Points & Pearls: First trimester pregnancy emergencies: recognition and management

Timely management of patients presenting to the ED while in their first trimester of pregnancy can improve outcomes for both the patient and the fetus. Common obstetric problems encountered include vaginal bleeding and miscarriage, ectopic pregnancy and pregnancy of undetermined location, and nausea...

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Bibliographic Details
Published inEmergency medicine practice Vol. 21; no. Suppl 1; p. 1
Main Authors Pedigo, Ryan, Nusbaum, Jeffrey, Gupta, Nachi
Format Journal Article
LanguageEnglish
Published United States 01.01.2019
Subjects
Abortion, Spontaneous - diagnosis
Abortion, Spontaneous - therapy
Adult
Appendicitis - diagnosis
Appendicitis - therapy
Diagnosis, Differential
Female
Humans
Hyperemesis Gravidarum - diagnosis
Hyperemesis Gravidarum - therapy
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - therapy
Pregnancy Trimester, First
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - therapy
Urinary Tract Infections - diagnosis
Urinary Tract Infections - therapy
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Summary:Timely management of patients presenting to the ED while in their first trimester of pregnancy can improve outcomes for both the patient and the fetus. Common obstetric problems encountered include vaginal bleeding and miscarriage, ectopic pregnancy and pregnancy of undetermined location, and nausea and vomiting of pregnancy, including hyperemesis gravidarum. Optimal diagnostic approaches and management strategies are covered, including which antiemetics are safe to give in pregnancy. Common nonobstetric problems include asymptomatic bacteriuria, urinary tract infections including pyelonephritis, and acute appendicitis. This article also reviews the various imaging modalities available for pregnant patients and reviews the risks of ionizing radiation as well as various contrast media.[Points & Pearls is a digest of Emergency Medicine Practice.]
ISSN:1559-3908