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 CCS Discussion  



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Author5 Posts
  #1

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 ?





  #2

P - 104

BP - 100/60

pallor +, no cyanosis,no edema





  #3

IV access
pulseox
Bld grp/Xmatch
Urine preg test
CBC
BT
PT/PTT/INR





  #4

IV Access
Normal Saline Bolus and Continuous
then investigations

Phy Exam -- General
Genital
Abdomen
RS / CVS


  #5

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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