Pelvic pain

Question 1

Urological symptoms

Answer 1

Frequency, volume, urgency, nocturia, incontinence

Infection: dysuria, haematuria, odour

Question 2

Gastrointestinal system

Answer 2

Weight loss, appetite change

Vomiting/nausea, bowel habit change, tenesmus, blood/mucus in stool

Question 3

Gynaecological causes of pain

Answer 3

PID
Ectopic pregnancy
Ovarian cyst torsion/rupture/haemorrhage
Endometriosis

Question 4

Symptoms of PID

Answer 4

Bilateral pelvic pain
Vaginal discharge
Dyspareunia and dysmenorrhoea
Fever
Post-coital or IMB bleeding

Question 5

Ectopic pregnancy

Answer 5

Vaginal spotting

Collapse and shoulder tip pain

Question 6

Ovarian cyst torsion/rupture/haemorrhage

Answer 6

Unilateral pelvic pain

Fever and vomiting

Question 7

Endometriosis

Answer 7

Cyclical pelvic pain
Dysmenorrhoea
Deep dyspareunia
Menstrual disturbance

Question 8

Urological causes of pelvic pain

Answer 8

Pyelonephritis

UTI

Question 9

Pyelonephritis

Answer 9

Fever/chills/rigors
Loin pain
Urinary frequency and dysuria

Question 10

Gastrointestinal causes of pelvic pain

Answer 10

Appendicitis
Diverticulitis
IBS/IBD

Question 11

Other causes

Answer 11

Mittelschmerz
Fibroid degeneration
Renal colic
Bowel obstruction