Emergency Medicine at HCMC
History
A. Get a full obstetric history including
LMP, sexual history, history of STD’s, and any birth control
being used.
B. Amount of vaginal bleed in # of tampons or pads used in a day.
C. Last Pap smear.
D. Any urinary symptoms.
Work-up
A. Pelvic exam – we do GC/Chlamydia amplification during
almost all pelvic examinations, these will come back in 48 hours. ED
wet prep will come back in about 30 minutes. Pelvic examinations need
to be supervised by a senior resident or staff and a nurse needs to be
present.
B. U/A and UPT. If they have a uterus they need a UPT. If there is significant
bleeding the U/A should be a catheterized specimen and sent for culture
if abnormal or patient symptomatic.
C. Pregnant Vaginal Bleed – type needs to be done unless they have
a prior type at HCMC, call the blood bank.
For more information contact Richard
O. Gray MD.
Emergency
Medicine main page
Copyright © 2000 HCMC Emergency Medicine. All rights reserved.
Manual last modified: Wednesday May 07, 2003.
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