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31 Cards in this Set

  • Front
  • Back
Three types of Gyn Abd Pain?
Acute Abd
Acute Pelvic Pain
Chronic Pelvic Pain
Findings w/ Acute Abd?
Acute Pain
Generraly sudden onset
Tenderness to palpation
Rebound Tenderness
Diminished/Absent Bowel Sounds
Causes of pain w/ Acute Abd?
Infection
Hemorrhage
Infarction of Tissue
Obstruction of Bowl (sounds may be initially hyperactive)
Diseases of tubular viscus can affect?
Bowel
Ureter
Fallopian Tube
Sx's of diseases of tubular viscus?
Paroxysms of sharp, cramping pain interspaced w/ no pain or with a dull ache
Sx's of inflammatory conditions affecting the ovary?
Continuous pain
Sharp and Throbbing
Causes of Acute Pelvic Pain?
GU
GI
MS
Presentation of Threatened, Inevitable, Incomplete Abortion?
Midline or bilateral lower abd pain
Crampy pain
Intermittent pain
Vaginal bleeding
Positive urine/serum preg test
Additional Sx's if its septic abortion?
Fever
Systemic Sx's
Chills
Malaise
Elevated WBC's and ESR
Ectopic Preg is associated with what sx's?
Unilateral Pain
Continuous Pain
Cramping Pain
Vaginal Bleeding
Serum beta-hcg positive
U/S showing sac in adnexa and/or no sac in uterus
Sx's of acute cervicitis caused by gonorrhea or chlamydia?
Dull Pain
Aching Pain
Radiates to lower back or upper thighs
Cervical/Vaginal discharge
Low grade temperature
Slight elevation of wbc and esr
Dx made by culture
What else can occur w/ a h/o gonorrhea/chlamydia?
Endometritis
Sx's of endometritis?
Midline or pelvic pain
Often aching pain
Plasma cells of ten noted in sampling of chronic disease
Other predisposing factor to endometritis?
douching
Sx's of degenerating myoma?
Acute, sharp, aching pain in region of myoma
Uterus often irregular, enlarged, and tender to palpation
Mild Leukocytosis
Labs: WNL (w/in normal limits)
Two terms used to describe an acute infection of the female upper genital tract?
Salpingitis
PID
Sx's of Adnexa Torsion?
Acute, Crampy, Continuous Pain
Often ass w/ large ovarian cyst
Sx's of acute abd
Helpful dx technique for adnexa torsion?
Color blood flow U/S
Sx's of ovarian cyst rupture?
Sudden onset of Pain (possibly due to leaking from corpus luteum cyst)
If on right, mimics appendicitis
What two other things can cause RLQ pain and have sx's of acute abd?
Appendicitis
Mesenteric Lymphadenitis
What is a common cause of LLQ pain w/ sx's of acute abd?
Diverticulitis
What is the common cause of crampy, severe LLQ pain that worsens w/ emotional tension/stress?
IBS
what % of young women may have IBS?
25%
Sx's of Cystitis?
Lower Abd or Pelvic Pain
Generally midline
Dysuria
Sx's of Renal Calculus?
Severe, Intermittent, Flank pain
Unilateral radiating to lower abd
Flank tenderness
Sx's of Interstitial Cystitis?
Sx's of Acute Cystitis
Sterile pee
Urinary frequency, nocturia, dysuria
Pain usually suprapubic region
Possible definition of Chronic Pelvic Pain?
6 or more months
Noncyclic
Prevalence of Chronic Pelvic Pain among women of reproductive age?
15-20%
Common causes of chronic pelvic pain?
Incomplete Rx of pelvic infection
Recurrent pelvic infections
Endometriosis
Post-op Pelvic adhesions
diseases of Urinary tract
diseases of bowl
diseases of neurologic system
Studies show what % of women presenting w/ chronic pelvic pain have interstitial cystitis?
35-85%
Approach to assessing chronic pelvic pain?
holistic...blah