Pelvic pain causes: Difference between revisions

Jump to navigation Jump to search
(Redirected page to Causes of pelvic pain)
 
(60 intermediate revisions by 5 users not shown)
Line 1: Line 1:
__NOTOC__
#REDIRECT [[Causes of pelvic pain]]
{{SI}}
{{CMG}}
 
==Overview==
[[Pain]] in the [[pelvis]] can be described as acute or chronic. Urologic, gastrointestinal and gynaecologic problems can all be possible.
 
== Causes ==
 
===Causes 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>===
 
====Acute (<6 months)====
*[[Abdominal aortic aneurysm]]
*[[Cervicitis]]
*[[Diverticulitis]]
*[[Ectopic pregnancy]]
*[[Endometriosis]]
*Incomplete [[abortion]]
*[[Intra-uterine device]]
*[[Irritable bowel syndrome]]
*[[Midcycle ovulation]]
*[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]]
*[[Nephrolithiasis]]
*[[Ovarian cyst]]
*[[Ovarian torsion]]
*[[Pelvic inflammatory disease]]
*Pelvic [[neoplasm]]
*[[Pelvic floor]] [[prolapse]]
*[[Primary dysmenorrhea]]
*Ruptured corpus luteal cyst
*[[Septic abortion]]
*[[Sexual abuse]]/[[trauma]]
*Threatened [[abortion]]
*[[Tubo-ovarian abscess]]
*[[Urinary tract infection]]
*[[Uterine fibroids]]
*[[Vaginitis]]
 
====Chronic (>6 months)====
 
*[[Adenomyosis]]
*[[Depression]]
*[[Diverticulosis]]
*Diverticular [[abscess]]
*[[Hernia]]
*[[IBD]]
*[[IBS]]
*[[Interstitial Cystitis]]
*[[Leiomyoma]]
*[[Lymphoma]]
*Pelvic [[adhesion]]s
 
== Diagnosis ==
 
=== History and Symptoms ===
*Nature
*Sensitivity
*Onset
*[[Pain]] occurrence
:*[[Intercourse]]
:*[[Menstrual]]
:*Chronic vs. acute
*Risk of [[pregnancy]]
*Associated symptoms:
:*[[Fever]]
:*[[Nausea]]
:*[[Vomiting]]
:*[[Dysuria]]
:*[[Vaginal bleeding]]
:*[[Vaginal discharge]]
:*[[Abdominal pain]] or [[back pain]]
 
=== Abdomen ===
 
*Full abdominal and pelvic exam - speculum, bimanual, rectal
 
=== Other ===
*Examine for signs of [[physical abuse]]
 
=== Laboratory Findings ===
*Labs include:
:*Urine [[pregnancy test]]
:*[[Urinalysis]]
:*[[Gram stain]] and culture
:*[[STD]] tests
:*Vaginal smear wet mount
 
=== Echocardiography or Ultrasound ===
*Ultrasound for [[ovarian cyst]], mass, [[ectopic pregnancy]] vs. intrauterine [[pregnancy]]
 
== Treatment ==
*Positive [[pregnancy]] test
:*Determine LMP
:*Confirm intrauterine [[pregnancy]]
 
=== Acute Pharmacotherapies ===
*[[Endometriosis]]
:*[[Oral contraceptives]] 3-4 months
:*[[Provera]] 39mg QD/2 months
:*[[Danazol]] 200-800mg QD/6 month
:*[[GnRH agonist]]
*[[Primary dysmennorhea]]
:*[[Oral contraceptives]]
*Treat STD's accordingly
 
==References==
{{Reflist|2}}
 
==Related Chapters==
* [[Pain]]
* [[Chronic pelvic pain]]
 
 
[[Category:Gynecology]]
[[Category:Gastroenterology]]
[[Category:Signs and symptoms]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
 
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Latest revision as of 12:19, 13 August 2013