Episode 61 - Abnormal Uterine Bleeding
Play • 38 min

EMplify - September 2021

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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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