Template:Pelvic pain DDX: Difference between revisions
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===[[Pelvic pain|Acute Pelvic Pain]]=== | ===[[Pelvic pain|Acute Pelvic Pain]]=== | ||
[[File:Pelvic Pain.png |thumb|Differential diagnosis of acute pelvic pain]] | [[File:Pelvic Pain.png |thumb|Differential diagnosis of acute pelvic pain]] | ||
====Gynecologic/Obstetric==== | ====Gynecologic/Obstetric==== | ||
*Normal variants may be noted on exam but generally do not cause pain or other symptoms | |||
**Nabothian cysts: Epithelial cells within mucous glans that appear as yellow inclusions on the cervix | |||
**Cervical Ectropion: Edothelial cells on the exterior of the cervix | |||
**Parous cervix: The is no longer round but may have multiple shapes after birth | |||
*Pregnancy-related | *Pregnancy-related | ||
**[[Ectopic | **[[Ectopic pregnancy]] | ||
**[[ | **[[Spontaneous abortion]], threatened or incomplete | ||
**[[Septic abortion]] | **[[Septic abortion]] | ||
* Pelvic organ prolapse | |||
*Acute Infections | *Acute Infections | ||
**[[Herpes]] | |||
**[[Cervicitis]] | |||
**[[Endometritis]] | **[[Endometritis]] | ||
**[[Bartholin gland abscess]] | |||
**[[Pelvic inflammatory disease]] (PID) | **[[Pelvic inflammatory disease]] (PID) | ||
**[[ | **[[Tubo-ovarian abscess]] | ||
*[[Vulvovaginitis]] | |||
**[[Bacterial Vaginosis]] | |||
**[[Candida Vaginitis]] | |||
**[[Trichomonas]] | |||
**[[Contact Vulvovaginitis]] | |||
**[[Atrophic vaginitis]] | |||
*Adnexal Disorders | *Adnexal Disorders | ||
**Hemorrhage/rupture of [[ovarian cyst]] | **Hemorrhage/rupture of [[ovarian cyst]] | ||
**[[Ovarian torsion]] | **[[Ovarian torsion]] | ||
**Twisted paraovarian cyst | **Twisted paraovarian cyst | ||
*Other | |||
**Myoma (degenerating) | |||
**[[Genitourinary trauma]] | |||
**[[Ovarian hyperstimulation syndrome]] | |||
**[[Sexual assault]] | |||
*Recurrent | *Recurrent | ||
**Mittelschmerz | **[[Mittelschmerz]] | ||
**Primary/Secondary Dysmenorrhea | **Primary/Secondary Dysmenorrhea | ||
**Pelvic Congestion Syndrome | **Pelvic Congestion Syndrome | ||
**[[Endometriosis]] | **[[Endometriosis]] | ||
====Genitourinary==== | ====Genitourinary==== | ||
*[[Cystitis]] | *[[Cystitis]] | ||
*[[Pyelonephritis]] | *[[Pyelonephritis]] | ||
* | *[[Urethritis]] (e.g. [[N. gonorrhoeae]]/[[Chlamydia]])<ref>Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.</ref> | ||
*[[Urolithiasis]] | |||
====Gastrointestinal==== | ====Gastrointestinal==== | ||
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*[[Diverticulitis]] | *[[Diverticulitis]] | ||
*[[Inflammatory bowel disease]] | *[[Inflammatory bowel disease]] | ||
*[[Irritable | *[[Irritable bowel syndrome]] | ||
*[[Mesenteric adenitis]] | |||
====Musculoskeletal==== | ====Musculoskeletal==== | ||
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====Vascular==== | ====Vascular==== | ||
*Pelvic [[thrombophlebitis]] | *Pelvic [[thrombophlebitis]] | ||
*[[Abdominal | *[[Abdominal aortic aneurysm]] | ||
*Ischemic bowel ([[Mesenteric Ischemia]]) | *Ischemic bowel ([[Mesenteric Ischemia]]) | ||
Latest revision as of 17:23, 29 October 2025
Acute Pelvic Pain
Gynecologic/Obstetric
- Normal variants may be noted on exam but generally do not cause pain or other symptoms
- Nabothian cysts: Epithelial cells within mucous glans that appear as yellow inclusions on the cervix
- Cervical Ectropion: Edothelial cells on the exterior of the cervix
- Parous cervix: The is no longer round but may have multiple shapes after birth
- Pregnancy-related
- Ectopic pregnancy
- Spontaneous abortion, threatened or incomplete
- Septic abortion
- Pelvic organ prolapse
- Acute Infections
- Vulvovaginitis
- Adnexal Disorders
- Hemorrhage/rupture of ovarian cyst
- Ovarian torsion
- Twisted paraovarian cyst
- Other
- Myoma (degenerating)
- Genitourinary trauma
- Ovarian hyperstimulation syndrome
- Sexual assault
- Recurrent
- Mittelschmerz
- Primary/Secondary Dysmenorrhea
- Pelvic Congestion Syndrome
- Endometriosis
Genitourinary
Gastrointestinal
- Gastroenteritis
- Appendicitis
- Bowel obstruction
- Perirectal abscess
- Diverticulitis
- Inflammatory bowel disease
- Irritable bowel syndrome
- Mesenteric adenitis
Musculoskeletal
- Abdominal wall hematoma
- Psoas hematoma, psoas abscess
- Hernia
Vascular
- Pelvic thrombophlebitis
- Abdominal aortic aneurysm
- Ischemic bowel (Mesenteric Ischemia)
- ↑ Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.