Endometriosis physical examination: Difference between revisions
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Normal heart sounds are heard. | Normal heart sounds are heard. | ||
===Respiratory=== | ===Respiratory=== | ||
Decreased breath sound and tenderness especially on the right side is commonly present in patients with thoracic endometriosis. | |||
===Abdominal examination=== | ===Abdominal examination=== | ||
*[[Abdominal tenderness|Lower abdominal tenderness]] will be present. | *[[Abdominal tenderness|Lower abdominal tenderness]] will be present. |
Revision as of 15:29, 25 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Mohammed Abdelwahed M.D[3]
Overview
Examination findings on digital vaginal examination and speculum examination include fixed retroverted uterus with palpable nodularity of the uterosacral ligaments and cul-de-sac with narrowing of the posterior fornix.
Physical Examination
Physical Examination findings in a patient with endometriosis include:[1]
HEENT
Pallor may be present due to anemia.
Cardiovascular
Normal heart sounds are heard.
Respiratory
Decreased breath sound and tenderness especially on the right side is commonly present in patients with thoracic endometriosis.
Abdominal examination
- Lower abdominal tenderness will be present.
- The bi-manual examination will demonstrate a fixed retroverted uterus with tenderness.
Digital examination of the vagina[2]
Common physical examination findings on digital examination include:
- Fixed retroverted uterus
- Nodularity of the uterosacral ligaments
- Narrowing of the posterior vaginal fornix in patients with stage 3 and stage 4 disease
- Enlarged and fixed ovaries can be palpated.
- Lateral displacement of the cervix
Speculum examination of the vagina
- Lesions of endometriosis may present on the cervix or vagina.
- Cervical displacement can be visualized.
References
- ↑ Cranney R, Condous G, Reid S (2017). "An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma". Acta Obstet Gynecol Scand. 96 (6): 633–643. doi:10.1111/aogs.13114. PMID 28186620.
- ↑ Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG (1996). "Endometriosis and pelvic pain: relation to disease stage and localization". Fertil Steril. 65 (2): 299–304. PMID 8566252.