Endometriosis physical examination: Difference between revisions
/* Digital examination of the vagina{{cite journal| author=Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG| title=Endometriosis and pelvic pain: relation to disease stage and localization. | journal=Fertil Steril | year= 19... |
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*Nodularity of the [[uterosacral ligaments]] | *Nodularity of the [[uterosacral ligaments]] | ||
*Narrowing of the [[Vaginal fornix|posterior vaginal fornix]] in patients with stage 3 and stage 4 disease | *Narrowing of the [[Vaginal fornix|posterior vaginal fornix]] in patients with stage 3 and stage 4 disease | ||
*Enlarged and fixed [[ovaries]] can be palpated | *Enlarged and fixed [[ovaries]] can be palpated | ||
*Lateral displacement of the [[cervix]] | *Lateral displacement of the [[cervix]] | ||
===Speculum examination of the vagina=== | ===Speculum examination of the vagina=== | ||
*Lesions of [[endometriosis]] may present on the [[cervix]] or [[vagina]]. | *Lesions of [[endometriosis]] may present on the [[cervix]] or [[vagina]]. | ||
Revision as of 19:22, 26 July 2017
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Endometriosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Endometriosis physical examination On the Web |
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American Roentgen Ray Society Images of Endometriosis physical examination |
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Risk calculators and risk factors for Endometriosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Mohammed Abdelwahed M.D[3]
Overview
Examination findings on digital vaginal examination and speculum examination include fixed retroverted uterus, palpable nodularity of the uterosacral ligaments, and cul-de-sac with narrowing of the posterior fornix.
Physical Examination
Physical Examination findings in a patient with endometriosis include:[1]
HEENT
Pallor may be present due to anemia.
Cardiovascular
Normal heart sounds are heard.
Respiratory
Decreased breath sound and tenderness -especially on the right side- is commonly present in patients with thoracic endometriosis.
Abdominal examination
- Lower abdominal tenderness will be present.
- The bi-manual examination will demonstrate a fixed retroverted uterus with tenderness.
Digital examination of the vagina[2]
Common physical examination findings on digital examination include:
- Fixed retroverted uterus
- Nodularity of the uterosacral ligaments
- Narrowing of the posterior vaginal fornix in patients with stage 3 and stage 4 disease
- Enlarged and fixed ovaries can be palpated
- Lateral displacement of the cervix
Speculum examination of the vagina
- Lesions of endometriosis may present on the cervix or vagina.
- Cervical displacement can be visualized.
References
- ↑ Cranney R, Condous G, Reid S (2017). "An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma". Acta Obstet Gynecol Scand. 96 (6): 633–643. doi:10.1111/aogs.13114. PMID 28186620.
- ↑ Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG (1996). "Endometriosis and pelvic pain: relation to disease stage and localization". Fertil Steril. 65 (2): 299–304. PMID 8566252.