Episode 61 - Abnormal Uterine Bleeding

EMplify - September 2021Announcements: 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 !Abnormal Uterine Bleeding in the Emergency DepartmentAuthors:Tazeen Abbas, MDAbbas Husain, MD, FACEPPhysiology reviewTerminologyDifferentiating Causes: PALM-COEINStructural: Polyp, Adenomyosis, Leiomyoma, Malignancy/HyperplasiaNon-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specifiedOther causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exerciseAge Based Differential12-18Immaturity of the hypothalamic-pituitary- ovarian axisSexually transmitted infectionsCoagulopathies, and bleeding disorders (von Willibrand disease)19-39polypsfibroidsmalignancyPCOSAge 40 and olderendometrial atrophymalignancyHistoryPhysical ExamDiagnostic StudiesTreatmentUnstableStableSpecial CasesDOACsPrepubescent girlsgenital injuries