Pelvic pain causes: Difference between revisions
Jump to navigation
Jump to search
(/* Causes in Alphabetical Order Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016 Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachuse...) |
|||
Line 37: | Line 37: | ||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
===Causes in Alphabetical Order | ===Causes in Alphabetical Order | ||
*[[Abdominal aortic aneurysm]] | *[[Abdominal aortic aneurysm]] | ||
*[[Cervicitis]] | *[[Cervicitis]] | ||
Line 55: | Line 53: | ||
*[[Pelvic inflammatory disease]] | *[[Pelvic inflammatory disease]] | ||
*Pelvic [[neoplasm]] | *Pelvic [[neoplasm]] | ||
*[[Pelvic floor | *[[|pelvic floor|Pelvic floor prolapse]] | ||
*[[Primary dysmenorrhea]] | *[[Primary dysmenorrhea]] | ||
*Ruptured corpus luteal cyst | *Ruptured corpus luteal cyst | ||
Line 68: | Line 66: | ||
*[[Appendicitis]] | *[[Appendicitis]] | ||
*[[Cystitis]] | *[[Cystitis]] | ||
*[[Intussuception]] | *[[Intussuception]] | ||
*[[Large bowel obstruction]] | *[[Large bowel obstruction]] | ||
*[[Small bowel obstruction]] | *[[Small bowel obstruction]] | ||
*[[Volvulus]] | *[[Volvulus]] | ||
*[[Adenomyosis]] | *[[Adenomyosis]] | ||
*[[Depression]] | *[[Depression]] |
Revision as of 18:29, 7 August 2013
Resident Survival Guide |
File:Physician Extender Algorithms.gif |
Abdominal pain Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Abdominal pain On the Web |
American Roentgen Ray Society Images of Abdominal pain |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hilda Mahmoudi M.D., M.P.H.[2]
Overview
Pain in the pelvis can be described as acute or chronic. Urologic, gastrointestinal and gynecologic problems can all be possible.
Causes
Life Threatening Causes
- Abdominal aortic aneurysm
- Appendicitis
- Ectopic pregnancy
- Incomplete abortion
- Intussusception
- Large bowel obstruction
- Mesenteric ischemia
- Septic abortion
- Small bowel obstruction
- Volvulus
Common Causes
- Appendicitis
- Irritable bowel syndrome
- Midcycle ovulation
- Pelvic floor prolapse
- Urinary tract infection
- Chronic prostatitis
- Depression
Causes by Organ System
===Causes in Alphabetical Order
- Abdominal aortic aneurysm
- Cervicitis
- Diverticulitis
- Ectopic pregnancy
- Endometriosis
- Incomplete abortion
- Intra-uterine device
- Irritable bowel syndrome
- Midcycle ovulation
- Mesenteric ischemia/infarction
- Nephrolithiasis
- Ovarian cyst
- Ovarian torsion
- Pelvic inflammatory disease
- Pelvic neoplasm
- [[|pelvic floor|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
- Abdominal abscess
- Appendicitis
- Cystitis
- Intussuception
- Large bowel obstruction
- Small bowel obstruction
- Volvulus
- Adenomyosis
- Depression
- Diverticulosis
- Diverticular abscess
- Hernia
- IBD
- IBS
- Interstitial Cystitis
- Leiomyoma
- Lymphoma
- Pelvic adhesions
- Chronic prostatitis
- Crohn's disease
Diagnosis
History and Symptoms
- Nature
- Sensitivity
- Onset
- Pain occurrence
- Intercourse
- Menstrual
- Chronic vs. acute
- Risk of pregnancy
- Associated symptoms:
Physical Examination
Abdomen
- Full abdominal and pelvic exam - speculum, bimanual, rectal
Others
- Examine for signs of physical abuse
Laboratory Findings
- Labs include:
- Urine pregnancy test
- Urinalysis
- Gram stain and culture
- STD tests
- Vaginal smear wet mount
Ultrasound
- Ultrasound for ovarian cyst, mass, ectopic pregnancy vs. intrauterine pregnancy
Treatment
Medical Therapy
Acute Pharmacotherapies
- Oral contraceptives 3-4 months
- Provera 39mg QD/2 months
- Danazol 200-800mg QD/6 month
- GnRH agonist
- Treat STD's accordingly