TY - CHAP M1 - Book, Section TI - The Adolescent Pregnant Patient A1 - Bercaw-Pratt, Jennifer L. A1 - Okada, Pamela J. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Consider ectopic pregnancy in reproductive-age patients with abdominal pain and vaginal bleeding. It is the leading cause of maternal mortality during the first half of pregnancy.Examination of the cervix may exacerbate hemorrhage in patients with placenta previa.Placental abruption may present with concealed hemorrhage or vaginal bleeding and typically includes vaginal bleeding, abdominal pain, uterine tenderness, and contractions. Ultrasound is not sensitive for its diagnosis.The relatively high prevalence of preeclampsia should warrant obtaining a routine blood pressure and consideration of screening for proteinuria.Recognize the risk factors for deep vein thrombosis (DVT)/pulmonary embolism to improve timely diagnosis and appropriate treatment to assure good outcomes in the pregnant patient.Shock may be difficult to diagnose in the pregnant patient as blood volume, heart rate, and respiratory rate are physiologically increased during pregnancy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/04 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155747936 ER -