Pelvic pain: Difference between revisions

Revision as of 14:32, 19 June 2020

Background

Pelvic anatomy.

Differential Diagnosis

Acute Pelvic Pain

Differential diagnosis of acute pelvic pain

Gynecologic/Obstetric

Pregnancy-related
- Ectopic Pregnancy
- Abortion, threatened or incomplete
- Septic abortion
Acute Infections
Adnexal Disorders
- Hemorrhage/rupture of ovarian cyst
- Ovarian torsion
- Twisted paraovarian cyst
Recurrent
- Mittelschmerz (midcycle pain)
- Primary/Secondary Dysmenorrhea
- Pelvic Congestion Syndrome
- Endometriosis
Vulvovaginitis

Genitourinary

Cystitis
Pyelonephritis
Ureteral lithiasis

Gastrointestinal

Musculoskeletal

Abdominal wall hematoma
Psoas hematoma, psoas abscess
Hernia

Vascular

Postmenopausal Pelvic Pain

Gynecologic

Vulvovaginitis
- Atrophic vaginitis
- Infectious (STI)
- Allergic
Uterine prolapse
- Cystocele
- Rectocele
- Enterocele
- Uterine/Vaginal Vault Prolapse
Cervical polyps
Uterine fibroids
Endometrial hyperplasia
Neoplasm
- Uterine
- Ovarian

Gastrointestinal

Rectocele
Diverticulitis
Neoplasm
Appendicitis
Ischemic Bowel (Mesenteric Ischemia)

Urologic

Infection
Cystourethrocele

External Links

DDxOf: Differential Diagnosis of Acute Pelvic Pain

References

Authors:

@@ Line 1: / Line 1: @@
-== Acute Pelvic Pain DDx ==
+==Background==
-==== Gynecologic/Obstetric ====
+[[File:Blausen 0732 PID-Sites.png|thumb|Pelvic anatomy.]]
-#Pregnancy-related
-##[[Ectopic Pregnancy]]
-##Abortion, threatened or incomplete
-##Septic Abortion
-#Acute Infections
-##Endometritis
-##[[Pelvic Inflammatory Disease (PID)]]
-##[[TOA]]
-#Adnexal Disorders
-##Hemorrhage/rupture of ovarian cyst
-##Torsion of Adnexa
-##Twisted paraovarian cyst
-#Recurrent
-##Mittelschmerz (midcycle pain)
-##Primary/Secondary Dysmenorrhea
-##Endometriosis
-#[[Vulvovaginitis]]
-##[[Bacterial Vaginosis]]
-##[[Candida Vaginitis]]
-##[[Trichomonas]]
-##[[Contact Vulvovaginitis]]
-##Atrophic vaginitis
-==== Genitourinary ====
+==Differential Diagnosis==
-#[[Cystitis]]
+===Acute Pelvic Pain===
-#[[Pyelonephritis]]
+[[File:Pelvic Pain.png |thumb|Differential diagnosis of acute pelvic pain]]
-#Ureteral lithiasis
+====Gynecologic/Obstetric====
+*Pregnancy-related
+**[[Ectopic Pregnancy]]
+**[[spontaneous abortion|Abortion]], threatened or incomplete
+**[[Septic abortion]]
+*Acute Infections
+**[[Endometritis]]
+**[[Pelvic Inflammatory Disease (PID)]]
+**[[TOA]]
+*Adnexal Disorders
+**Hemorrhage/rupture of [[ovarian cyst]]
+**[[Ovarian torsion]]
+**Twisted paraovarian cyst
+*Recurrent
+**Mittelschmerz (midcycle pain)
+**Primary/Secondary Dysmenorrhea
+**Pelvic Congestion Syndrome
+**[[Endometriosis]]
+*[[Vulvovaginitis]]
+**[[Bacterial Vaginosis]]
+**[[Candida Vaginitis]]
+**[[Trichomonas]]
+**[[Contact Vulvovaginitis]]
+**[[Atrophic vaginitis]]
-==== Gastrointestinal ====
+====Genitourinary====
-#Gastroenteritis
+*[[Cystitis]]
-#[[Appendicitis]]
+*[[Pyelonephritis]]
-#Bowel obstruction
+*Ureteral lithiasis
-#Perirectal abscess
-#[[Diverticulitis]]
-#Inflammatory bowel disease
-#[[Irritable Bowel Syndrome (IBS)]]
-==== Musculoskeletal ====
+====Gastrointestinal====
-#Abdominal wall hematoma
+*[[Gastroenteritis]]
-#Psoas hematoma
+*[[Appendicitis]]
-#[[Hernia]]
+*[[Bowel Obstruction|Bowel obstruction]]
+*[[Anorectal Abscess|Perirectal abscess]]
+*[[Diverticulitis]]
+*[[Inflammatory bowel disease]]
+*[[Irritable Bowel Syndrome (IBS)]]
-==== Vascular ====
+====Musculoskeletal====
-#Pelvic thrombophlebitis
+*Abdominal wall hematoma
-#[[Abdominal Aortic Aneurysm (AAA)]]
+*Psoas hematoma, [[psoas abscess]]
-#Ischemic bowel ([[Mesenteric Ischemia]])
+*[[Hernia]]
-== Postmenopausal Pelvic Pain DDX ==
+====Vascular====
-==== Gynecologic ====
+*Pelvic [[thrombophlebitis]]
-#[[Vulvovaginitis]]
+*[[Abdominal Aortic Aneurysm (AAA)]]
-##Atrophic
+*Ischemic bowel ([[Mesenteric Ischemia]])
-##Infectious
-##Allergic
-#Uterine prolapse
-#Cervical polyps
-#Uterine fibroids
-#Endometrial hyperplasia
-#Neoplasm
-##Uterine
-##Ovarian
-==== Gastrointestinal ====
+{{Postmenopausal Pelvic Pain DDX}}
-#Rectocele
-#[[Diverticulitis]]
-#Neoplasm
-#[[Appendicitis]]
-#Ischemic Bowel ([[Mesenteric Ischemia]])
-==== Urologic ====
-#Infection
-##[[Cystitis]]
-##[[Urethritis]]
-##[[Pyelonephritis]]
-#Cystourethrocele
-== See Also ==
+==See Also==
 *[[Prepubertal Pelvic Pain]]
 *[[Abdominal Pain]]
-== Source ==
-*Hardwood-Nuss
-[[Category:OB/GYN]]
+==External Links==
+*[http://ddxof.com/acute-pelvic-pain-2/ DDxOf: Differential Diagnosis of Acute Pelvic Pain]
+==References==
+<references/>
+[[Category:OBGYN]]