{"id":1542,"date":"2013-10-11T09:25:45","date_gmt":"2013-10-11T09:25:45","guid":{"rendered":"http:\/\/jacobimed.org\/NS\/?page_id=1542"},"modified":"2013-10-11T09:25:45","modified_gmt":"2013-10-11T09:25:45","slug":"ec-question-1","status":"publish","type":"page","link":"https:\/\/jacobimed.org\/old\/ambulatory\/mlove\/curriculumwomengeri-2\/emergency-contraception\/ec-question-1\/","title":{"rendered":"EC question 1"},"content":{"rendered":"<h1>Question #1<\/h1>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt; font-family: Arial;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoBodyText\"><span style=\"font-size: 14pt; font-style: normal;\">A gynecologic examination is<br \/>\nimportant to establish any evidence of assault.<span>&nbsp; <\/span>The exam may not be optimal in this situation because some time<br \/>\nhas passed and the patient likely would have showered causing further loss of<br \/>\nevidence.<span>&nbsp; <\/span>However hymen rupture,<br \/>\nlacerations or bruising may be helpful.<span>&nbsp;<br \/>\n<\/span>Additionally, STD&#8217;s including GC, gonorrhea, and HIV, should be ruled<br \/>\nout.<span>&nbsp; <\/span>It would be too early for any<br \/>\nsigns of pregnancy from this assault to be present.<span>&nbsp; <\/span>The patient should be examined generally for signs of trauma and<br \/>\nmental distress.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt; font-family: Arial;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p><span style=\"font-size: 14pt; font-family: Arial;\">The more sensitive pregnancy test, serum <\/span><span style=\"font-size: 14pt; font-family: Arial;\">&szlig;-<\/span><span style=\"font-size: 14pt; font-family: Arial;\">HCG, would not be positive until<br \/>\na week after conception.<span>&nbsp; <\/span>Therefore,<br \/>\naside from ruling out any prior pregnancy, it would not be of any value in<br \/>\nevaluating patients for emergency contraception.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Question #1 &nbsp; A gynecologic examination is important to establish any evidence of assault.&nbsp; The exam may not be optimal in this situation because some time has passed and the patient likely would have showered causing further loss of evidence.&nbsp; However hymen rupture, lacerations or bruising may be helpful.&nbsp; Additionally, STD&#8217;s including GC, gonorrhea, and&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1539,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1542","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/comments?post=1542"}],"version-history":[{"count":1,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1542\/revisions"}],"predecessor-version":[{"id":1544,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1542\/revisions\/1544"}],"up":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1539"}],"wp:attachment":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/media?parent=1542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}