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Pelvic pain

Elvis is in paaaiiiiiiinnn!

Definition

Pain in the lower abdomen/pelvis area.

Epidemiology

Common.jpg

Pathophysiology

Differential Diagnosis

It's also worth taking a look at abdominal pain. This where I got most of the differentials from.

Gynaecological

Dyspareunia

Pain during or after intercourse

Non-gynae

Clinical and Associated Features

Emergency.gif
Medical Emergencies - these conditions are medical emergencies presenting with abdominal pain. Scary stuff. Remember - acute abdominal pain is surgical until proven otherwise.
  • Appendicitis - central abdominal pain moving to the right iliac fossa, fever, rebound tenderness (pain on removing pressure of palpation), tenesmus (feeling of needing to poo), nausea, vomiting, pressure in left IF (iliac fossa) makes pain worse in RIF. Untreated, has a very high mortality as it leads to peritonitis.
  • Ectopic pregnancy - give a pregnancy test to any woman with acute abdominal pain. Usually presents as for a normal pregnancy. Pain in the lower abdomen, fever. If they start going into shock or becoming very unwell, this may be a sign of rupture.
  • Irreducible inguinal hernia - it can develop gangrene and ischaemia with fatal consequences. Fatality is generally to be avoided in medicine.

Not-so-emergency

Investigations

Management