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