Episode 61 - Abnormal Uterine Bleeding

<p>EMplify - September 2021</p> <p><b>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 !</b></p> <a href="https://www.ebmedicine.net/topics/gynecologic-obstetric/bleeding">Abnormal Uterine Bleeding in the Emergency Department</a> Authors: Tazeen Abbas, MD Abbas Husain, MD, FACEP <ul> <li>Physiology review </li> <li>Terminology</li> <li>Differentiating Causes: PALM-COEIN <ul> <li>Structural: Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia</li> <li>Non-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specified</li> <li>Other causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exercise</li> </ul> </li> <li>Age Based Differential <ul> <li>12-18 <ul> <li>Immaturity of the hypothalamic-pituitary- ovarian axis </li> <li>Sexually transmitted infections</li> <li>Coagulopathies, and bleeding disorders (von Willibrand disease)</li> </ul> </li> <li>19-39 <ul> <li>polyps</li> <li>fibroids</li> <li>malignancy </li> <li>PCOS</li> </ul> </li> <li>Age 40 and older <ul> <li>endometrial atrophy</li> <li>malignancy</li> </ul> </li> </ul> </li> <li>History</li> <li>Physical Exam</li> <li>Diagnostic Studies</li> <li>Treatment <ul> <li>Unstable</li> <li>Stable</li> </ul> </li> <li>Special Cases <ul> <li>DOACs</li> <li>Prepubescent girls</li> <li>genital injuries</li> </ul> </li> </ul> <p> </p>