Chronic pelvic pain and endometriosis

Question 1

What are the red flag symptoms of IBS?

Answer 1

Bleeding per rectum
● New bowel symptoms over 50 years of age
● New pain after the menopause
● Pelvic mass
● Suicidal ideation
● Excessive weight loss
● Irregular vaginal bleeding over 40 years of age
● Postcoital bleeding

Question 2

Rome III criteria for IBS diagnosis

Answer 2

Abdo pain at least 3/7 /month in last 3/12, with onset >6/12 a/w 2+ of the following:
● improvement with defecation
● onset associated with a change in frequency of stool
● onset associated with a change in the form of stool.

Question 3

Diagnostic Lap: death risk

Answer 3

1 in 10000

Question 4

Diagnostic lap: risk of injury to bladder/bowel/ blood vessel

Answer 4

2.4 in 1000