Acute Pelvic Pain Flashcards
Pelvic pain def’n? What 3 things to think about?
Pain over the lower abdomen lasting less than 3 months
First presentation
Previously undiagnosed
Causes of pelvic pain?
Gastro Urinary GYNE Obs Other
Suprapubic pain DDx?
Acute urinary retention UTIs Cystitis PID Ectopic Pregnancy Diverticulitis
RIF DDx?
Appendicitis Diverticulitis PID Ureteric colic Ectopic Ovarian torsion Ovarian cyst
LIF DDX
Appendicitis (less likely) Diverticulitis PID Ureteric colic Ectopic Ovarian torsion Ovarian cyst
Other causes of DDx pelvic pain
Constipation IBS UC Bowel obstruction, perforation viral infections Gall bladder disease Hernias Malignancy (more insidious)
Most common O&G causes of pelvic pain DDx?
Obs: ectopic, miscarraige
Non-preg: PID, ovarian torsion, cyst rupture
Incomplete miscarriage?
Retained products of conception still
BHCG changes how in preg? Ectopic/miscarriage
Beginning: doubles every 48 hours - normal
When can you see imaging of baby re: BCG?
When BCG is around 2000
If BCG is more than 3000 but no sac then what to worry?
ectopic?
What do you see at 5,6,7 weeks
5- gestation sac
6-fetal pole
7-fetal heart
When can you see fetal heart for first time?
7 weeks
Ectopic investigations ladder
BHCG
Ultrasound
Laparoscopy
Non pregnant pelvic pain DDx?
PID
Ovarian torsion
Cyst rupture
