W10_04 Acute Chronic Pelvic Pain Flashcards Preview

MMMD 2 > W10_04 Acute Chronic Pelvic Pain > Flashcards

Flashcards in W10_04 Acute Chronic Pelvic Pain Deck (14)
Loading flashcards...
1
Q

what are the two types of pathophysiology of pelvic pain?

A

nociceptive and neuropathic pain

2
Q

what’s the difference between A and C fibre nociceptive pain?

A

A - quick, sharp.
C - slow, dull

3
Q

define dysmenorrhea

A

painful menstruation.
Mechanism is through prostaglandins PGEs, inflammation, and finally altered uterine contractions

4
Q

what to look for in the history?

A

context, age, duration

5
Q

how long for chronic pelvic pain?

A

> 6 months (but 3 months is more practical)

6
Q

if bilateral pelvic pain, what’s the likely diagnosis?

A

PID

7
Q

if episodic pelvic pain, what’s the likely diagnosis?

A

torsion

8
Q

if flank/colicky pelvic pain, what’s the likely diagnosis?

A

ureteric stone

9
Q

define dyspareunia

A

pain during intercourse

10
Q

what tests to consider ordering with pelvic pain?

A

serum beta hCG;
CBC;
ESR, CRP;
cultures;
urinalysis for blood/crystals;
stool for OB

11
Q

degenerating fibroids present with which symptoms?

A

25-50% asymptomatic;
menorrhagic and dysmenorrhea;
pressure symptoms;
acute pain with degeneration, torsion, prolapse

12
Q

what’s the treatment for degenerating fibroids?

A

conservative pain meds and anti-inflammatories, as they typically resolve themselves

13
Q

non-surgical treatments of adhesions?

A

NSAIDs, tylenol, avoid narcotics (don’t want constipation), oral contraceptives, stool softeners, pee more, alternate positions for intercourse

14
Q

surgical treatments of adhesions?

A

remove scar tissue and take precautions to prevent additional adhesions, including adhesion barriers, meticulous hemostasis, gentle handling of tissues,

Decks in MMMD 2 Class (64):