Pelvic inflammatory disease differential diagnosis
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Differentiating Pelvic Inflammatory Disease from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pelvic inflammatory disease must be differentiated from ectopic pregnancy, ovarian torsion, ovarian tumor, ruptured ovarian cysts, appendicitis, and urinary tract infection.
Differentiating Pelvic inflammatory disease from other Diseases
| Disease | Findings |
|---|---|
| Ectopic pregnancy | History of missed menses, positive pregnancy test, ultrasound reveals an empty uterus and may show a mass in the fallopian tubes.[1] |
| Appendicitis | Pain localized to the right iliac fossa, vomiting, abdominal ultrasound sensitivity for diagnosis of acute appendicitis is 75% to 90%.[2] |
| Asthma | Presents with cough, dyspnea and wheezing and typically is a chronic condition which has started from childhood.[3] |
| Gastroesophageal Reflux Disease | May present with chronic, dry cough but the typical symptom is heart burn.[4][5] |
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- Ectopic pregnancy - a sensitive serum pregnancy test should be obtained to rule out ectopic pregnancy.
- Hemorrhagic ovarian cyst
- Ruptured ovarian cysts
- Myoma
- Ovarian torsion
- Ovarian tumor
- Septic abortion
- Urinary Tract Infection
- Twisted ovarian cyst
- Degeneration of a myoma
- Acute enteritis
- Urinary Tract Infection [6] [7]
Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix).
References
- ↑ Morin L, Cargill YM, Glanc P (2016). "Ultrasound Evaluation of First Trimester Complications of Pregnancy". J Obstet Gynaecol Can. 38 (10): 982–988. doi:10.1016/j.jogc.2016.06.001. PMID 27720100.
- ↑ Balthazar EJ, Birnbaum BA, Yee J, Megibow AJ, Roshkow J, Gray C (1994). "Acute appendicitis: CT and US correlation in 100 patients". Radiology. 190 (1): 31–5. doi:10.1148/radiology.190.1.8259423. PMID 8259423.
- ↑ Busse WW (2011). "Asthma diagnosis and treatment: filling in the information gaps". J. Allergy Clin. Immunol. 128 (4): 740–50. doi:10.1016/j.jaci.2011.08.014. PMID 21875745.
- ↑ Singh A (2009). "Asthma in older adults". CMAJ. 181 (12): 929. doi:10.1503/cmaj.109-2049. PMC 2789137. PMID 19969583.
- ↑ Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, Brown KK, Canning BJ, Chang AB, Dicpinigaitis PV, Eccles R, Glomb WB, Goldstein LB, Graham LM, Hargreave FE, Kvale PA, Lewis SZ, McCool FD, McCrory DC, Prakash UB, Pratter MR, Rosen MJ, Schulman E, Shannon JJ, Smith Hammond C, Tarlo SM (2006). "Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines". Chest. 129 (1 Suppl): 1S–23S. doi:10.1378/chest.129.1_suppl.1S. PMC 3345522. PMID 16428686.
- ↑ 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, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X