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, with palpable nodularity of the uterosacral ligaments and cul-de-sac with narrowing of the posterior fornix. | 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== | ||
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> | 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 may be present due to anemia | [[Pallor]] may be present due to [[anemia]] | ||
===Cardiovascular=== | ===Cardiovascular=== | ||
Normal heart sounds are heard | Normal heart sounds are heard | ||
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Normal breath sounds are heard | Normal breath sounds are heard | ||
===Abdominal examination=== | ===Abdominal examination=== | ||
*Lower abdominal tenderness will be present | *[[Abdominal tenderness|Lower abdominal tenderness]] will be present | ||
*Bimanual examination will demonstrate a fixed retroverted uterus with tenderness. | *Bimanual examination will demonstrate a fixed retroverted [[uterus]] with [[tenderness]]. | ||
===Digital examination of the vagina=== | ===Digital examination of the vagina=== | ||
Common physical examination findings on digital examination include: | Common physical examination findings on digital examination include: | ||
*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 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]] | ||
===Speculum examination of the vagina=== | ===Speculum examination of the vagina=== | ||
*Lesions of endometriosis may present on the cervix or vagina | *Lesions of [[endometriosis]] may present on the [[cervix]] or [[vagina]] | ||
*Cervical displacement can be visualized | *Cervical displacement can be visualized | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 15:15, 20 June 2017
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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.