Reading Club: Week 2

Reading Selection

Chapter 100: Abdominal and Pelvic Pain in the Nonpregnant Female

Pages 672 – 676 (Tintinalli’s Emergency Medicine, 7th Edition)

Key Points and Pearls

  • The bimanual exam is of limited value given its lack of accuracy and reproducibility for complaints such as CMT, adnexal tenderness or masses
  • Ovarian cysts may cause pain when they rupture, precipitate ovarian torsion, or become large enough to cause pressure on adjacent structures
  • Hormonal contraception is used to prevent cysts from forming (rather than to treat persistent functional cysts)
  • Risk factors for torsion include ovarian cysts, tumors, pregnancy, and chemical induction of ovulation
  • PID treatment includes ceftriaxone 250mg IM x 1 + doxycycline 100mg PO BID x 14 days + metronidazole 500mg PO BID x 14 days

WikEM Page

Chapter 106: Vulvovaginitis

Pages 711 – 716 (Tintinalli’s Emergency Medicine, 7th Edition)

WikEM Page 


As always, place your notes on the corresponding Wiki Pages

Leave a Reply