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Pelvic Masses


Pelvic Masses

المعلومة

*HISTORIES SUGGESTIVE OF DIAGNOSES
In different contexts, pelvic masses are more likely to carry different diagnoses.
The following are contexts and the likely diagnosis:
Context in Which Pelvic Mass
Is Found=== Likely Diagnosis
Painless abnormal uterine bleeding=== Leiomyoma
Amenorrhea Pregnancy,=== ovarian cysts
Dysmenorrhea ===Endometriosis
Reproductive age=== Pregnancy, ovarian cysts, leiomyoma,
TOA, ovarian neoplasm
Postmenopausal=== Neoplasm
History of pelvic inflammatory=== Signs/symptoms of systemic illness—
disease (PID) TOA, adhesions
History of surgery/endometriosis=== Adhesions

*DIAGNOSTIC TESTS FOR VARIOUS CAUSES OF PELVIC MASSES
Pregnancy: Pregnancy test
Ovarian cysts: Physical exam (ultrasound (US) if needed for confirmation)
Leiomyoma: Physical exam (US, hysteroscopy if needed for confirmation)
Ovarian neoplasm: US, computed tomography (CT) scan, CA-125 level,
surgical exploration, high level of suspicion due to age, family history
Endometrial neoplasm: ECC, D&C
Endometriosis/adenomyosis: Laparotomy/scopy
Tubo-ovation abscess: History of PID, tender mass, KUB x-ray (showing ileus)

المرجع

First Aid for the Obstetrics & Gynecology Clerkship

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