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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.
===Respiratory===
===Respiratory===
Normal breath sounds are heard
Normal breath sounds are heard.
===Abdominal examination===
===Abdominal examination===
*[[Abdominal tenderness|Lower abdominal tenderness]] will be present
*[[Abdominal tenderness|Lower abdominal tenderness]] will be present.
*Bimanual examination will demonstrate a fixed retroverted [[uterus]] with [[tenderness]].
*The bi-manual examination will demonstrate a fixed retroverted [[uterus]] with [[tenderness]].
===Digital examination of the vagina===
===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>===
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]]
*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  
*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 15:18, 25 July 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

Digital examination of the vagina[2]

Common physical examination findings on digital examination include:

Speculum examination of the vagina

References

  1. 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.
  2. 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.