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Edward A. Lyons, OC, MD, FRCP (C), FACR
Pelvic Pain in Women
Edward A. Lyons, OC, MD, FRCP (C), FACR
05/14/2011 | Time : 66 min
About This Lecture:

Topics mentioned in this video : Pelvic pain in women, Pelvic pain, Ask the patient what’s wrong, When assessing a woman with pelvic pain, Look closely at the requisition, The sonographer’s job is, The sonologist’s job is usually, The sonologist’s job is ideally, In the real world, Pelvic pain – what organ is tender?, Why TA and do you need a full bladder?, Probe, Touch the uterine body to assess tenderness, How to palpate the uterus, Uterine palpation with RVRF uterus, 39y/0 G1P1 menorrhagia, Pelvis viscera of the female, Bowel in the pelvis, Normal pre-menopausal reproductive apparatus Pelvic tenderness check all the organs, Uterine causes of pain, 16 y/o with abdominal pain and a mass, regular periods, Hematocolpos, -metra, and –salpinx, 16 y/o didelphys post vaginal incision scan, Uterus didelphys, 49 y/o G4P4 with left pelvic pain, Uterine causes of pain, 41 y/o post endometrial ablation, 40 y/o with pain shortly after endometrial ablation, ?Failed endometrial ablation, 55 y/o with endometrial ablation, 43 y/o pelvic pain 1 year post ablation, 43 y/o pelvic pain 1.5 years post ablation Uterine causes of pain, Endometritis, 16 y/o 2 weeks post TA, Uterine causes of pain, Adenomyosis is not fibroids, Typical characteristics , Fibroid – critical features, 34 y/o G1P0 tender painful “uterus”, Typical characteristics, Menorrhagia, previous polyp, Adenomyosis infiltrating myometrium, Adenomyosis – clinically, Focal myometrial echodensities, 38 y/o G6P2 right pelvic pain and lower abdominal pain, 53 y/o with post menopausal bleeding, 65 y/o with large uterus, 52 year old G0P0 with menorrhagia, Look for the whole package Treatment of adenomyosis is symptomatic, 47 y/o one year post UAE with adenomyosis, HSC pelvic US, Adenomyosis and how it presents, Incidence of fibroids and adenomyosis, How do fibroids present?, Uterine causes of pain, 45 y/o with pelvic pain and IUCD, 43 y/o with post coital bleeding and pain after IUCD, 43 y/o G0P0 intermenstrual bleeding , Lost IUCD, 40 y/o with pelvic pain, Video clip, Pelvic pain in a 40 y/o Chinese woman, Types of IUCD, Uterine causes of pain, 27 y/o G3P2Ab1 with pelvic pain, When you have pelvic pain… Pelvic pain: non-uterine causes, Tubal causes of pain, Low grade salpingitis, Check for proximal tube tenderness, 26 y/o LLQ pain and tenderness, 23 y/o G1P1 with pelvic pain, 42 y/o with one month LLQ pain, 55 y/o with pelvic pain, Ectopic at 8 weeks, Spotting at 12 weeks G1P0, Laparotomy done next day, Scan upper abdomen, 31 y/o G0P0 with pain 2 months, Laprascopic removal of left fallopian tube, Non-functional simple cyst, Paratubal cyst, Fallopian tube neoplasm, 62 y/o G2P2 with spotting, Fallopian tube papillary cystadenocarcinoma Pelvic pain, Ovarian causes of pain, Corpus luteum cyst, 25 y/o with dyspareunia, Polycystic ovaries, 30 y/o G4P4 with RLQ pain, 20 y/o with lower abdominal fullness, Ovarian torsion, 29 y/o with 1 day of right pain, Ovarian torsion and necrosis, 23 y/o with LLQ pain, 15 y/o G0P0 known ovarian cyst, Pelvic pain – answer the question, Bowel causes, 53 y/o on HRT LLQ pain and tenderness, If uterus and ovaries are normal what then?, Normal and abnormal bowel motility, 42 y/o G1P1 with pelvic pain, 23 y/o G3P0Ta1Sa1 LMP 12 weeks, LLQ pain, 41 y/o G2P0 LLQ pain X 2 weeks, 48 y/o 10 days post TAH/BSO with pain, fever, 21 y/o with RLQ pain and tenderness, 23 y/o G1P1 Day 10 with sudden onset LLQ pain, Pelvic pain

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Keywords : adenomyosis, appendicitis, appendix epiploca, congenital hematometra, corpus luteum cyst, DUB, dysfunctional uterine bleeding, dysmenorrhea, dyspareunia, ectopic pregnancy, endometrial ablation, endometrioma, endometriosis, endometritis, fallopian tube neoplasm, fallopian tube papillary cystadenocarcinoma, fibroid tumor, hematocolpos, hematosalpinx, HSG, Hydrosalpinx, hysterosonogram, intrauterine contraceptive device, IUCD, menorrhagia, ovarian cyst, ovarian dermoid, ovarian torsion, paratubal cyst, PCOD, pelvic inflammatory disease, pelvic pain, Pelvic Ultrasound, PID, PMB, polycystic ovarian disease, post menopausal bleeding, salpingitis, sigmoid diverticulitis, TOA, transabdominal pelvic ultrasound, transvaginal pelvic ultrasound, tubo-ovarian abscess, UAE, uterine artery embolization, uterine didelphys

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