Endometriosis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Endometriosis}} | {{Endometriosis}} | ||
{{CMG}}; {{AE}} {{AKI}}, {{MAD}} | |||
{{CMG}}; {{AE}} {{AKI}} | |||
==Overview== | ==Overview== | ||
Examination findings on digital vaginal examination and [[speculum]] examination include fixed | Examination findings on digital vaginal examination and [[speculum]] examination include a fixed [[retroverted uterus]], palpable nodularity of the [[uterosacral ligaments]], and cul-de-sac with narrowing of the [[posterior fornix]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical | Physical examination findings in a patient with endometriosis include:<ref name="pmid28186620">{{cite journal| author=Cranney R, Condous G, Reid S| title=An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma. | journal=Acta Obstet Gynecol Scand | year= 2017 | volume= 96 | issue= 6 | pages= 633-643 | pmid=28186620 | doi=10.1111/aogs.13114 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28186620 }} </ref> | ||
===HEENT=== | ===HEENT=== | ||
[[Pallor]] | Patient may have: | ||
*[[Pallor]] (due to [[anemia]]) | |||
===Respiratory=== | ===Respiratory=== | ||
*Decreased [[breath sounds]] and [[tenderness]], especially on the right side (commonly present in patients with [[thoracic]] endometriosis) | |||
===Abdominal examination=== | ===Abdominal examination=== | ||
*[[Abdominal tenderness|Lower abdominal tenderness]] | *[[Abdominal tenderness|Lower abdominal tenderness]] | ||
* | *Fixed and tender retroverted [[uterus]] (on bi-manual examination) | ||
===Digital examination of the vagina<ref name="pmid8566252">{{cite journal| author=Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG| title=Endometriosis and pelvic pain: relation to disease stage and localization. | journal=Fertil Steril | year= 1996 | volume= 65 | issue= 2 | pages= 299-304 | pmid=8566252 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8566252 }}</ref> | |||
===Digital examination of the vagina=== | |||
Common physical examination findings on digital examination include:<ref name="pmid8566252">{{cite journal| author=Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG| title=Endometriosis and pelvic pain: relation to disease stage and localization. | journal=Fertil Steril | year= 1996 | volume= 65 | issue= 2 | pages= 299-304 | pmid=8566252 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8566252 }}</ref> | |||
*Fixed retroverted [[uterus]] | *Fixed retroverted [[uterus]] | ||
*Nodularity of the [[uterosacral ligaments]] | *Nodularity of the [[uterosacral ligaments]] | ||
*Narrowing of the [[Vaginal fornix|posterior vaginal fornix]] in patients with stage 3 and stage 4 disease | *Narrowing of the [[Vaginal fornix|posterior vaginal fornix]] in patients with stage 3 and stage 4 disease | ||
*Lateral displacement of the [[cervix]] | *Lateral displacement of the [[cervix]] | ||
===Speculum examination of the vagina=== | ===Speculum examination of the vagina=== | ||
*Lesions of [[endometriosis]] | [[Speculum]] examination may reveal: | ||
*Cervical displacement | *Lesions of [[endometriosis]] on the [[cervix]] or [[vagina]] | ||
*Cervical displacement | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 20:18, 2 August 2017
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Endometriosis physical examination On the Web |
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American Roentgen Ray Society Images of Endometriosis physical examination |
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Risk calculators and risk factors for Endometriosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Mohammed Abdelwahed M.D[3]
Overview
Examination findings on digital vaginal examination and speculum examination include a fixed retroverted uterus, palpable nodularity of the uterosacral ligaments, and cul-de-sac with narrowing of the posterior fornix.
Physical Examination
Physical examination findings in a patient with endometriosis include:[1]
HEENT
Patient may have:
Respiratory
- Decreased breath sounds and tenderness, especially on the right side (commonly present in patients with thoracic endometriosis)
Abdominal examination
- Lower abdominal tenderness
- Fixed and tender retroverted uterus (on bi-manual examination)
Digital examination of the vagina
Common physical examination findings on digital examination include:[2]
- Fixed retroverted uterus
- Nodularity of the uterosacral ligaments
- Narrowing of the posterior vaginal fornix in patients with stage 3 and stage 4 disease
- Lateral displacement of the cervix
Speculum examination of the vagina
Speculum examination may reveal:
- Lesions of endometriosis on the cervix or vagina
- Cervical displacement
References
- ↑ Cranney R, Condous G, Reid S (2017). "An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma". Acta Obstet Gynecol Scand. 96 (6): 633–643. doi:10.1111/aogs.13114. PMID 28186620.
- ↑ Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG (1996). "Endometriosis and pelvic pain: relation to disease stage and localization". Fertil Steril. 65 (2): 299–304. PMID 8566252.