Abdominal & Pelvic Pain in the Nonpregnant Female Flashcards
Hx of sexual activity & menstrual hx should be relied upon to exclude pregnancy. TRUE or FALSE?
FALSE
When benign causes are not clear from initial eval and concerns for serious pathology remains, lab and/or imaging are necessary. TRUE or FALSE?
TRUE
Imaging modality of choice for genital tract pathology
Ultrasound
Preferred imaging if GI or GU pathology is suspected
CT
Oral contrast in CT scan of the pelvis and abdomen enhances accuracy of evaluating ___ or if the px weighs <70 kg
pelvic abscess
It is common and appropriate to discharge px w dx of undifferentiated abdominal pain w instructions for ff up and indications of return to ED. TRUE or FALSE?
TRUE
Gyne pathology that presents as sudden-onste unilateral pain more common in the R than in the L; sometimes present w cervical motion tenderness & mild vaginal bleeding
Ovarian cyst
Types of ovarian cysts
Follicular cyst
Corpus luteum cyst
Hemorrhagic cyst
Dermoid cyst
Ovarian germ cell neoplasm that present w multicystic mass w various types of tissue (fat, skin, hair & teeth)
Dermoid cyst
Ovarian cysts that are _ cm, solid & multiloculated are worrisome for neoplasm, dermoid cyst and endometriomas.
8 cm
Pelvic mass caused by growthof ectopic endometrial tissue
Endometriomas (chocolate cyst)
An ovarian mass in postmenopausal woman is malignant until proven otherwise. TRUE or FALSE?
TRUE
Complication of ovulation induction treatment; most common initial symptom is abdominal bloating
Ovarian hyperstimulation syndrome
Severe ovarian hyperstimulation syndrome involves massive transudation of albumin & fluid to peritoneal, peural or pericardial cavities. __ are the most dreaded complications.
Venous and arterial thrombosis
Occurs when endometrial tissue is in the uterine wall
Adenomyosis
