20 results
Causes of Early (<20 Weeks) and Late Bleeding in Pregnancy  - Differential Diagnosis Algorithm
Early Bleeding
Cervix Open - Passing ... Cervix Open - Not Passing ... Transvaginal U/S • ß-hCG ... doubled in 72h • ß-hCG ... Causes #Obstetrics #OBGyn
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... • ECG: Bad block ... Connect ECG Leads ... Set pacemaker to ... Start pacing.
Molar Pregnancy on Transabdominal Pelvic Ultrasound

"20 yo F presents with suprapubic abd tenderness and mild vaginal
and mild vaginal bleeding ... Urine HCG is NEGATIVE ... Explanation: HCG ... Effect: When the HCG ... Ultrasound #Obstetrics #OBGyn
Ruptured Ectopic Pregnancy on Pelvic Ultrasound
25 y/o f w acute abd pain and vaginal bleeding. Upreg
f w acute abd pain ... and vaginal bleeding ... for rapid, life-saving ... clinical #POCUS #obgyn
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
• If continued bleeding ... (Cytotec) 400 mcg ... • If continued bleeding ... equivalent • Uterine packing ... Management #obstetrics #obgyn
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... Avoid vaginal packing ... PO Outpatient OBGYN ... Abnormal #Uterine #Bleeding
Causes of Abnormal Genital Bleeding - Differential Diagnosis Algorithm
Non-Gynecologic:
 • Medical (e.g. coagulopathy, liver disease, renal
Abnormal Genital Bleeding ... : • Medical (e.g ... Genital #Pelvic #Bleeding ... Algorithm #Causes #OBGyn
Managing side effects of birth control

Adverse effects associated with hormonal contraceptives (e.g. headache, breakthrough bleeding, etc)
contraceptives (e.g ... , breakthrough bleeding ... continuous use (e.g ... changing the COC (e.g ... #medications #obgyn
Antenatal / Prenatal Care Schedule 
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications
of delivery • Dating ... translucency, ß-hCG ... screen (AFP, uE3, ß-hCG ... week Ultrasound (dating ... Evaluation #Obstetrics #OBGyn
Causes of Early Bleeding in Pregnancy (< 20 Weeks) - Differential Diagnosis Algorithm
Not Bleeding from the
Causes of Early Bleeding ... Algorithm Not Bleeding ... Cervix Open - Passing ... Transvaginal U/S ß-hCG ... Causes #Obstetrics #OBGyn