Per vaginal bleeding in the exam
It is important to have a systematic way of approaching a case with per vaginal bleeding in the exam.
Premenopausal
- embedded IUD
- lost IUD
- submucosal fibroid
Pregnancy related
- perigestational hemorrhage
- intrauterine fetal demise
-
ectopic pregnancy
- ruptured ectopic
- cervical ectopic
- interstitial ectopic
- casarian scar ectopic
- anembryonic pregnancy
- gestational trophoblastic disease
- placenta previa
- placental abruption
- retained products of conception (RPOC)
Postmenopausal
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Exam technique
- exam technique