Vaginal bleeding in pregnancy (greater than 20wks): Difference between revisions

 
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==Background==
==Background==
Do NOT perform digital exam in pts who p/w vaginal bleeding when >20wks
*Do NOT perform digital exam in patients who present with vaginal bleeding when >20 weeks pregnant
*Only 20% of miscarriages occur after the first trimester
 
==Clinical Features==
*Vaginal bleeding
*Uterine fundus palpable above umbilicus
 
==Differential Diagnosis==
{{VB DDX greater than 20}}
 
==Evaluation==
===Workup===
*Pregnancy test (urine or serum)
*Hemoglobin (CBC or POC)
*Consider type & screen
 
===Diagnosis===
 
==Management==
 
 
==Disposition==


==DDx==
#[[Placental Abruption]]
#[[Placenta Previa]]
#[[Vasa Previa]]
#[[Uterine Rupture]]
#Premature labor
#Lesions/lacerations of vagina or lower genital tract


==See Also==
==See Also==
[[Normal Labor and Delivery]]
{{DDX undifferentiated VB}}
 
==External Links==
 


==Source==
==References==
Tintinalli
<references/>


[[Category:OB/GYN]]
[[Category:OBGYN]]

Latest revision as of 18:31, 12 January 2021

Background

  • Do NOT perform digital exam in patients who present with vaginal bleeding when >20 weeks pregnant
  • Only 20% of miscarriages occur after the first trimester

Clinical Features

  • Vaginal bleeding
  • Uterine fundus palpable above umbilicus

Differential Diagnosis

Vaginal Bleeding in Pregnancy (>20wks)

Evaluation

Workup

  • Pregnancy test (urine or serum)
  • Hemoglobin (CBC or POC)
  • Consider type & screen

Diagnosis

Management

Disposition

See Also

Vaginal bleeding (main)

External Links

References