drbcshah
Forum Elite
Topics: 47
Posts: 226
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I wish to start a CCS Discussion topic in this blog
First case --
14 y o African American girl comes to ER with severe vaginal bleeding
History of present illness:
A 14 yr AAF girl with profuse vaginal bleeding comes to ER. She had her menarche 3 months ago and had irregular bleeding since then.
No h/o major illness in past No FH of bleeding diathesis
No Medication / No Allergies
Next Step ?
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| drbcshah
Forum Elite
Topics: 47
Posts: 226
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P - 104
BP - 100/60
pallor +, no cyanosis,no edema
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| dr_arc
Forum Senior
Topics: 5
Posts: 156
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IV access
pulseox
Bld grp/Xmatch
Urine preg test
CBC
BT
PT/PTT/INR
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| drbcshah
Forum Elite
Topics: 47
Posts: 226
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IV Access
Normal Saline Bolus and Continuous
then investigations
Phy Exam -- General
Genital
Abdomen
RS / CVS
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| Drnxn
Forum Newbie
Topics: 0
Posts: 1
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you check by clicking interval exam this is after you got iv access etc. bp is low and ? do u do next?
lab vwf
iv estrogen
then do interval exam see what happens...
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