As I pick up more per diem shifts in the ER, I've been seeing more and more complaints of the dreaded vaginal bleeding.

At first, I avoided these patients as much as I could, because this isn't your every day complaint in the ICU.

I had no idea how to approach these patients - I mean the last time I did a speculum exam was when I was a student. So, I challenged myself to see more of these patients so that I could develop a good diagnostic algorithm and management plan.

So now I wouldn't say I'm a pro, but at least I know the right history questions to ask, the correct exams to perform, and the diagnostics to order as to not miss any life threatening problems.

Today, I want to discuss the approach to the vaginal bleeding patient:

• What's normal bleeding?
• What are the red flags for emergencies you don't want to miss?
• What are the common causes?
• What diagnostics are we ordering?

Let's get into today's podcast!

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