Acute Pelvic Pain Flashcards
DDx for suprapubic pain?
Acute urinary retention UTIs Cystitis PID Ectopic Diverticulitis
DDx for RIF pain?
Appendicitis Diverticulitis PID Ureteric colic Ectopic pregnancy Ovarian torsion Ovarian cyst rupture
DDx for LIF pain?
DIverticulitis PID Ureteric colic Ectopic pregnancy Ovarian torsion Ovarian cyst rupture
Other DDx for plevic pain?
Constipation IBS UC Bowel obstruction Bowel perforation Viral infections Gallbladder disease Hernias Malignancy
What are the most common O&G causes?
Pregnancy - ectopic, miscarriage
Non-pregnant - PID, ovarian torsion, cyst rupture
What is a complete miscarriage?
Confirmed pregnancy but the products of conception are not identifible on US
What is a incomplete miscarriage?
Confirmed pregnancy that miscarriages and products of conception remain
How does bHCG change in early pregnancy?
Doubles every 48 hours
At what bHCG level is there products present in the uterus?
2000
When do you see at gestation sack, fetal ball, and fetal heart?
GS - 5 weeks
Fetal ball - 6 weeks
Fetal heart - 7 weeks
What does an empty uterus + rising bHCG mean?
Ectopic pregnancy
At what stage will urine/serum bHCG be positive?
Urine: Period that is one day late
Serum: Before the miss period
How do you Ix a ectopic?
bHCG
US
Laparoscopy
How do ectopics present?
Pain
Bleeding
Missed period
Why do a salpingectomy over salpingostomy? Why not?
The tube already sick, high chance of another ectopic, still have the other tube
If the other tube is missing, if can’t afford a IVF
