Diferencia entre revisiones de «Fitz-Hugh-Curtis syndrome»
Sin resumen de edición |
Sin resumen de edición |
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| Línea 8: | Línea 8: | ||
*May not have symptoms of PID | *May not have symptoms of PID | ||
== | ==Differential Diagnosis== | ||
{{DDX RUQ}} | |||
==Diagnosis== | |||
*Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref> | *Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref> | ||
**Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246</ref> | **Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246</ref> | ||
*If CT obtained, may show inflammatory changes in pelvic and perihepatic regions | *If CT obtained, may show inflammatory changes in pelvic and perihepatic regions | ||
*Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia | *Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia | ||
==Management== | ==Management== | ||
*Fully treat [[pelvic inflammatory disease]] | *Fully treat [[pelvic inflammatory disease]] | ||
== | ==Disposition== | ||
==References== | |||
<references/> | <references/> | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revisión del 21:49 21 sep 2015
Background
- A complication of Pelvic Inflammatory Disease, involving acute gonococcal or chlamydia trachomatis peritonitis of the right upper quadrant in women
- Pain is caused by liver capsule inflammation
Clinical Features[1]
- Sudden onset of severe right upper quadrant abdominal pain
- Distal pleuritic component +/- radiation to the shoulder
- May not have symptoms of PID
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Diagnosis
- Aminotransferases usually normal or mildly elevated [1]
- If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
- Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia
Management
- Fully treat pelvic inflammatory disease
Disposition
References
- ↑ 1.0 1.1 Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.
- ↑ Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.
- ↑ Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246