|
|
| (30 intermediate revisions by 3 users not shown) |
| Line 1: |
Line 1: |
| __NOTOC__
| | #REDIRECT [[Causes of pelvic pain]] |
| {| class="infobox" style="float:right;"
| |
| |-
| |
| | [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br>
| |
| | [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
| |
| |}
| |
| {| class="infobox" style="float:right;"
| |
| |-
| |
| | [[File:Physician_Extender_Algorithms.gif|88px|link=Abdominal pain physician extender algorithm]]|| <br> || <br>
| |
| |}
| |
| {{Abdominal pain}}
| |
| {{CMG}}; {{AE}} {{Hilda}}
| |
| ==Overview==
| |
| [[Pain]] in the [[pelvis]] can be described as acute or chronic. Urologic, gastrointestinal and gynecologic problems can all be possible.
| |
| | |
| ==Causes==
| |
| ===Life Threatening Causes===
| |
| *[[Abdominal aortic aneurysm]]
| |
| *[[Appendicitis]]
| |
| *[[Ectopic pregnancy]]
| |
| *[[abortion|Incomplete abortion]]
| |
| *[[Intussusception]]
| |
| *[[Large bowel obstruction]]
| |
| *[[Mesenteric ischemia]]
| |
| *[[Septic abortion]]
| |
| *[[Small bowel obstruction]]
| |
| *[[Volvulus]]
| |
| | |
| ===Common Causes===
| |
| *[[Appendicitis]]
| |
| *[[Chronic prostatitis]]
| |
| *[[Depression]]
| |
| *[[Irritable bowel syndrome]]
| |
| *[[Midcycle ovulation]]
| |
| *[[Pelvic floor|Pelvic floor prolapse]]
| |
| *[[Urinary tract infection]]
| |
| | |
| ===Causes by Organ System===
| |
| {|style="width:80%; height:100px" border="1"
| |
| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
| |
| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Chemical/Poisoning'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Dental'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Dermatologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Drug Side Effect'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Ear Nose Throat'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Endocrine'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Environmental'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Gastroenterologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Genetic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Hematologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Iatrogenic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Infectious Disease'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Musculoskeletal/Orthopedic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Neurologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Nutritional/Metabolic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Obstetric/Gynecologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Oncologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Ophthalmologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Overdose/Toxicity'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Psychiatric'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Pulmonary'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Renal/Electrolyte'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Rheumatology/Immunology/Allergy'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Sexual'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Trauma'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Urologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Miscellaneous'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |}
| |
| <font color="white">Causes by Organ System developed by WikiDoc.org, Copyleft 2013</font>
| |
| | |
| ===Causes in Alphabetical Order===
| |
| *[[Abdominal abscess]]
| |
| *[[Abdominal aortic aneurysm]]
| |
| *[[Abscess]]
| |
| *[[Adenomyosis]]
| |
| *[[Adhesion (medicine)|Adhesion]]
| |
| *[[Appendicitis]]
| |
| *[[Cervicitis]]
| |
| *[[Chronic prostatitis]]
| |
| *[[Crohn's disease]]
| |
| *[[Cystitis]]
| |
| *[[Depression]]
| |
| *[[Diverticulitis]]
| |
| *[[Diverticulosis]]
| |
| *[[Diverticulosis]]
| |
| *[[Ectopic pregnancy]]
| |
| *[[Endometriosis]]
| |
| *[[Hernia]]
| |
| *[[IBD]]
| |
| *[[abortion|Incomplete abortion]]
| |
| *[[Interstitial Cystitis]]
| |
| *[[Intra-uterine device]]
| |
| *[[Intussusception]]
| |
| *[[Irritable bowel syndrome]]
| |
| *[[Large bowel obstruction]]
| |
| *[[Leiomyoma]]
| |
| *[[Lymphoma]]
| |
| *[[Mesenteric ischemia]]
| |
| *[[Midcycle ovulation]]
| |
| *[[Nephrolithiasis]]
| |
| *[[Ovarian cyst]]
| |
| *[[Ovarian torsion]]
| |
| *[[pelvic floor|Pelvic floor prolapse]]
| |
| *[[Pelvic inflammatory disease]]
| |
| *[[Pelvic masses]]
| |
| *[[Primary dysmenorrhea]]
| |
| *[[ovarian cyst|Ruptured ovarian cyst]]
| |
| *[[Septic abortion]]
| |
| *[[Sexual abuse]]
| |
| *[[Small bowel obstruction]]
| |
| *[[trauma]]
| |
| *[[Tubo-ovarian abscess]]
| |
| *[[Urinary tract infection]]
| |
| *[[Uterine fibroids]]
| |
| *[[Vaginitis]]
| |
| *[[Volvulus]]
| |
| | |
| == Diagnosis ==
| |
| === History and Symptoms ===
| |
| *Nature
| |
| *Sensitivity
| |
| *Onset
| |
| *[[Pain]] occurrence
| |
| :*[[Intercourse]]
| |
| :*[[Menstrual]]
| |
| :*Chronic vs. acute
| |
| *Risk of [[pregnancy]]
| |
| *Associated symptoms:
| |
| :*[[Abdominal pain]] or [[back pain]]
| |
| :*[[Dysuria]]
| |
| :*[[Fever]]
| |
| :*[[Nausea]]
| |
| :*[[Vaginal bleeding]]
| |
| :*[[Vaginal discharge]]
| |
| :*[[Vomiting]]
| |
| | |
| ===Physical Examination===
| |
| ==== Abdomen ====
| |
| | |
| *Full abdominal and pelvic exam - speculum, bimanual, rectal
| |
| | |
| ==== Others ====
| |
| *Examine for signs of [[physical abuse]]
| |
| | |
| === Laboratory Findings ===
| |
| *Labs include:
| |
| :*Urine [[pregnancy test]]
| |
| :*[[Urinalysis]]
| |
| :*[[Gram stain]] and culture
| |
| :*[[STD]] tests
| |
| :*Vaginal smear wet mount
| |
| | |
| === Ultrasound ===
| |
| *Ultrasound for [[ovarian cyst]], mass, [[ectopic pregnancy]] vs. intrauterine [[pregnancy]]
| |
| | |
| == Treatment ==
| |
| ===Medical Therapy===
| |
| ==== Acute Pharmacotherapies ====
| |
| *[[Endometriosis]]
| |
| :*[[Oral contraceptives]] 3-4 months
| |
| :*[[Provera]] 39mg QD/2 months
| |
| :*[[Danazol]] 200-800mg QD/6 month
| |
| :*[[GnRH agonist]]
| |
| *[[Primary dysmenorrhea]]
| |
| :*[[Oral contraceptives]]
| |
| *Treat STD's accordingly
| |
| | |
| ==Related Chapters==
| |
| * [[Pain]]
| |
| * [[Chronic pelvic pain]]
| |
| | |
| ==References==
| |
| {{Reflist|2}}
| |
| | |
| [[Category:Gynecology]]
| |
| [[Category:Gastroenterology]]
| |
| [[Category:Signs and symptoms]]
| |
| [[Category:Emergency medicine]]
| |
| [[Category:Primary care]]
| |
| | |
| {{WikiDoc Help Menu}}
| |
| {{WikiDoc Sources}}
| |