Pelvic Pain Flashcards Preview

GOSH > Pelvic Pain > Flashcards

Flashcards in Pelvic Pain Deck (11)
Loading flashcards...
1
Q

Most common cause of pelvic pain in women

A

Primary dysmenorrheoa

2
Q

What is mittelschmertz

A

Transient pain in middle of cycle (secondary to ovulation)

3
Q
Differential: 
6-8 weeks amenorrhoea
Presents with lower abdo pain, followed by vaginal bleeding
Shoulder tip pain 
Cervical excitation
A

Ectopic pregnancy

4
Q

Differential:

Dysuria and frequency

A

UTI

5
Q
Differential: 
Pain in centre of abdo, then moves to Rif
Anorexia
Pyrexia
Vomiting
A

Appendicitis

6
Q

Differential:
Pelvic pain, fever, deep dyspareunia, vaginal discharge
Dysuria + menstrual irregularities may occur
Cervical excitation

A

PID

7
Q

Differential:
Sudden-onset unilateral lower abdo pain
N+V
Onset may coincide with exercise

A

Ovarian torsion

8
Q

Differential:

Vaginal bleeding + crampy lower abdo pain following a period of amenorrhoea

A

Miscarriage

9
Q
Differential: 
Chronic pelvic pain
Dysmenorrhoea (often starts days before bleeding)
Deep dyspareunia
Subfertility
A

Endometriosis

10
Q

Differential:
Abdo pain, bloating, change in bowel habit
Lethargy, nausea + back ache may also be present

A

IBS

11
Q

Differential:
Unilateral dull ache (may only occur during intercourse)
Possible abdo swelling or pressure on bladder

A
Ovarian cyst
(severe pain in torsion or rupture)