Gynae Emergencies Flashcards
Always vital to exclude what in acute abdominal pain of uncertain origin
Pregnancy (ectopic or normal)
Gynae disorders with -ve pregnancy test causing acute abdomen pain?
- PID
- Functional ovarian cysts
- Ovarian or peritoneal endometriosis
- Adenexal torsion
What is importamt to exclude in someone with a negative pregnancy test but abdominal pain?
- Appendicitis
- Ovarian torsion
- PID
All require urgent care
Symptoms of PID?
- Acute bilateral lower abdominal pain
- Deep dyspareunia
- Abnormal menstrual bleeding
- Purulent vaginal discharge
Signs of peritonitis?
Guarding
Rebound tenderness
Localized rigidity
pelvic exam results in PID?
Acute pain on cervical excitation
Presentation of ovarian torsion?
Sudden onset of sharp unilateral pelvic pain, often accompanied by N&V
US of ovarian torsion?
-Ovary may look enlarged and be seen in and abnormal location above or behind uterus
US of ovarian torsion?
-Ovary may look enlarged and be seen in and abnormal location above or behind uterus
Where is the Bartholin’s gland?
Lies posterior to posterior vaginal wall at the introitus and secretes mucus like fluid via a short duct into vagina
What can happen when Bartholin gland gets blocked?
Cyst can form
Size of Bartholin’s abscess?
Cysts may present as an oval shaped lump in the posterior labia sometimes growing into size of a golf ball or larger
When would an abscess develop?
Wen gland is infected with staph aureus or E coli
Difference between Bartholin’s cyst/abscess?
Abscesses are more acute than Bartholin’s cysts and are particularly painful
Large cysts/abscesses require?
Surgery
