Pelvic Pain: Symptoms, Complaints, Signs

The following symptoms and complaints may occur together with acute or chronic pelvic pain: Leading symptom Pelvic pain Associated symptoms Fever Restriction of movement Abnormal vaginal bleeding Hypermenorrhea (increased menstrual bleeding; usually the affected person consumes more than five pads/tampons per day) Fluor vaginalis (vaginal discharge) Altered stool behavior Cave (attention) to acute pelvic pain! … Read more

Chronic Pain

Pain (synonyms: Pain; Chronic Facial Pain; Chronic Pain Patient; Chronic Pain a.n.k. ; Chronic Pain Syndrome; Chronic Uninfluenceable Pain; Diffuse Pain a.n.k. ; Generalized Pain; Intermittent Pain; Panalgesia; Pain; Pain in Carcinoma; Thalamic Pain Syndrome; Therapy-Resistant Pain; Tumor Pain; Unclear Pain Condition; Unclear Pain; ICD-10-GM R52-: Pain, not elsewhere classified) represent a complex subjective sensory … Read more

Chronic Pain: Medical History

The medical history (history of illness) represents an important component in the diagnosis of chronic pain. Family history What is the general health of your family members? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). … Read more

Chronic Pain: Or something else? Differential Diagnosis

Diseases that can lead to chronic pain include: Endocrine, nutritional, and metabolic diseases (E00-E90). Fabry disease (synonyms: Fabry disease or Fabry-Anderson disease) – X-linked lysosomal storage disease due to a defect in the gene encoding the enzyme alpha-galactosidase A, resulting in progressive accumulation of the sphingolipid globotriaosylceramide in cells; mean age of manifestation: 3-10 years; … Read more

Chronic Pain: Complications

The following are the most important diseases or complications that may be contributed to by chronic pain: Psyche – Nervous System (F00-F99; G00-G99). Depression Insomnia (sleep disturbances) – up to 80% of patients with chronic pain. Symptoms and abnormal clinical and laboratory parameters not elsewhere classified (R00-R99). Cachexia (emaciation; very severe emaciation). Tendency to fall … Read more

Chronic Pain: Classification

Graduation of chronic pain according to von Korff et al. Grade Description 0 No pain (no pain in the past six months) I Pain with low pain-related functional impairment and low intensity (pain intensity <50 and less than 3 points of pain-related impairment) II Pain with low pain-related functional impairment and higher intensity: (pain intensity … Read more

Chronic Pain: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney … Read more

Chronic Pain: Lab Test

Laboratory diagnostics depends on the extent and localization of pain or the underlying disease. 2nd order laboratory parameters – depending on the results of the history, physical examination – for differential diagnostic clarification. Small blood count Differential blood count CRP (C-reactive protein) Borrelia antibodies (IgG, cerebrospinal fluid/serum) Yersinia antibodies (IgA, IgG, IgM) Calcium (e.g., due … Read more

Chronic Pain: Diagnostic Tests

Medical device diagnostics are based on the exact extent and location of the pain or the underlying condition. Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification X-rays of the spine, ribs, etc. – if bony cause is suspected. Abdominal sonography … Read more

Muscle Pain (Myalgia): Causes

Pathogenesis (development of disease) Pathogenesis depends on the cause of the disease. Etiology (causes) Biographic causes Genetic burden The likelihood of statin intolerance (statin-associated muscle pain (SAMS)) is increased if patients had two copies of the LILBR5 gene variants Asp247Gly (homozygous): Probability of CK increase was increased almost 1.81-fold (odds ratio [OR]: 1.81; 95% confidence … Read more

Acute Abdomen: Medical History

The medical history (history of illness) represents an important component in the diagnosis of acute abdomen. Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). How long has the pain been present? Has the pain changed? Become stronger? Where did the pain start? Where exactly is the pain localized now? Does the pain … Read more

Acute Abdomen: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Duodenal atresia (synonym: duodenojejunal atresia) – congenital developmental disorder in which the lumen of the duodenum is not patent [premature/newborn]. Ileum atresia – congenital developmental disorder in which the ileum (ileum), i.e., the lower portion of the small intestine, is occluded [premature/newborn] Meckel’s diverticulum (Meckel’s diverticulum; diverticulum ilei) … Read more