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| __NOTOC__
| | #REDIRECT [[Causes of pelvic pain]] |
| {{CMG}}
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| ==Overview==
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| Pain in the pelvis can be described as acute or chronic. Urologic, gastrointestinal and gynocologic problems can all be possible.
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| == Causes ==
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| In alphabetical order: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
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| ===Acute (<6 months)===
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| *[[Abdominal aortic aneurysm]]
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| *[[Cervicitis]]
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| *[[Diverticulitis]]
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| *[[Ectopic pregnancy]]
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| *[[Endometriosis]]
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| *Incomplete [[abortion]]
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| *[[Intra-uterine device]]
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| *[[Irritable Bowel Syndrome]]
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| *[[Midcycle ovulation]]
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| *[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]]
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| *[[Nephrolithiasis]]
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| *[[Ovarian cyst]]
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| *[[Ovarian torsion]]
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| *[[Pelvic Inflammatory Disease]]
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| *Pelvic [[neoplasm]]
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| *[[Pelvic floor]] [[prolapse]]
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| *[[Primary dysmenorrhea]]
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| *Ruptured corpus luteal cyst
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| *[[Septic abortion]]
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| *[[Sexual abuse]]/[[trauma]]
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| *Threatened [[abortion]]
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| *[[Tubo-ovarian abscess]]
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| *[[Urinary Tract Infection]]
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| *[[Uterine fibroids]]
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| *[[Vaginitis]]
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| ===Chronic (>6 months)===
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| *[[Adenomyosis]]
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| *[[Depression]]
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| *[[Diverticulosis]]
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| *Diverticular [[abscess]]
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| *[[Hernia]]
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| *[[IBD]]
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| *[[IBS]]
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| *[[Interstitial Cystitis]]
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| *[[Leiomyoma]]
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| *[[Lymphoma]]
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| *Pelvic [[adhesion]]s
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| == Diagnosis ==
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| === History and Symptoms ===
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| *Nature
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| *Sensitivity
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| *Onset
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| *Pain occurrence
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| :*intercourse
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| :*menstrual
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| :*chronic vs. acute
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| *Risk of pregnancy
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| *Associated symptoms:
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| :*[[fever]]
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| :*[[nausea]]
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| :*[[vomiting]]
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| :*[[dysuria]]
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| :*[[vaginal bleeding]]
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| :*[[vaginal discharge]]
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| :*[[abdominal pain]] or [[back pain]]
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| === Abdomen ===
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| *Full abdominal & pelvic exam - speculum, bimanual, rectal
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| === Other ===
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| *Examine for signs of physical abuse
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| === Laboratory Findings ===
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| *Labs include:
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| :*Urine [[pregnancy test]]
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| :*[[urinalysis]]
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| :*[[gram stain]] & culture
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| :*[[STD]] tests
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| :*vaginal smear wet mount
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| === Echocardiography or Ultrasound ===
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| *Ultrasound for ovarian cyst, mass, ectopic pregnancy vs. intrauterine pregnancy
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| == Treatment ==
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| *Positive pregnancy test
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| :*Determine LMP
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| :*confirm intrauterine pregnancy
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| === Acute Pharmacotherapies ===
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| *Endometriosis
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| :*Oral contraceptives 3-4 months
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| :*Provera 39mg QD/2 months
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| :*Danazol 200-800mg QD/6 month
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| :*GnRH agonist
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| *Primary dysmennorhea
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| :*Oral contraceptives
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| *Treat STD's accordingly
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| ==References==
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| {{Reflist|2}}
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| ==Related Chapters==
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| * [[Pain]]
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| * [[Chronic pelvic pain]]
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| [[Category:Gynecology]]
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| [[Category:Gastroenterology]]
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| [[Category:Signs and symptoms]]
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| [[Category:Emergency medicine]]
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| [[Category:Primary care]]
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