Pelvic_Pain Flashcards
What is the most common cause of pelvic pain in women?
The most common cause of pelvic pain in women is primary dysmenorrhoea.
What is mittelschmerz?
Mittelschmerz is transient pain in the middle of the menstrual cycle secondary to ovulation.
What are the characteristic features of an ectopic pregnancy causing pelvic pain?
An ectopic pregnancy typically presents with a history of 6-8 weeks of amenorrhoea, lower abdominal pain, and later develops vaginal bleeding. Shoulder tip pain and cervical excitation may also be seen.
What are common symptoms of a urinary tract infection (UTI) causing pelvic pain?
A urinary tract infection (UTI) commonly presents with dysuria and frequency, but women may also experience suprapubic burning secondary to cystitis.
How does appendicitis typically present in terms of pain and other symptoms?
Appendicitis typically presents with pain initially in the central abdomen before localizing to the right iliac fossa. Anorexia, tachycardia, low-grade pyrexia, tenderness in RIF, and Rovsing’s sign (more pain in RIF than LIF when palpating LIF) are common.
What are the features of pelvic inflammatory disease (PID) causing pelvic pain?
Pelvic inflammatory disease (PID) may present with pelvic pain, fever, deep dyspareunia, vaginal discharge, dysuria, and menstrual irregularities. Cervical excitation may be found on examination.
What are the typical symptoms of ovarian torsion causing pelvic pain?
Ovarian torsion usually presents with sudden onset unilateral lower abdominal pain, often coinciding with exercise. Nausea and vomiting are common, and a unilateral, tender adnexal mass may be found on examination.
What are the common features of a miscarriage causing pelvic pain?
A miscarriage typically presents with vaginal bleeding and crampy lower abdominal pain following a period of amenorrhoea.
What are the characteristic features of endometriosis causing chronic pelvic pain?
Endometriosis often presents with chronic pelvic pain, dysmenorrhoea (pain often starting days before bleeding), deep dyspareunia, and subfertility.
What are the consistent features of irritable bowel syndrome (IBS) causing pelvic pain?
Irritable bowel syndrome (IBS) is characterized by abdominal pain, bloating, and changes in bowel habit. Other features may include lethargy, nausea, backache, and bladder symptoms.
How does an ovarian cyst typically present in terms of pain and other symptoms?
An ovarian cyst may present with a unilateral dull ache that may be intermittent or occur only during intercourse. Torsion or rupture can lead to severe abdominal pain, and large cysts may cause abdominal swelling or pressure effects on the bladder.
What are the characteristic symptoms of urogenital prolapse causing pelvic pain?
Urogenital prolapse typically presents with a sensation of pressure, heaviness, ‘bearing-down’, and urinary symptoms such as incontinence, frequency, and urgency, especially in older women.
