Identification and Management of Adolescent Gynecologic Emergencies in the Emergency Department

CME : 4
Start Date :  Feb 01, 2019End Date :  Feb 01, 2022

Organized by :   EB Medicine

Specialties :   Pediatrics Adolescent Medicine, Obstetrics and Gynecology

Fees Fee :   Starting From Free

Conference Summary

Identification and Management of Adolescent Gynecologic Emergencies in the Emergency Department is organized by EB Medicine.

Date of Original Release: February 1, 2019
Date of most recent review:  January 15, 2019
Termination date:  February 1, 2022
CME Expiration Date: March 1, 2022

Target Audience:
This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

CME Credits:
4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits. 

Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits

About this Issue:
The differential diagnosis for adolescent gynecologic complaints can be broad, and these cases are often complicated by psychosocial factors, confidentiality concerns, and the need to recognize abuse and sexual assault. This issue provides recommendations for the evaluation and management of obstetric and gynecologic emergencies. You will learn:

• Obstetric and gynecologic causes of abdominal pain, pelvic pain, and abnormal uterine bleeding, including anatomic, infectious, and endocrine etiologies
• Key aspects of history-taking for adolescent patients with gynecologic emergencies
• When an external genitourinary examination or a pelvic examination is warranted
• When a single hCG test is sufficient, and when serial testing is necessary
• Recommendations for when laboratory screening (eg, a coagulation panel, endocrine workup, nucleic acid amplification testing, or urinalysis) and imaging studies are needed
• Appropriate management for adolescent patients with an ectopic pregnancy, abnormal uterine bleeding, a Bartholin cyst or abscess, adnexal torsion, or an ovarian cyst or mass
• Recommendations for management of adolescent patients with a sexually transmitted disease or pelvic inflammatory disease, as well as those who have experienced trauma or are a survivor of sexual assault
• General guidelines regarding confidentiality issues associated with adolescent sexual health services

Upon completion of this activity, you should be able to: 
• demonstrate medical decision-making based on the strongest clinical evidence; 
• cost-effectively diagnose and treat the most critical ED presentations
• describe the most common medicolegal pitfalls for each topic covered.

CME Objectives:
Upon completion of this article, you should be able to:
• Determine the differential diagnosis for pelvic pain and vaginal bleeding in adolescents
• Recognize and manage pelvic inflammatory disease and sexually transmitted infections in adolescent girls
• Determine the appropriate management of abnormal uterine bleeding
• Recognize complications of pregnancy that require immediate treatment or transfer to an adult facility
• Discuss the pharmacology related to these conditions and provide appropriate medications for bleeding, infection, and pregnancy prophylaxis.

✔Adult Abuse
  Adult Abuse
✔Pain Management
  Pain Management
✔Sexual Assault
  Sexual Assault
Credit Info

  • CME : 4
Author (s)
2 Author(s)
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