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! … Pelvic Pain: Symptoms, Complaints, Signs
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
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