A 34-year-old woman with heavy vaginal bleeding.


History of present illness A 45-year-old gravida 6, para 6 woman presents to the emergency department with a complaint of 2 days of heavy vaginal bleeding and passing clots. She is light-headed and short of breath. Previously she had regular but heavy periods. A few days prior to this bleeding episode she noted increasing pelvic pressure and a malodorous vaginal discharge. Her past medical history is significant for recurrent anemia thought to be from abnormal uterine bleeding. Her surgical history is significant for a previous postpartum tubal ligation. She takes no medications.

DOI: 10.1016/j.jen.2014.10.003

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@article{Normandin2015A3W, title={A 34-year-old woman with heavy vaginal bleeding.}, author={Patricia A Normandin and Margaret M Sullivan and Foster R. Goss}, journal={Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association}, year={2015}, volume={41 1}, pages={69-70} }