CHAPTER 92 ■ GYNECOLOGY EMERGENCIES PAYAL K GALA, ALETHA Y AKERS, MEG WOLFF GOALS OF EMERGENCY CARE Pediatric gynecologic complaints are common and are often accompanied by considerable anxiety The goals of evaluation in the emergency department (ED) are to identify life-threatening etiologies, such as ruptured ectopic pregnancy, to ensure appropriate diagnosis and treatment of nonemergency etiologies, such as infection and disorders of menstruation, and to ensure appropriate follow-up care with subspecialists or the primary care physician KEY POINTS Pregnancy should be considered in all adolescent patients presenting to the emergency department Patients with severe abnormal uterine bleeding should be quickly assessed for hemodynamic instability Pelvic inflammatory disease can lead to long-term pain and dysfunction if the diagnosis is missed or the condition is inadequately treated RELATED CHAPTERS