4.6 • 665 Ratings
🗓️ 24 April 2015
⏱️ 32 minutes
🧾️ Download transcript
Today's episode of EM Basic will review vaginal bleeding in patients who are not pregnant. This is a much different workup from pregnant patients with vaginal bleeding so we have to know how to effectively manage this chief complaint.
This episode was written and recorded by Dr. Adaira Landry, an EM senior resident at NYU/Bellevue and Joe Kennedy, a 4th year medical student at Mayo who matched into EM just after this episode was recorded. They'll review what vital signs to look out for, the important parts of this history and physical, what labs and imaging to order (if any), and the proper disposition of patients with this chief complaint.
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0:00.0 | Hey everybody, this is Steve Carroll and you're listening to the YM-Base podcast. |
0:04.8 | In today's episode, we'll be covering non-pregnant vaginal bleeding. |
0:09.0 | There's a big difference in the workup and overall disposition of patients with vaginal bleeding who are not pregnant. |
0:14.5 | As always, we'll review what to look for regarding the patient's vital signs, important questions to ask in the patient's history, the important exam findings, |
0:22.1 | as well as labs, imaging, and disposition. This episode was written and recorded by Adaira Landry, |
0:27.9 | an EM senior resident at NYU Bellevue, and Joe Kennedy, a fourth-year medical student from Mayo |
0:33.0 | Medical School, who matched in an EM just after this episode was recorded. As always, his podcast is a representative |
0:38.5 | opinions on a defense to us army and the Shawshack EM Residency Program. With that said, here's Adaira Landry |
0:43.4 | and Joe Kennedy talking about non-pregnant vaginal bleeding. Welcome everyone to another episode of |
0:49.0 | EM Basic. I'm Joe Kennedy, a medical student at Mayo Medical School and a soon-to-be EM resident. |
0:55.3 | With me is Adera Landry, who is a fourth-year EM resident at NYU Bellevue. |
0:59.9 | Adera is a co-founder and author at EMdocs.net, another popular phone website with some phenomenal |
1:05.4 | resources for medical students, residents, and practicing EM physicians alike. |
1:10.5 | Thanks for the introduction, Joe. |
1:12.6 | So basically we're here today to talk about the workup for non-pregnant vaginal bleeding |
1:16.6 | and the emergency department. |
1:18.6 | Now this is a complaint you will see in females who are only a few days old, all the way up to |
1:23.6 | those in their 90s. |
1:24.6 | And while it can seem tough at first to try and sort out through the many |
1:28.5 | reasons that women present with vaginal bleeding, you can narrow your differential pretty quickly |
1:33.3 | by assessing vitals and taking a smart focus history with a thorough exam. |
1:39.2 | Adaira, you're absolutely right. Rather than dwell in all the details that people had to memorize |
... |
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