Pelvic Pain Assessment Case Study
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Pelvic Pain Assessment Case Study

Created by
@DecisiveDwarf

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Questions and Answers

What is the primary symptom described by the 19-year-old female patient?

  • Irregular menstrual periods
  • Negative pregnancy test
  • Ectopic pregnancy
  • Pelvic pain (correct)
  • Which condition does the patient have a history of that may contribute to her current symptoms?

  • Polycystic Ovary Syndrome (PCOS) (correct)
  • Ectopic pregnancy
  • Chronic pelvic inflammatory disease
  • Urinary tract infection
  • Which imaging technique is considered the first-line diagnostic tool for this patient's condition?

  • X-ray
  • MRI
  • Ultrasound (correct)
  • CT scan
  • What was the result of the urinalysis (UA) performed on the patient?

    <p>Negative for UTI</p> Signup and view all the answers

    In the event of significant findings in ultrasound, what is the next diagnostic step indicated?

    <p>CT scan</p> Signup and view all the answers

    What should the patient do if her pelvic pain becomes unbearable?

    <p>Go to the emergency room</p> Signup and view all the answers

    Which of the following is NOT a possible diagnosis mentioned for the patient's condition?

    <p>Ovarian torsion</p> Signup and view all the answers

    What is a common characteristic of the patient's menstrual cycle?

    <p>Irregular periods</p> Signup and view all the answers

    Study Notes

    Patient Information

    • 19 year old female with c/c of pelvic pain
    • Pelvic pain started 2 months ago.
    • Describes pain as constant cramping in pelvic area.
    • No current bleeding.
    • Takes Tylenol for pain, provides temporary relief.
    • History of PCOS.
    • Had an ultrasound 2 years ago showing a cyst, did not follow up.
    • Previously on birth control, stopped taking it.
    • Experienced an ectopic pregnancy in 2023.
    • Last menstrual period (LMP) was 10/03/2023.
    • Missed her period in September.
    • Irregular menstrual periods.
    • In a monogamous relationship for the last 2 years.

    Potential Diagnoses

    • UTI
    • STD - PID (Pelvic Inflammatory Disease)
    • Ectopic Pregnancy
    • Cyst

    Challenges

    • Patient is uninsured and receives care at a clinic with limited resources.
    • Only day available for ultrasound is Saturday.
    • Patient instructed to go to ER if pain becomes unbearable with active bleeding.

    Actions Taken in Clinical Setting

    • Vaginal exam with no significant findings.
    • UA (urinalysis) was negative for UTI.
    • STD panel ordered.
    • Negative pregnancy test.
    • Ultrasound scheduled.

    Diagnostic Approach

    • Pregnancy test: To rule out pregnancy.
    • UA: To rule out UTI.
    • Pelvic exam: To assess for any abnormalities.
    • Ultrasound: First-line diagnostic technique to distinguish between:
      • Urinary tract pathology (UA)
      • Gynecologic pathology (HCG - pregnancy test)
      • GI pathology
    • CT: To be performed if ultrasound doesn't reveal significant findings.
    • MRI: Second-line technique.

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    Description

    This quiz explores the clinical assessment of a 19-year-old female presenting with pelvic pain. Participants will analyze the patient's history, potential diagnoses, and challenges faced in a clinical setting. Test your knowledge on how to approach similar cases in medical practice.

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