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1st Trimester Vaginal Bleeding episode artwork

Apr 30, 2017 8 min

1st Trimester Vaginal Bleeding

from EM Clerkship Hosted by Zack Olson, MD

The pregnancy test is the most important test in females of reproductive age! Five Important Tests in 1st Trimester Vaginal Bleeding * CBC* Hemoglobin/Hematocrit* Mild anemia in pregnancy is physiologic and normal* Thrombocytopenia* Type and Screen* Required for blood transfusion* Determines if patient needs RhoGAM* Rho(D) immune globulin* Binds fetal Rh antigens from a fetus so that mother doesn’t develop antibodies against future Rh positive children* Prevents hemolytic disease of the newborn* Give to Rh negative mothers to protect future Rh positive children* Quantitative hCG* hCG >1500* “Cutoff” where definitive pregnancy should be seen on ultrasound* If no pregnancy is seen, highly concerning for ectopic pregnancy* hCG (EM Clerkship)

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This episode was published on April 30, 2017.

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