#382 Abnormal Uterine Bleeding

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 20 February 2023

⏱️ 57 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

With Dr Holly Wong Cummings

Listen in as we talk through abnormal uterine bleeding (AUB) with our esteemed guest Holly Wong Cummings, MD. We review the PALM-COEIN framework for AUB diagnosis and discuss options for acute and chronic treatment of AUB. We can get bleeding under control! Many of the treatments including progesterone only pills, combined oral contraceptives, and tranexamic acid are medications we in primary care should feel confident prescribing to our patients.

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Show Segments

Intro, disclaimer, guest bio
Case from Kashlak
Normal Menstrual Cycle
Nomenclature for AUB- PALM COEIN
History and Physical Exam
Laboratory and radiologic evaluation
Structural causes for bleeding/interpreting the ultrasound
Acute treatment of AUB
When to refer to ED
Chronic treatment for AUB
When to refer to gyn
Take home points
Outro

Credits

Producer, Writer, Show Notes: Molly Heublein MD
Infographic: Edison Jyang
Cover Art: Sarah Phoebe Roberts
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD
Reviewer: Sai S Achi MD, MBA
Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Holly Wong Cummings MD

Sponsor: Indeed

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Transcript

Click on a timestamp to play from that location

0:00.0	Paul, why did the uterus get kicked out of Hollywood?
0:06.7	I don't know, Matt.
0:08.0	Why don't you tell me?
0:10.6	It's because it was overreacting.
0:13.0	Pfft.
0:14.0	Pfft.
0:15.0	No, nothing.
0:17.0	Mm-hmm.
0:18.0	You want me to explain it, Paul?
0:19.6	No, no, I think the lesson probably did better.
0:22.4	All right, I'll just hang my head in shame
0:24.0	and let's start the show.
0:25.5	I know, but I can't believe you went there.
0:27.3	I mean, jokes about women's health are not funny.
0:29.8	Period.
0:31.6	Oh, boo.
0:33.0	Double team.
0:34.0	Boo to all of this.
0:37.1	The Curbsiders podcast is for entertainment, education,
0:38.9	and information purposes only.
0:39.9	And the topics discussed should not be used
0:41.1	solely at Diagnostreat, cure, or prevent
	...

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