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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Decreased breath sound and tenderness -especially on the right side- is commonly present in patients with thoracic endometriosis. | Decreased breath sound and tenderness -especially on the right side- is commonly present in patients with thoracic endometriosis. | ||
===Abdominal examination=== | ===Abdominal examination=== | ||
*[[Abdominal tenderness|Lower abdominal tenderness]] | *[[Abdominal tenderness|Lower abdominal tenderness]] | ||
* | *Fixed and tender retroverted [[uterus]] (bi-manual examination) | ||
===Digital examination of the vagina=== | ===Digital examination of the vagina=== | ||
Common physical examination findings on digital examination include:<ref name="pmid8566252">{{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= 1996 | volume= 65 | issue= 2 | pages= 299-304 | pmid=8566252 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8566252 }}</ref> | Common physical examination findings on digital examination include:<ref name="pmid8566252">{{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= 1996 | volume= 65 | issue= 2 | pages= 299-304 | pmid=8566252 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8566252 }}</ref> | ||
Revision as of 13:31, 28 July 2017
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Endometriosis physical examination On the Web |
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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
- Fixed and tender retroverted uterus (bi-manual examination)
Digital examination of the vagina
Common physical examination findings on digital examination include:[2]
- 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.