Pelvic Pain

Question 1

Visceral Gynecological causes of Chronic pelvic pain

Answer 1

Adenomyosis
Adnexal mass
Leiomyoma
Ovarian remnant
PID
endometritis 
Endometriosis 
Vestibulitis/vulvodynia

Question 2

Visceral GI causes of CPP

Answer 2

Colorectal cancer
Celiac dz
IBDz
IBS
diverticular colitis

Question 3

Visceral Urologic causes CPP

Answer 3

Bladder cancer
IC
UTI
urethral diverticulum

Question 4

Neuromuscular causes CPP

Answer 4

Fibromyalgia
Coccydynia
Abdominal wall trigger point or muscle injury
Neurological: abdominal migraine, neuropathic pain

Question 5

Psychosocial causes of CPP

Answer 5

Abuse
Depressive disorders
Anxiety disorders

Question 6

What’s the FABER test?

Answer 6

Used to diagnose neuromuscular pain

Pain with forced flexion or Abduction and external rotation

Question 7

Carnett test

Answer 7

Tenderness worsens or does not improve during abdominal wall muscle contraction

Negative test indicates visceral pain that improves during muscle contraction

Question 8

Treatment for interstitial cystitis

Answer 8

Elimination of bladder irritants
Oral medication’s including:
Pentosan polysulfate 100 mg tid 
Antidepressants
Antihistamine
Bladder installation with Dimethyl sulfoxide

Question 9

Endometriosis theories

Answer 9

Retrograde menstruation
Hematologic spread
Lymphatic spread
Coelomic metaplasia