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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
Evaluation
Workup
- Pregnancy test (urine or serum)
- Hemoglobin (CBC or POC)
- Consider type & screen
Diagnosis
Management
Disposition
See Also
External Links
References