#382 Abnormal Uterine Bleeding

With Dr Holly Wong Cummings

Listen in as we talk through abnormal uterine bleeding (AUB) with our esteemed guest Holly Wong Cummings, MD. We review the PALM-COEIN framework for AUB diagnosis and discuss options for acute and chronic treatment of AUB. We can get bleeding under control! Many of the treatments including progesterone only pills, combined oral contraceptives, and tranexamic acid are medications we in primary care should feel confident prescribing to our patients.

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Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak
• Normal Menstrual Cycle
• Nomenclature for AUB- PALM COEIN
• History and Physical Exam
• Laboratory and radiologic evaluation
• Structural causes for bleeding/interpreting the ultrasound
• Acute treatment of AUB
• When to refer to ED
• Chronic treatment for AUB
• When to refer to gyn
• Take home points
• Outro

Credits

• Producer, Writer, Show Notes: Molly Heublein MD
• Infographic: Edison Jyang
• Cover Art: Sarah Phoebe Roberts
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD
• Reviewer: Sai S Achi MD, MBA
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Holly Wong Cummings MD

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Full transcript available HERE