A female patient, with a previous history of an ectopic pregnancy, presents to the ED with abdominal pain and vaginal bleeding following a positive home pregnancy test. What is the likelihood that the patient is experiencing a second ectopic pregnancy? Read this week’s review to find out.
EM@3AM – Ectopic Pregnancy Read More »
Cardiac arrhythmias are not common in pregnancy, but they can occur. While the workup and management is quite similar to the non-pregnant patient, there are subtle differences. This is a brief review of the ED management of unstable and stable tachycardic arrhythmias in pregnancy.
Tachycardic Arrhythmias in Pregnancy: Management Read More »
Pelvic Inflammatory Disease (PID) is an important complication of sexually transmitted diseases. Adequate treatment is important to prevent complications such as infertility and systemic disease. This is a brief overview of PID , its workup and management in the emergency department.
Pelvic Inflammatory Disease: Pearls and Pitfalls Read More »
Though many obstetric complications occur during pregnancy, the pregnant woman is still a woman with all her other organs that can be at risk, regardless of her pregnancy status. Typically, patients with obstetric complications will complain of uterine tenderness, vaginal bleeding and may have abnormal fetal heart tones on monitoring. When signs and symptoms do not support an obstetric cause for the patient’s abdominal pain, it is imperative that the differential is still wide for all other causes.
Intraabdominal Catastrophes in the Pregnant Patient Read More »
Third trimester pregnant patients are not seen commonly in the emergency department, but when they are, they have the potential for severe complications such as hemorrhagic shock. This article reviews the most serious causes of bleeding in the third trimester of pregnancy and also discusses management options.
The Bleeding Pregnant Patient in the Third Trimester: Pearls and Pitfalls Read More »
Patients who undergo elective abortions may present to the emergency department for various symptoms and complications due to their recent procedures. This is a brief article of the complications of elective abortion. Workup and management of these complications are also reviewed.
Recent Elective Abortion Read More »
Common postpartum emergencies include hemorrhage, infections, hypertension, preeclampsia/eclampsia, and headache. HELLP and peripartum cardiomyopathy are rare postpartum complications. This article reviews the presentation of these emergencies and how they are properly diagnosed and managed in the emergency department.
Postpartum (within 1st month) Emergencies and their Management Read More »
The pediatric and gravid populations have special needs regarding imaging for abdominal pain. This article reviews the more common causes of abdominal pain in children and pregnant women and how to approach imaging in these populations.
Guidelines for Imaging: Abdominal Pain in the Pediatric and Gravid Populations Read More »
Female abdominal pain possesses a large differential with several key diagnoses. Ovarian torsion is one such diagnosis. What are the keys in presentation, diagnosis, and management of ovarian torsion?
Ovarian Torsion: Pearls and Pitfalls Read More »
“Packing may be the most effective hemostatic temporizing measure that can be performed in the ED”
Jessica Lopez, MD discusses the management of the non-pregnant patient with severe vaginal bleeding, including tamponade techniques and the utility of tranexamic acid.
Massive Vaginal Bleeding Read More »