Pelvic pain causes: Difference between revisions

Jump to navigation Jump to search
Line 10: Line 10:


====Acute (<6 months)====
====Acute (<6 months)====
*[[Abdominal aortic aneurysm]]
*[[Abdominal aortic aneurysm]]
*[[Cervicitis]]
*[[Cervicitis]]
Line 18: Line 17:
*Incomplete [[abortion]]
*Incomplete [[abortion]]
*[[Intra-uterine device]]
*[[Intra-uterine device]]
*[[Irritable Bowel Syndrome]]
*[[Irritable bowel syndrome]]
*[[Midcycle ovulation]]
*[[Midcycle ovulation]]
*[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]]
*[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]]
Line 24: Line 23:
*[[Ovarian cyst]]
*[[Ovarian cyst]]
*[[Ovarian torsion]]
*[[Ovarian torsion]]
*[[Pelvic Inflammatory Disease]]
*[[Pelvic inflammatory disease]]
*Pelvic [[neoplasm]]
*Pelvic [[neoplasm]]
*[[Pelvic floor]] [[prolapse]]
*[[Pelvic floor]] [[prolapse]]
Line 33: Line 32:
*Threatened [[abortion]]
*Threatened [[abortion]]
*[[Tubo-ovarian abscess]]
*[[Tubo-ovarian abscess]]
*[[Urinary Tract Infection]]
*[[Urinary tract infection]]
*[[Uterine fibroids]]
*[[Uterine fibroids]]
*[[Vaginitis]]
*[[Vaginitis]]

Revision as of 03:02, 31 January 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Pain in the pelvis can be described as acute or chronic. Urologic, gastrointestinal and gynocologic problems can all be possible.

Causes

Causes in Alphabetical Order [1] [2]

Acute (<6 months)

Chronic (>6 months)

Diagnosis

History and Symptoms

  • Nature
  • Sensitivity
  • Onset
  • Pain occurrence
  • intercourse
  • menstrual
  • chronic vs. acute
  • Risk of pregnancy
  • Associated symptoms:

Abdomen

  • Full abdominal & pelvic exam - speculum, bimanual, rectal

Other

  • Examine for signs of physical abuse

Laboratory Findings

  • Labs include:

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

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Related Chapters


Template:WikiDoc Sources