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Biomedical subjects

Sheila Bryan

Publications and source records attributed to Sheila Bryan.

3 recordsLinked to original sources

Abnormal vaginal bleeding.

The complaint of abnormal vaginal bleeding in a non-pregnant patient is not a common presentation to a general ED. However, the bleeding may in itself be significant or it may be a harbinger of serious underlying pathology. A systematic approach to diagnosis is required. An initial approach to vaginal bleeding can be to categorize the bleeding by the anatomical site. This article discusses some of the common causes of upper tract or uterine bleeding and outlines the basic approach to diagnosis and management.

Emergency Medical Services↗

Current challenges in the assessment and management of patients with bleeding in early pregnancy.

Bleeding in early pregnancy occurs in approximately 20% of clinically diagnosed pregnancies. History and physical examination are unable to reliably determine the anatomical location of the pregnancy (ectopic or intrauterine) or whether or not the fetus is alive. Ultrasound is the best tool for assessing these clinical questions and it is increasingly being used in the ED. This article looks at some of the common ultrasound findings and discusses the management options for failed and ectopic pregnancies.

Emergency Medical Services↗

Female sexual health.

Many aspects of sexual health relate to either preventative medicine (contraception) or managing normal physiological states (pregnancy, menopause). This article looks at some of the emergency aspects of female sexual health including genital tract trauma and genital infections.

Contraceptives, Postcoital↗