First trimester vaginal bleeding

First trimester vaginal bleeding may not be as exciting as a GSW to the chest but it’s something that we see a lot in the ED and we have the chance to make a positive impact even if the news isn’t good.  The workup can seem very cookbook at times but its important that we get it right.  In this episode, we’ll review the basic workup and disposition of first trimester vaginal bleeding.  Just as important as the medicine, we’ll also review how to talk to patients about this sensitive and worrisome diagnosis.

First Trimester Vaginal Bleeding

First Trimester Vaginal Bleeding show notes (Word format)

First Trimester Vaginal Bleeding show notes (PDF format)


2 Comments on “First trimester vaginal bleeding”

  1. Dr. Greenhut says:

    If you see tissue during the pelvic exam, you may want to collect it in an appropriate container and send it for pathology evaluation.

    • EM Basic says:

      Great point and something worth mentioning…I’m planning to re-record my current episodes once I get a better microphone setup so I’ll make sure to put that in there…thanks for listening and commenting!


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