CanadiEM Frontline Primer – Early Pregnancy – First Trimester Bleeding

Can’t Miss Diagnoses First Trimester Bleeding: Miscarriage (formerly known as spontaneous abortion) Ectopic pregnancy Infection Cervical/vaginal lesions Trauma Coagulopathy Points to focus upon Hx: Last Menstrual Cycle Determine if patient has been on fertility treatments, which will elevate their risk of heterotopic pregnancy (a concurrent intrauterine AND ectopic pregnancies) to roughly 1:200 (much more common than normal rates which are closer to 1:10,000). Prenatal care & screening, prenatal vitamins Screen for other first … Continue reading CanadiEM Frontline Primer – Early Pregnancy – First Trimester Bleeding