Endometriosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Examination findings on digital vaginal examination and [[speculum]] examination include: fixed retroverted [[uterus]] | Examination findings on digital vaginal examination and [[speculum]] examination include: fixed retroverted [[uterus]] with palpable nodularity of the [[uterosacral ligaments]] and cul-de-sac with narrowing of the [[posterior fornix]]. | ||
==Physical Examination== | ==Physical Examination== | ||
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*Fixed retroverted [[uterus]] | *Fixed retroverted [[uterus]] | ||
*Nodualrity of the [[uterosacral ligaments]] | *Nodualrity of the [[uterosacral ligaments]] | ||
*Narrowing of the 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 | ||
*Enlarged and fixed [[ovaries]] can be palpated | *Enlarged and fixed [[ovaries]] can be palpated | ||
*Lateral displacement of the [[cervix]] | *Lateral displacement of the [[cervix]] |
Revision as of 16:31, 26 June 2017
Endometriosis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Examination findings on digital vaginal examination and speculum examination include: fixed retroverted uterus with 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
Pallor may be present due to anemia
Cardiovascular
Normal heart sounds are heard
Respiratory
Normal breath sounds are heard
Abdominal examination
- Lower abdominal tenderness will be present
- Bimanual examination will demonstrate a fixed retroverted uterus with tenderness.
Digital examination of the vagina
Common physical examination findings on digital examination include:
- Fixed retroverted uterus
- Nodualrity of the uterosacral ligaments
- Narrowing of the posterior vaginal fornix in patients with stage 3 and stage 4 disease
- Enlarged and fixed ovaries can be palpated
- Lateral displacement of the cervix
Speculum examination of the vagina
- Lesions of endometriosis may present on the cervix or vagina
- Cervical displacement can be visualized
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.