Vaginal bleeding in the first 20 weeks of pregnancy.
The first and foremost diagnosis to exclude in the pregnant patient presenting with vaginal bleeding is ectopic pregnancy. Once ectopic pregnancy is ruled out, miscarriage should be considered as a clinical spectrum. Its management is directed according to the integrity of the internal cervical os and patient hemodynamic status. Treatment with anti-D immune globulin is warranted for all Rh-negative patients. Urgent obstetric consultation is necessary for most miscarriage presentations.
Coppola
Paolo T
PT
Department of Emergency Medicine, Brookhaven Memorial Hospital, 101 Hospital Road, East Patchogue, NY 11772, USA.
Coppola
Marco
M
D000022:Abortion, Spontaneous / Q000145:classification / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D015415:Biomarkers / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D003937:Diagnosis, Differential; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D011271:Pregnancy, Ectopic / Q000175:diagnosis; D012307:Risk Factors; D009626:Terminology as Topic; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000209:etiology*; D014594:Uterine Neoplasms / Q000175:diagnosis
D015415:Biomarkers; D018997:Chorionic Gonadotropin, beta Subunit, Human