Specific Gynecological Emergencies

Specific Gynecological Emergencies Include:

Pelvic Inflammatory Disease (PID): caused by bacteria. Signs and symptoms: fever, lower ab pain, discharge, dyspareunia, guarding. Can lead to sepsis, and infertility
Ruptured Ovarian Cyst: follicles stimulated by hormones enlarge and can rupture> significant hemorrhage>hypotensive
Ectopic Pregnancy: implantation of a fertilized egg outside of the uterus. 1 in 200. Consider this first for any female age 12-50.
Tubal rupture> massive bleeding> shock.
Straddle injuries: trauma to perineum due to a fall
Blunt trauma: MVA, physical assault, falls
Foreign bodies: don’t try and remove, transport asap

Vaginal Bleeding:
Miscarriage: spontaneous demise of a pregnancy. Collect any tissue/clots to take to hospital
Placenta Previa: abnormal positioning of the placenta over the cervix opening. Profuse, painless bright red bleeding
Abruptio Placenta: premature detachment of a normally situated placenta. Severe, constant low pain and dark red bleeding

Sexual Assault: be professional, empathetic, show respect, help them cope, be an advocate for the patient and provide a comforting environment. Preserve evidence, collect clothing, do not wash or urinate

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