Female abdominal/pelvic pain Flashcards
1
Q
Causes of female abdominal/pelvic pain
A
Endometriosis Ovulation - Mittelschmerz - mid cycle pain Functional ovarian cysts Adnexal torsion Pregnancy - ectopic, normal. miscarriage Neoplasms Pelvic inflammatory disease Utero-vaginal prolapse UTI Gastro causes - Appendicitis, diverticulitis, IBS, hernia, Crohns
2
Q
Endometriosis overview
A
cyclical pain
dysmenorrhoea, dyspareunia, chronic pelvic pain
try COCP, GnRH then laparoscopy
3
Q
Functional ovarian cysts
A
causes acute pain if it twists or bleeds
reduced fertility
Rx - remove ovary, untwist, laparotomy/laparoscopy
4
Q
Adnexal torsion
A
torsion
haemorrhage
cyst rupture
5
Q
Pregnancy
A
Ectopic rupture
normal
miscarriage (with bleeding)
6
Q
Pelvic inflammatory disease - presentation
A
lower abdominal pain (uni or bilateral) constant/intermittent pain deep dyspareunia discharge intermenstrual/post coital bleeding dysmenorrhoea fever
7
Q
causes of PID
A
STIs
iatrogenic (laparoscopy, IUD, ToP)
CHLAMYDIA
8
Q
PID investigations
A
STI swabs
CRP, cultures etc if unwell
TVS if abscess
if still uncertain - laparoscopy
9
Q
PID treatment
A
ceftriaxone
doxycyline
metronidazole
10
Q
investigation of acute pelvic pain
A
urinalysis high vaginal swab pregnancy test FBC TVS laparoscopy
11
Q
investigation of chronic pelvic pain
A
infection screen CA125 urinalysis TVS laparoscopy
