Episode 61 - Abnormal Uterine Bleeding
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 (https://www.ebmedicine.net/topics/gyn...) 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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