See also:
     Early Pregnancy Bleeding 
Hx
     Pre vs. postmenopausal
     Duration
     Amount
     Menstrual history
     Last menstrual period
     Associated discharge
     Pelvic or abdominal pain
     Urinary symptoms
     Trauma
     Medications
          Warfarin
          Contraceptives
PMHx
     Easy bleeding or bruising
     Abnormal Pap smears
PE
     Vital signs
     Abdominal exam
     Complete pelvic exam
Ddx
     Uterine fibroids
     Dysfunctional uterine bleeding
     Coagulation disorders
          von Willebrand's disease
          Hemophilia
     Cervical cancer
     Endometrial cancer
     Cervical polyp
     Cervicitis
     Spontaneous abortion
     Trauma (e.g. Cervical laceration)
          Accidental trauma is the most common cause of vaginal bleeding in children
     Molar pregnancy
     Ectopic pregnancy
     Ruptured ovarian cyst
     Hypothyroidism
     Ovarian torsion
     Pelvic inflammatory disease
     Diabetes mellitus

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.