ddx

Question 1

cervical excitation and adnexal tenderness 2

Answer 1

ectopic

PID

Question 2

minimum size for ovarian cyst to be palpated

Answer 2

5cm

Question 3

inv abdo pain suspecting ovarian cyst

Answer 3

1. FBE - WCC = infection/ necrosis
2. pregnancy test - ectopic
3. cervical swabs - STI
4. MSU - urinary cause
5. TV/TA US with blood flow assessment
6. laparoscopy +/- cystectomy

Question 4

pain suspected to be related to preovulatory follicle, resolve within

Answer 4

next 24hours

Question 5

dermoid cyst, when unilateral oophorectomy indicated

Answer 5

>10cm