescent patients. Download now.

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Spotting or bleeding during early pregnancy is understandably scary, but also very common. While spotting does not always mean that you are having a miscarriage, it can be a symptom of miscarriage. But is this the best course of action?

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Abnormal uterine bleeding is a common symptom in women. Evaluation involves a detailed history and pelvic examination, as well as laboratory testing that includes a pregnancy test and complete blood count. Endometrial sampling should be performed in patients 45 years and older, and in younger patients with a significant history of unopposed estrogen exposure.

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In general, anytime you experience unexpected vaginal bleeding, consult your doctor. Whether or not vaginal bleeding is normal depends on your age and the circumstances. Mayo Clinic does not endorse companies or products.

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Data collected included demographic factors, clinical history, physical examination findings, and laboratory and radiologic findings. The median age of patients was 32 years range 12—72 years. Approximately half

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The Emergency Room was designed to provide fast, life-or-limb-saving care. Many people, however, use the ER as a place to receive urgent care without realizing it. Continue reading to see when you should go to an ER and when to go to an urgent care center.

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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Abnormal uterine bleeding is an overarching term that is defined as bleeding from the uterine corpus that is irregular in volume, frequency, or duration in absence of pregnancy Table 96—1. Although vaginal bleeding may present as an acute or chronic problem, this chapter will focus on the ED evaluation and management of abnormal uterine bleeding. In North America, average age of menarche is

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