B8-081 Pelvic Pain Flashcards
reproductive aged woman presents with sudden onset of acute pelvic pain and is hemodynamically unstable
ruptured ectopic
patient has acute colicky pelvic pain with nausea and vomiting
can be associated with a mild leukocytosis and low-grade fever
ovarian torsion
patient has a sudden acute onset of pelvic pain with a drop in hemoglobin levels but has a negative urine or serum bHCG
ruptured ovarian cyst
patient has a gradual onset of acute pelvic pain with fever, leukocytosis, nausea and vomiting with cervical motion tenderness
tubo-ovarian abscess
chronic pelvic pain is considered non-cyclic pain lasting […]+ months
6
common postural changes associated with chronic pelvic pain
concurrent kyphosis and lordosis
untreated gonorrhea/chlamydia can result in
PID
substance abuse and smoking are thought to increase the risk of […] by impairing the cilia
PID
cervical motion tenderness is characteristic of
PID
(chandelier sign)
next step for patients with a history of PID who have failed empirical treatment
laparoscopy
most specific physical exam finding for PID
cervical motion tenderness
PID is a polymicrobial infection most commonly caused by [2]
Ng
Ct
a patient with persistent nausea should receive […] antibiotics
IV
triple therapy recommended for PID
ceftriaxone
doxy
metronidazole
following treatment with IV antibiotics the patient should be given PO antibiotics to complete a total of […] days
14
