Episode 61 – Abnormal Uterine Bleeding

EMplify - September 2021 Announcements: 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 Department Authors: Tazeen Abbas, MD Abbas Husain, MD, FACEP Physiology review Terminology Differentiating Causes: PALM-COEIN Structural: Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia Non-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specified Other causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exercise Age Based Differential 12-18 Immaturity of the hypothalamic-pituitary- ovarian axis Sexually transmitted infections Coagulopathies, and bleeding disorders (von Willibrand disease) 19-39 polyps fibroids malignancy PCOS Age 40 and older endometrial atrophy malignancy History Physical Exam Diagnostic Studies Treatment Unstable Stable Special Cases DOACs Prepubescent girls genital injuries