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{
    "pk": 7506,
    "title": "Uterine Arteriovenous Malformation with Sudden Heavy Vaginal Hemmorhage",
    "subtitle": null,
    "abstract": "Dysfunctional uterine bleeding (DUB) is a common presentation in the emergency department and has a wide differential. Most presentations of DUB are in hemodynamically stable patients and can be evaluated as an outpatient. Uterine arteriovenous malformation (AVM) is one presentation that can result in a life-threatening medical emergency with unexpected sudden and massive vaginal bleeding. We describe a case of a 24-year-old female with sudden heavy vaginal bleeding requiring a blood transfusion, ultrasound evidence of uterine AVM, and a treatment method of expectant management using an intrauterine device in an attempt to preserve fertility. [West J Emerg Med. 2013;14(5):411-414.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Dysfunctional Uterine Bleeding"
        },
        {
            "word": "Uterine Arteriovenous Malformation"
        },
        {
            "word": "Uterine Arteriovenous Malformations"
        },
        {
            "word": "Vaginal Hemorrhage"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Gynecology"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0g50t2b0",
    "frozenauthors": [
        {
            "first_name": "Sarah",
            "middle_name": "Tolford",
            "last_name": "Selby",
            "name_suffix": "",
            "institution": "Albert Einstein College of Medicine, Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York",
            "department": "None"
        },
        {
            "first_name": "Marianne",
            "middle_name": "",
            "last_name": "Haughey",
            "name_suffix": "",
            "institution": "Albert Einstein College of Medicine, Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2012-07-24T20:17:48Z",
    "date_accepted": "2012-07-24T20:17:48Z",
    "date_published": "2013-09-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7506/galley/4429/download/"
        }
    ]
}