The medical history (history of the patient) represents an important component in the diagnosis of acute or chronic pelvic pain. Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history What is your profession? Are you exposed to harmful working substances in … Pelvic Pain: Medical History
Acute pelvic pain Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Infected urachal fistula (Urachus: duct extending from the umbilicus to the urinary bladder and usually closed at birth. In rare cases, the connection may persist and fill with fluid (called a urachal cyst)). Cardiovascular system (I00-I99). Pelvic vein syndrome, unspecified Mouth, esophagus (food pipe), stomach, … Pelvic Pain: Or something else? Differential Diagnosis
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, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? … Pelvic Pain: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance). Laboratory parameters 2nd … Pelvic Pain: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Abdominal ultrasonography (ultrasound of the abdominal organs). Vaginal sonography (ultrasound using a vaginal probe) – to assess the genital organs. Conventional radiography of the spine Computed tomography of the … Pelvic Pain: Diagnostic Tests
Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasonography of abdominal organs)-as a standard diagnostic test for abdominal pain (abdominal pain) [including free fluid, cholecystolithiasis (gallstones)/cholecystitis (gallbladder inflammation), appendicitis (appendicitis), nephrolithiasis (kidney stones)/hydronephrosis (abnormal enlargement of the renal pelvis), organ rupture/laceration (laceration)] Vaginal sonography (ultrasound examination of the internal genital organs using an ultrasound probe inserted into … Abdominal Pain: Diagnostic Tests
The following symptoms and complaints may occur along with Abdominal pain (abdominal pain): Leading symptoms Stinging/burning/tearing Colic-like discomfort Radiation to other regions of the body Occurrence after exertion, after a meal, etc. Obstruction of breathing; dyspnea (shortness of breath). Associated symptoms Nausea (nausea) Vomiting Diarrhea (diarrhea) Constipation (constipation) Meteorism (flatulence) Pain regions/pain locations as an … Abdominal Pain: Symptoms, Complaints, Signs
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [exanthema (rash)?] Orienting dental status Knocking pain paranasal sinuses? Inspection and palpation (palpation) of the lymph … Limb Pain: Examination
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Compression phlebosonography (KUS, synonym: vein compression sonography); sonography (ultrasound examination) to document and check the compressibility of the deep veins in the legs and arms) – for suspected deep … Calf Pain: Diagnostic Tests
1st order laboratory parameters – obligatory laboratory tests. Small blood count* Differential blood count* – to assess leukocyte (white blood cell) composition [neutrophil granulocytes: > 4,090/µl → indicating bacterial infection]. Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin) if sepsis is suspected or ESR (erythrocyte sedimentation rate) [PCT ≥ 1.71 ng/ml → indication of … Limb Pain: Test and Diagnosis
The following symptoms and complaints may indicate calf pain: Cramp-like calf pain that occurs mainly at night. Accompanying symptoms Calf swelling Overheating of the calf Walking disorders such as limping (claudication) Warning signs (red flags) Claudication intermittens (intermittent claudication) + nocturnal bunion pain → think: critical ischemia (reduced blood flow) due to peripheral arterial occlusive … Calf Pain: Symptoms, Complaints, Signs
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Arm pain [see below arm pain]. Arthralgia (joint pain) [see below Arthralgia] Elbow pain [see below elbow pain]. Bone pain [see below bone pain]. Myalgia (muscle pain) [see below the diagnosis of … Limb Pain: Diagnostic Tests
