Category: Genitourinary/OB/GYN

Non-Pregnant Vaginal Bleeding

This is the follow up to our previous episode on vaginal bleeding. This week, we will discuss an approach to vaginal bleeding when the patient is NOT pregnant.

 

1st Trimester Vaginal Bleeding

This is one of the most common chief complaints in all of Emergency Medicine. You will have one of these cases during your rotation. The most important thing to remember are your 5 tests and also how to present these cases to your attending.

 

Priapism

When I was on my clerkship, a few of my classmates had patients present to the emergency department with priapism. It’s not common. But even if you don’t get a case during your clerkship, you will certainly see one during residency. There are two types of priapism: ischemic and non-ischemic. Ischemic is the type we will focus on this week. It is the most common type and, unfortunately, the most dangerous type. But don’t be scared, it’s not that hard. Just remember your anatomy, and follow the 5 basic steps.

Preeclampsia (Critical Diagnosis)

It’s time to start diving deep into the critical diagnoses of Emergency Medicine. Partially because I think we need to mix up the format every once in awhile to keep things interesting, but also because your attending will expect you to know the basics about these common emergencies. Today, we’re starting with preeclampsia. Never ignore a blood pressure greater than 135/85 in a pregnant woman! This is a HUGE pitfall that young doctors make, because a mildly elevated blood pressure may be the only objective warning you get before the patient develops massive end-organ damage, pregnancy failure, eclampsia, and HELLP syndrome. ALL pregnant patients >20 weeks and ALL recently postpartum patients with a blood pressure greater than 135/85 need certain tests, treatments, and OBGYN consultation. They might have the critical diagnosis – Preeclampsia