Vaginal bleeding (main): Difference between revisions
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==Background== | ==Background== | ||
==Clinical Features== | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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===[[Postpartum hemorrhage]]=== | ===[[Postpartum hemorrhage]]=== | ||
==Workup | ==Evaluation== | ||
===Workup=== | |||
===Diagnosis=== | |||
'''See individual pages:''' | '''See individual pages:''' | ||
*[[Vaginal Bleeding (Non-Pregnant)]] | *[[Vaginal Bleeding (Non-Pregnant)]] | ||
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*[[Post-Partum Hemorrhage]] | *[[Post-Partum Hemorrhage]] | ||
*[[Vaginal bleeding (peds)]] | *[[Vaginal bleeding (peds)]] | ||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
*[[Vaginal bleeding (peds)]] | *[[Vaginal bleeding (peds)]] | ||
*[[Non-pregnant vaginal bleeding]] | *[[Non-pregnant vaginal bleeding]] | ||
==External Links== | |||
==References== | |||
<references/> | |||
[[Category:OBGYN]] | [[Category:OBGYN]] | ||
Revision as of 17:34, 12 January 2021
Background
Clinical Features
Differential Diagnosis
Nonpregnant Vaginal Bleeding
Systemic Causes
- Cirrhosis
- Coagulopathy (Von Willebrand disease, ITP)
- Group A strep vaginitis (prepubertal girls)
- Hormone replacement therapy
- Anticoagulants
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Hypothyroidism
- Polycystic Ovary Syndrome
- Secondary anovulation
Reproductive Tract Causes
- Adenomyosis
- Atrophic endometrium
- Dysfunctional uterine bleeding
- Endometriosis
- Leiomyoma (Fibroid)
- Foreign Body
- Infection (vaginitis, PID)
- IUD
- Neoplasia (especially in women >45 years old or in younger women with other risk factors)
- Vaginal Trauma
Vaginal Bleeding in Pregnancy (<20wks)
- Ectopic pregnancy
- Subchorionic hematoma
- First Trimester Abortion
- Complete Abortion
- Incomplete Abortion
- Inevitable Abortion
- Missed Abortion
- Septic abortion
- Threatened Abortion
- Gestational trophoblastic disease
- Consider when pregnancy-induced hypertension is seen before 24 wks of gestation
- Heterotopic pregnancy
- Implantation bleeding
- Molar pregnancy
- Non-pregnancy related bleeding
- Cervicitis
- Fibroids
- Implantation bleeding
Vaginal Bleeding in Pregnancy (>20wks)
- Emergent delivery
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Preterm labor
- Vaginal trauma
- Placenta accreta
- Intrauterine fetal demise
Postpartum hemorrhage
Evaluation
Workup
Diagnosis
See individual pages:
- Vaginal Bleeding (Non-Pregnant)
- Vaginal Bleeding Pregnant (less than 20wks)
- Vaginal Bleeding Pregnant (greater than 20wks)
- Post-Partum Hemorrhage
- Vaginal bleeding (peds)