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CLINDX Unit 2 UFCOM > B. Pelvic Pain > Flashcards

B. Pelvic Pain Flashcards

1
Q

Intermittent pelvic pain points towards?

A

Obstruction

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2
Q

Constant pelvic pain points towards?

A

Perotinits/inflam

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3
Q

Pelvic pain with nausea/vomiting is _________?

A

Bowel obstruction

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4
Q

Pelvic pain with vaginal bleeding is _________?

A

Ectopic pregnancy

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5
Q

Causes of acute pelvic pain?

A 
Appendicitis (RLQ)
Inflammatory bowel disease (Chrons & ulcerative colitis)
Diverticulitis (which can rupture & lead to peritonitis, tend to be older & LLQ)
Cystitis or pylonephritis 
Renal/ureteral stone 
PID
Ectopic Pregnancy
Adnexal Torsion
Ruptured Ovarian Cyst
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6
Q

What causes a patient to never be able to get comfortable due to pelvic pain?

A

Stone

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7
Q

Pelvic Pain with fever is _________?

A

Infection

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8
Q

Pelvic pain with hypotension is _________?

A

Bleeding –> ruptured cyst or ectopic

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9
Q

Pelvic pain with absent bowel sounds is ________?

A

Ileus

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10
Q

Pelvic Pain with racing bowel sounds (rushes) is ______?

A

Bowel obstruction

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11
Q

Pelvic pain with flank tenderness is _________?

A

Pyelonephritis

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12
Q

Pelvic pain with distended abdomen is ___________?

A

Mass, intraperotineal bleeding or ileus

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13
Q

Pelvic pain where the patient lies with legs drawn up is ____________?

A

Peritonitis

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14
Q

Pelvic pain with rebound tenderness is ___________?

A

Peritonitis

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15
Q

Pelvic pain with + cough test, heel percussion test, Psoas sign or obturator sign is ___________?

A

Peritonitis

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16
Q

Pelvic pain with mucopurulent discharge is ____________?

A

Infection (Gonorrhea or chlamydia)

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17
Q

Pelvic pain with uterine or adnexal tenderness is ____________?

A

PID

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18
Q

Diagnostic test for appendicitis?

[On test]

A

CT

WBC can also be helpful as is elevated & has left shift

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19
Q

Treatment for appendicitis?

A

Surgery

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20
Q

Diagnostic test for inflammatory bowel disease?

A

CT

Endoscopy

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21
Q

Treatment for Inflammatory bowel disease?

A

Anti-inflammatory (NSAIDS) or immune modulating agents

Surgery for perforations or intractable pain

22
Q

Diagnostic test for Diverticulitis?

A

WBC

CT

23
Q

Treatment for diverticulitis?

A

Antibiotics

Surgery for perforation

24
Q

Diagnostic test for cystitis or pyelonephritis?

A

Urine culture

WBC also helpful

25
Q

Treatment for cystitis or pyelonephritis?

A

Antibiotics

26
Q

Diagnostic test for stones?

[On test]

A

Best is Ultrasound (for calcified)
CT if ultrasound is not diagnostic
Will also have gross or microscopic blood in urine

27
Q

Treatment for stones?

A

Observation
Lithotripsy
Surgery

28
Q

Diagnostic test for ectopic preg?

[On test]

A

Urine hcg
Ultrasound
CBC/Hematocrit (blod loss)

29
Q

Treatment for ectopic preg?

A

Methotrexate for non-ruptured

Surgery for ruptured

30
Q

Diagnostic test for PID?

[On test]

A

PCR/Nucleic Acid Amplification Test (NAAT) for gonorrhea & chlamydia
WBC
Ultrasound for cysts

31
Q

Treatment for PID?

A

Antibiotics

Surgery for ruptured Tubo-ovarian abscess (TOA)

32
Q

Diagnostic test for Ovarian cyst?

A

ultrasound

33
Q

Treatment for ovarian cyst?

A

Observation

Surgery

34
Q

Diagnostic test for adnexal torsion?

A

Ultrasound

35
Q

Treatment for adnexal torsion?

A

Surgery

36
Q

Which is more of an emergency, acute or chronic pelvic pain?

A

Acute

37
Q

Causes of Chronic pelvic pain?

A 
Infection --> adhesions
Endometriosis
Mass
Leiomyoma (Fibroid tumor)
Psychogenic (wants attention, depression, abuse, sexual dysfunction)
38
Q

Chronic pelvic pain & midline mass is ________?

A

Fibroid tumor of uterus

39
Q

Chronic pelvic pain & unilat mass is ___________?

A

Ovarian mass

40
Q

Diagnostic test for psychogenic?

A

Endoscopy diagnosis of exclusion

41
Q

Treatment for psychogenic pelvic pain?

A

Counseling, treat depression/sexual dysfunction

42
Q

Diagnostic test for chronic infection/adhesions?

A

Laparoscopy

43
Q

Treatment for chronic infection/adhesion?

A

Surgery

44
Q

Diagnostic test for Ovarian Tumor?

A

Ultrasound

Tumor markers

45
Q

Treatment for ovarian tumor?

A

surgery

46
Q

Diagnostic test for ovarian cyst?

A

Ultrasound

47
Q

Treatment for ovarian cyst?

A

Surgery

48
Q

Diagnostic test for Leiomyoma?

A

Ultrasound

49
Q

Treatment for Leiomyoma?

A

GnRH agonist

Surgery (myomectomy/hysterectomy)

50
Q

Diagnostic test for endometriosis?

A

Endoscopy

Biopsy

51
Q

Treatment of endometriosis?

A

Oral concraceptive (hormonal suppression)
GnRH agonist
Surgery

52
Q

If have chornic pelvic pain but can’t figure out the cause, the best test is ________?

[On test]

A

Laproscopy

CLINDX Unit 2 UFCOM (8 decks)

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