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 http://www.wikem.org/wiki/Pelvic_Pain
Chapter 106: Vulvovaginitis
Pages 711 – 716 (Tintinalli’s Emergency Medicine, 7th Edition)
WikEM Page http://www.wikem.org/wiki/Vulvovaginitis
As always, place your notes on the corresponding Wiki Pages