Pelvic Pain Lecture Powerpoint Flashcards
lol <--pain isn't funny you jerk.
Untreated PID can lead to….
….scarring or infertility
Common causes of acute pelvic pain (<3 months) (6)
- Ectopic pregnancy
- Cervicitis
- PID
- Ruptured ovarian cysts
- UTI
- Appendicitis
Chronic pelvic pain (nonmenstrual) affects up to…
…1/7 US women
Common causes of chronic pelvic pain (>3months) (3)
- Endometriosis
- Pelvic adhesions
- IBS
Differential diagnosis of acute pelvic pain should be these 4 things
- Ectopic pregnancy
- Intrauterine pregnancy
- PID
- Cervicitis
Vaginismus
Involuntary contracction of pelvic floor muscles preventing entry, either for intercourse or ability to perform a bimanual exam
Patient control during a pelvic exam
Telling the patient “you are going to feel ___” instead of saying “I’m going to do ___” do help them relax
Diagnostic tests for acute pelvic pain (5)
- serum hCG
- CBC
- UA with culture
- KOH for candida
- ultrasound
Medications for treatment of acute pelvic pain (3)
- Hormone replacement therapy
- OCP
- Infection treatment
Pelvic congestion syndrome
Varicose veins in the pelvis causing chronic pelvic pain
A common finding in 1/2 of women who seek care for chronic pelvic pain
Sexual, physical, or emotional trauma (often ptsd)
Chronic pelvic pain to acute process
Tendency for patients with chronic pelvic pain to sometimes develop a slightly different acute disorder that masks or presents similarly to the chronic issue but should be differentiated thru a good history and exam
Stool guaiac
A test for fecal occult blood often obtained from a rectal exam and smeared on a test card
The treatment of chronic pelvic pain is….
NOT to be made pain free, but to maximize quality of life and function
Surgical interventions for chronic pelvic pain
Often last resort, can be diagnostic or hysterectomy (only 50% effective)
