Gynecological Emergencies

1
Gynecological Emergencies
2
AP Review

• Ovaries
• Fallopian Tubes
• Uterus
• Endometrium
• Cervix
• Vagina
• Perineum
• Labia
• Urethra

3
Menstrual Cycles

• Menses
• Menarche/Menopause
• Phases
• Proliferative
• Secretory
• Menstrual

4
Assessment

• Primary Secondary
• History
• Abdominal pain?
• Vaginal bleeding/discharge?
• Associated Medical Problems?
• Gravidity/Parity
• Previous C-Section, abortions?
• LMP? Normal flow? Regularity
• Birth Control?
• Bleeding/Pain during intercourse?

5
Specific Emergencies

• PID
• Ectopic Pregnancy
• Ovarian Cyst
• Appendicitis
• Cystitis
• Misc. other pelvic infection
• Mittelschmertz
• Management

6
Traumatic Emergencies

• Gynecological Trauma
• Sexual Assualt
• Not sexual act
• Rape vs. Sexual Assualt
• Assessment
• Management