CME CREDIT NOW AVAILABLE-1.0 AMA PRA Category 1 Credit FOR EACH ISSUE (2 ARTICLES)!!!!!!
by Mona Kulkarni
Case: 15-year-old otherwise healthy adolescent presents to your office complaining of a menstrual cycle lasting longer than 10 days. She has been changing her sanitary pads hourly at times and passing heavy clots. Now she’s feeling a bit dizzy.
What is the work up that we need to do? The Heavy Menstrual Bleeding guideline was created by our team to help guide us in the evaluation.
Heavy Menstrual Bleeding (HMB) is one of the most common adolescent gynecology complaints we see in the ED. The differential diagnosis is broad including anovulatory cycles, hypothyroidism and underlying bleeding disorders (up to 20% of cases). The importance of early recognition and determination of the underlying cause can positively impact the teen’s quality of life, school attendance and sports participation.
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