Vaginal bleeding (main): Difference between revisions
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== | ==Background== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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'''Pregnant >20 Weeks''' | '''Pregnant >20 Weeks''' | ||
{{VB DDX greater than 20}} | {{VB DDX greater than 20}} | ||
==Workup== | |||
'''See individual notes:''' | |||
*[[Vaginal Bleeding (Non-Pregnant)]] | |||
*[[Vaginal Bleeding Pregnant (less than 20wks)]] | |||
**[[First Trimester Abortion]] | |||
*[[Vaginal Bleeding Pregnant (greater than 20wks)]] | |||
*[[Post-Partum Hemorrhage]] | |||
==See Also== | ==See Also== |
Revision as of 18:41, 12 September 2014
Background
Differential Diagnosis
Non-Pregnant
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
- Fibroids
- Foreign Body
- Infection (vaginitis, PID)
- IUD
- Neoplasia (especially in women >45 years old or in younger women with other risk factors)
- Vaginal Trauma
Pregnant <20 Weeks
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
Pregnant >20 Weeks
Vaginal Bleeding in Pregnancy (>20wks)
- Emergent delivery
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Preterm labor
- Vaginal trauma
- Placenta accreta
- Intrauterine fetal demise
Workup
See individual notes:
- Vaginal Bleeding (Non-Pregnant)
- Vaginal Bleeding Pregnant (less than 20wks)
- Vaginal Bleeding Pregnant (greater than 20wks)
- Post-Partum Hemorrhage