What are you looking for on a pelvic exam for pt with abdo pain?
Answer
vaginal discharge (vaginitis), cervical motion tenderness & peritoneal signs (ectopic pregnancy or other gyne complications e.g. tubo-ovarian abscess)
Tags
#fm
Question
What are you looking for on a pelvic exam for pt with abdo pain?
Answer
?
Tags
#fm
Question
What are you looking for on a pelvic exam for pt with abdo pain?
Answer
vaginal discharge (vaginitis), cervical motion tenderness & peritoneal signs (ectopic pregnancy or other gyne complications e.g. tubo-ovarian abscess)
If you want to change selection, open original toplevel document below and click on "Move attachment"
Parent (intermediate) annotation
Open it ms if lower abdo & pelvic pain
DRE - fecal impaction, palpable mass, occult blood in stool
Tenderness & fullness on R of rectum suggests retrocecal appendix
Pelvic - <span>vaginal discharge (vaginitis), cervical motion tenderness & peritoneal signs (ectopic pregnancy or other gyne complications e.g. tubo-ovarian abscess)
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Original toplevel document
Abdo Pain
Cholecystitis (highest to lowest PPV)
RUQ pain, fever, jaundice
IBS algorithm
<span>Objective
General inspection
Change in mental status (infection - UTI)
Shock (perforated viscera, GI hemorrhage, severe pancreatitis, MI, sepsis)
Vitals
Upper abdo pain - pay attention to Cardiac (ischemia) & lung (pneumonia) exams
Tachypneic (pneumonia)
Abdo
peritoneal signs
Carnett’s sign (high ppv for abdo wall pain)
↑ pain when supine pt raises head & shoulder, tensing abdo wall
Murphy’s sign (high ppv for choleycystitis)
Psoas sign (high ppv for appendicitis)
Sever pain out of proportion (ischemic bowel, pancreatitis)
restless/writhing (biliary/renal colic, testicular torsion)
LLQ tenderness (diverticulitis)
Rectal & pelvic exams if lower abdo & pelvic pain
DRE - fecal impaction, palpable mass, occult blood in stool
Tenderness & fullness on R of rectum suggests retrocecal appendix
Pelvic - vaginal discharge (vaginitis), cervical motion tenderness & peritoneal signs (ectopic pregnancy or other gyne complications e.g. tubo-ovarian abscess)
S&S of surgical abdo
Fever
Protracted (prolonged) vomiting
syncope/pre-syncope
Evidence of GI blood loss
Summary
status
not learned
measured difficulty
37% [default]
last interval [days]
repetition number in this series
0
memorised on
scheduled repetition
scheduled repetition interval
last repetition or drill
Details
No repetitions
Discussion
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