Diferencia entre revisiones de «Mittelschmerz»
(→Workup) |
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==Evaluation== | ==Evaluation== | ||
[[File:PMC4603210 usg-15013-f1.png|thumb|A gray-scale sonogram shows a dominant follicle with a much smaller, cystic-appearing structure at the periphery of the follicle, the cumulus oophorus (arrow). This is indicative of imminent ovulation.]] | [[File:PMC4603210 usg-15013-f1.png|thumb|A gray-scale sonogram shows a dominant follicle with a much smaller, cystic-appearing structure at the periphery of the follicle, the cumulus oophorus (arrow). This is indicative of imminent ovulation.]] | ||
*Frequently a diagnosis of exclusion | |||
==Management== | ==Management== | ||
Revisión del 18:28 1 jul 2019
Background
Lower abdominal or pelvic pain during ovulation; From German for "middle pain."
Clinical Features
occurs roughly halfway of menstrual cycle
Differential Diagnosis
RLQ Pain
- GI
- Appendicitis
- Perforated appendicitis
- Peritonitis
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Inguinal hernia
- Mesenteric ischemia
- Ischemic colitis
- Meckel's diverticulum
- Neutropenic enterocolitis (typhlitis)
- Appendicitis
- GU
- Other
LLQ Pain
- Diverticulitis
- Kidney stone
- UTI
- Pyelonephritis
- Ectopic pregnancy
- Infectious colitis
- Inflammatory bowel disease (Crohn's Disease, Ulcerative Colitis)
- Inguinal hernia
- Mesenteric ischemia
- Epiploic appendagitis
- Mittelschmerz
- Ovarian cyst
- Ovarian torsion
- PID
- Psoas abscess
- Testicular torsion
- Appendicitis
- Abdominal aortic aneurysm
- Herpes zoster
- Endometriosis
- Colon cancer
- Irritable bowel syndrome
- Small bowel obstruction
Evaluation
- Frequently a diagnosis of exclusion
Management
- Benign
Disposition
- Outpatient