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| __NOTOC__
| | #REDIRECT [[Causes of pelvic pain]] |
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| | [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br>
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| | [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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| |}
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| | [[File:Physician_Extender_Algorithms.gif|88px|link=Abdominal pain physician extender algorithm]]|| <br> || <br>
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| |}
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| {{Abdominal pain}}
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| {{CMG}}; {{AE}} {{Hilda}}
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| ==Overview==
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| [[Pain]] in the [[pelvis]] can be described as acute or chronic. Urologic, gastrointestinal and gynecologic problems can all be possible.
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| ==Causes==
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| ===Life Threatening Causes===
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| ===Common Causes===
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| ===Causes by Organ System===
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| ===Causes in Alphabetical Order <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===
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| ====Acute (<6 months)====
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| *[[Abdominal aortic aneurysm]]
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| *[[Cervicitis]]
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| *[[Diverticulitis]]
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| *[[Ectopic pregnancy]]
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| *[[Endometriosis]]
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| *Incomplete [[abortion]]
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| *[[Intra-uterine device]]
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| *[[Irritable bowel syndrome]]
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| *[[Midcycle ovulation]]
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| *[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]]
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| *[[Nephrolithiasis]]
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| *[[Ovarian cyst]]
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| *[[Ovarian torsion]]
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| *[[Pelvic inflammatory disease]]
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| *Pelvic [[neoplasm]]
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| *[[Pelvic floor]] [[prolapse]]
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| *[[Primary dysmenorrhea]]
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| *Ruptured corpus luteal cyst
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| *[[Septic abortion]]
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| *[[Sexual abuse]]/[[trauma]]
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| *Threatened [[abortion]]
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| *[[Tubo-ovarian abscess]]
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| *[[Urinary tract infection]]
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| *[[Uterine fibroids]]
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| *[[Vaginitis]]
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| Abdominal abscess
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| Appendicitis
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| ====Chronic (>6 months)====
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| *[[Adenomyosis]]
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| *[[Depression]]
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| *[[Diverticulosis]]
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| *Diverticular [[abscess]]
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| *[[Hernia]]
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| *[[IBD]]
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| *[[IBS]]
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| *[[Interstitial Cystitis]]
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| *[[Leiomyoma]]
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| *[[Lymphoma]]
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| *Pelvic [[adhesion]]s
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| Chronic prostatitis
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| Crohn's disease
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| == Diagnosis ==
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| === History and Symptoms ===
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| *Nature
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| *Sensitivity
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| *Onset
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| *[[Pain]] occurrence
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| :*[[Intercourse]]
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| :*[[Menstrual]]
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| :*Chronic vs. acute
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| *Risk of [[pregnancy]]
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| *Associated symptoms:
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| :*[[Abdominal pain]] or [[back pain]]
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| :*[[Dysuria]]
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| :*[[Fever]]
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| :*[[Nausea]]
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| :*[[Vaginal bleeding]]
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| :*[[Vaginal discharge]]
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| :*[[Vomiting]]
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| ===Physical Examination===
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| ==== Abdomen ====
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| *Full abdominal and pelvic exam - speculum, bimanual, rectal
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| ==== Others ====
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| *Examine for signs of [[physical abuse]]
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| === Laboratory Findings ===
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| *Labs include:
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| :*Urine [[pregnancy test]]
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| :*[[Urinalysis]]
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| :*[[Gram stain]] and culture
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| :*[[STD]] tests
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| :*Vaginal smear wet mount
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| === Ultrasound ===
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| *Ultrasound for [[ovarian cyst]], mass, [[ectopic pregnancy]] vs. intrauterine [[pregnancy]]
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| == Treatment ==
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| ===Medical Therapy===
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| ==== Acute Pharmacotherapies ====
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| *[[Endometriosis]]
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| :*[[Oral contraceptives]] 3-4 months
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| :*[[Provera]] 39mg QD/2 months
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| :*[[Danazol]] 200-800mg QD/6 month
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| :*[[GnRH agonist]]
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| *[[Primary dysmenorrhea]]
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| :*[[Oral contraceptives]]
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| *Treat STD's accordingly
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| ==Related Chapters==
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| * [[Pain]]
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| * [[Chronic pelvic pain]]
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| ==References==
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| {{Reflist|2}}
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| [[Category:Gynecology]]
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| [[Category:Gastroenterology]]
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| [[Category:Signs and symptoms]]
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| [[Category:Emergency medicine]]
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| [[Category:Primary care]]
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