Michelle Forcier

OVERVIEW: What every practitioner needs to know Spontaneous abortion (SAB) may be diagnosed incidentally on ultrasound or may present with amenorrhea, vaginal bleeding, and/or pelvic pain. A pregnancy test should performed on all women of childbearing age who present with vaginal bleeding. Physical exam is important to assess hemodynamic stability, abdominal tenderness or peritoneal signs,…

OVERVIEW: What every practitioner needs to know Ectopic pregnancy is an urgent obstetrical complication that should be considered when a reproductive-aged female presents with any combination of amenorrhea, vaginal bleeding, and pelvic pain. It is important to remember that one cannot rely on symptoms and physical findings alone to rule out ectopic pregnancy. The clinical…

OVERVIEW: What every practitioner needs to know Are you sure your patient has hyperemesis? What are the typical findings for this disease? Any reproductive age female with nausea, vomiting and general fatigue should be evaluated for pregnancy, including hyperemesis gravidarum (HG) in the differential diagnosis. As many adolescents will not be aware or actively present…

OVERVIEW: What every practitioner needs to know Are you sure your patient has disordered uterine bleeding? What are the typical findings for this disease? Disordered uterine bleeding can be used as a very broad term describing uterine bleeding that is irregular, heavy, or otherwise considered problematic. Historically, there is a variety of medical terminology for…