pelvic pain Flashcards
vagina, urethra, bladder, ureters, ovaries, fallopian tubes, uterus, colon and associated blood vessels and lymphatics are areas that are considered visceral or somatic pain locations?
visceral
visceral vs somatic pain locations- which one is localized and which one is not?
visceral: not localized
somatic: localized
abdominal, pelvic muscles, fascia, parietal peritoneum, subcutaneous tissue and skeletal system are areas that are considered visceral or somatic pain locations?
somatic
visceral pain examples
internal organ contraction, distention, inflammation, infection or obstruction from GYN, GI, GU origin
Somatic pain examples
herniation, muscle strain, hematoma, muscle injury, trauma
Nociceptive pain
acute, inflammatory, can repair itself
neuropathic pain
pain without purpose and arises as a direct result of a lesion or disease (herpes, tumors, syphilis)
acute pain management. Which labs should you have done?
CBC, UPT, UA with culture, GC/C
Acute pain management -which diagnostics should you do?
ultrasound, CT or MRI(if unknown), xray of abdomen and pelvis
is chronic pain cyclic?
NO
dysmenorrhea
pain with period
dyspareunia
pain during or after intercourse
treatment of chronic pelvic pain
BC, NSAIDS
s/s adenomyosis
severe cramping, prolonged period, pain during sex, blood clots that pass during period
how do you diagnose adenomyosis
pathology after a hysterectomy