SUMMARY:Sarena and Kavya discuss vignettes on third trimester bleeding with Sam Kempner, MD.

TIMESTAMPS:

00:34 Dr. Sam Kempner Biography

03:35: Case 1: 37-year-old G1P0 at 39 weeks and 3 days gestation presenting with painless vaginal bleeding

06:35: Case 2: 34-year-old nonbinary patient at 26 weeks gestation coming to the office due to vaginal bleeding.

10:30: Case 3: 41-year-old G3P2 at 27 weeks gestation with Di di twins coming into the office because she noticed bright red blood on her toilet paper

12:45: Case 4: 35-year-old G1P0 at 26 weeks one day who comes to triage due to decreased fetal movement

15:30: Case 5: 37 year old G1P0 at 39w3d presents to triage with painless vaginal bleeding

21:20: Wrap-up

LINKS:

Dr. Sam Kempner Bio

ACOG Early Pregnancy Loss Practice Bulletin

Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174.

Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing.

Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817.

ACOG Bleeding During Pregnancy FAQ

ACR Appropriateness Criteria Second and Third Trimester Bleeding

UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy

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TRANSCRIPT:https://bit.ly/ultrasounds_3rdTbleeding