Mittelschmerz: Difference between revisions
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==Background== | ==Background== | ||
Lower abdominal or pelvic pain during ovulation | *Lower [[abdominal pain|abdominal]] or [[pelvic pain]] during ovulation | ||
*From German for "middle pain." | |||
==Clinical Features== | ==Clinical Features== | ||
occurs roughly halfway of menstrual cycle | *Pain occurs roughly halfway of menstrual cycle | ||
*Should ''not'' have any additional symptoms | |||
*Abdominal/pelvic exam benign | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
*Benign | *Benign, [[analgesia]] as needed | ||
==Disposition== | ==Disposition== | ||
Revision as of 01:39, 4 October 2019
Background
- Lower abdominal or pelvic pain during ovulation
- From German for "middle pain."
Clinical Features
- Pain occurs roughly halfway of menstrual cycle
- Should not have any additional symptoms
- Abdominal/pelvic exam benign
Differential Diagnosis
RLQ Pain
- GI
- Appendicitis
- Perforated appendicitis
- Peritonitis
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Inguinal hernia
- Mesenteric ischemia
- Ischemic colitis
- Meckel's diverticulum
- Neutropenic enterocolitis (typhlitis)
- Appendicitis
- GU
- Other
LLQ Pain
- Diverticulitis
- Kidney stone
- UTI
- Pyelonephritis
- Ectopic pregnancy
- Infectious colitis
- Inflammatory bowel disease (Crohn's Disease, Ulcerative Colitis)
- Inguinal hernia
- Mesenteric ischemia
- Epiploic appendagitis
- Mittelschmerz
- Ovarian cyst
- Ovarian torsion
- PID
- Psoas abscess
- Testicular torsion
- Appendicitis
- Abdominal aortic aneurysm
- Herpes zoster
- Endometriosis
- Colon cancer
- Irritable bowel syndrome
- Small bowel obstruction
Evaluation
- Frequently a diagnosis of exclusion
Management
- Benign, analgesia as needed
Disposition
- Outpatient