Endometriosis physical examination: Difference between revisions
No edit summary |
|||
Line 3: | Line 3: | ||
{{CMG}}; {{AE}} {{AKI}}, {{MAD}} | {{CMG}}; {{AE}} {{AKI}}, {{MAD}} | ||
==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]], 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> |
Revision as of 18:07, 26 July 2017
Endometriosis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Endometriosis physical examination On the Web |
American Roentgen Ray Society Images of Endometriosis physical examination |
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 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
Pallor may be present due to anemia.
Cardiovascular
Normal heart sounds are heard.
Respiratory
Decreased breath sound and tenderness -especially on the right side- is commonly present in patients with thoracic endometriosis.
Abdominal examination
- Lower abdominal tenderness will be present.
- The bi-manual examination will demonstrate a fixed retroverted uterus with tenderness.
Digital examination of the vagina[2]
Common physical examination findings on digital examination include:
- Fixed retroverted uterus
- Nodularity 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.
- ↑ 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.