Pelvic pain causes: Difference between revisions
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===Causes by Organ System=== | ===Causes by Organ System=== | ||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
*[[Abdominal abscess]] | |||
*[[Abdominal aortic aneurysm]] | *[[Abdominal aortic aneurysm]] | ||
*[[Abscess]] | |||
*[[Adenomyosis]] | |||
*[[Adhesion (medicine)|Adhesion]] | |||
*[[Appendicitis]] | |||
*[[Cervicitis]] | *[[Cervicitis]] | ||
*[[Chronic prostatitis]] | |||
*[[Crohn's disease]] | |||
*[[Cystitis]] | |||
*[[Depression]] | |||
*[[Diverticulitis]] | *[[Diverticulitis]] | ||
*[[Diverticulosis]] | |||
*[[Diverticulosis]] | |||
*[[Ectopic pregnancy]] | *[[Ectopic pregnancy]] | ||
*[[Endometriosis]] | *[[Endometriosis]] | ||
*[[Hernia]] | |||
*[[IBD]] | |||
*[[abortion|Incomplete abortion]] | *[[abortion|Incomplete abortion]] | ||
*[[Interstitial Cystitis]] | |||
*[[Intra-uterine device]] | *[[Intra-uterine device]] | ||
*[[Intussusception]] | |||
*[[Irritable bowel syndrome]] | *[[Irritable bowel syndrome]] | ||
*[[Large bowel obstruction]] | |||
*[[Leiomyoma]] | |||
*[[Lymphoma]] | |||
*[[Mesenteric ischemia]] | |||
*[[Midcycle ovulation]] | *[[Midcycle ovulation]] | ||
*[[Nephrolithiasis]] | *[[Nephrolithiasis]] | ||
*[[Ovarian cyst]] | *[[Ovarian cyst]] | ||
*[[Ovarian torsion]] | *[[Ovarian torsion]] | ||
*[[pelvic floor|Pelvic floor prolapse]] | |||
*[[Pelvic inflammatory disease]] | *[[Pelvic inflammatory disease]] | ||
*[[Pelvic masses]] | *[[Pelvic masses]] | ||
*[[Primary dysmenorrhea]] | *[[Primary dysmenorrhea]] | ||
*[[Ruptured corpus luteal cyst]] | *[[Ruptured corpus luteal cyst]] | ||
*[[Septic abortion]] | *[[Septic abortion]] | ||
*[[Sexual abuse]] | *[[Sexual abuse]] | ||
*[[Small bowel obstruction]] | |||
*[[trauma]] | *[[trauma]] | ||
*[[Tubo-ovarian abscess]] | *[[Tubo-ovarian abscess]] | ||
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*[[Uterine fibroids]] | *[[Uterine fibroids]] | ||
*[[Vaginitis]] | *[[Vaginitis]] | ||
*[[Volvulus]] | *[[Volvulus]] | ||
== Diagnosis == | == Diagnosis == |
Revision as of 18:47, 7 August 2013
Resident Survival Guide |
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Abdominal pain Microchapters |
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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 abscess
- Abdominal aortic aneurysm
- Abscess
- Adenomyosis
- Adhesion
- Appendicitis
- Cervicitis
- Chronic prostatitis
- Crohn's disease
- Cystitis
- Depression
- Diverticulitis
- Diverticulosis
- Diverticulosis
- Ectopic pregnancy
- Endometriosis
- Hernia
- IBD
- Incomplete abortion
- Interstitial Cystitis
- Intra-uterine device
- Intussusception
- Irritable bowel syndrome
- Large bowel obstruction
- Leiomyoma
- Lymphoma
- Mesenteric ischemia
- Midcycle ovulation
- Nephrolithiasis
- Ovarian cyst
- Ovarian torsion
- Pelvic floor prolapse
- Pelvic inflammatory disease
- Pelvic masses
- Primary dysmenorrhea
- Ruptured corpus luteal cyst
- Septic abortion
- Sexual abuse
- Small bowel obstruction
- trauma
- Tubo-ovarian abscess
- Urinary tract infection
- Uterine fibroids
- Vaginitis
- Volvulus
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