Adolescent gynaecology abdominal pain Flashcards Preview

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Flashcards in Adolescent gynaecology abdominal pain Deck (5):
1

Assessment of lower abdominal pain with NV

Ovarian torsion Urgent gynaecological referral Pelvic ultrasound

2

With amenorrhea, abnormal bleeding

Positive hCG? Consider ectopic pregnancy or threatened Urgent gynae referral + pelvic USS

3

Vaginal discharge +/- fever

Pelvic inflammatory disease Gynae referral Endocervical swabs

4

Recurrent pain

Mid cycle->Mittelsmertz->NSAIDs With menses->dysmenorrhea->NSAIDs No menses->imperforate hymen->Gynae referral and surgery

5

Overview of assessment and management

Menstural history

Obstertric history

Sexual history

Associated symptoms->bladder, bowel, NV

hCG

Always consider GU/GI etiology

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