Selective physical examination:
Abdominal examination
Rebound tenderness is suggestive of peritonitis.
Cervix
Purulent discharge –
suggestive of Pelvic inflammatory disease
Cervical motion tenderness –
Ectopic Pregnancy
Dilated with or without tissue protruding
Abortion
Uterus
Enlarged, irregular
Fibroid
Uniformly enlarged and tender around menses
Adenomyosis
Retroverted and fixed with tenderness
Endometriosis
Adnexal mass
Twisterd ovarian mass
Post menopausal women:
Tenderness - abdomen with purulent discharge –
PYOMETRA secondary to senile endometritis, Carcinoma endometrium, carcinoma cervix.
ovarian neoplasm, benign or malignant, FIBROID.
Investigations:
Urine pregnancy test
Urinalysis
Ultrasound
Laparoscopy
Counseling is also mandatory in addition to the above lines of management.
Comments
3 years ago i went early menopause and my last period was 2 years ago, but 2 days ago i stated bleeding even though is not much i have abdominal pain as well please let me know.
Is taking ice cubes harmful to my health? How is taking too cold drinks associated to abdominal pains?
Abdonimal pain was treated with OFLOXACIN AND ORNIDAZOLE tablets with improvement.When CAPSULES of PREBIOTIC were used along with the first drug, the condition of the patient became worse.The second drug was then avoided and the patient improved regularly.