This document outlines the rule in and rule out criteria and recommended labs for diagnosing four potential causes of acute abdominal pain in women: adnexal torsion secondary to ovarian benign cystic teratoma, ruptured corpus luteum cyst, hemorrhagic follicular cyst, and ruptured right-sided ectopic pregnancy. It describes the typical onset, location, and characteristics of pain for each condition as well as features that help rule out other potential diagnoses. Transvaginal sonography is recommended for diagnosing adnexal torsion and ruptured corpus luteum cyst while a pregnancy test can help rule out an ectopic pregnancy.
This document outlines the rule in and rule out criteria and recommended labs for diagnosing four potential causes of acute abdominal pain in women: adnexal torsion secondary to ovarian benign cystic teratoma, ruptured corpus luteum cyst, hemorrhagic follicular cyst, and ruptured right-sided ectopic pregnancy. It describes the typical onset, location, and characteristics of pain for each condition as well as features that help rule out other potential diagnoses. Transvaginal sonography is recommended for diagnosing adnexal torsion and ruptured corpus luteum cyst while a pregnancy test can help rule out an ectopic pregnancy.
This document outlines the rule in and rule out criteria and recommended labs for diagnosing four potential causes of acute abdominal pain in women: adnexal torsion secondary to ovarian benign cystic teratoma, ruptured corpus luteum cyst, hemorrhagic follicular cyst, and ruptured right-sided ectopic pregnancy. It describes the typical onset, location, and characteristics of pain for each condition as well as features that help rule out other potential diagnoses. Transvaginal sonography is recommended for diagnosing adnexal torsion and ruptured corpus luteum cyst while a pregnancy test can help rule out an ectopic pregnancy.
Adnexal Torsion (+) Acute onset of (+) Same Transvaginal
secondary to Ovarian abdominal pain characteristics of uterine Sonography Benign Cystic Teratoma (+) Onset after exercise mass and the mass on (+) Tenderness and the right side rebound palpation (-)Nausea/Vomiting (+) Right lower quadrant location of pain (+) Pain on ambulation Ruptured Corpus Luteum (+) Acute onset of (-) Vaginal bleeding Transvaginal Cyst abdominal pain (-) Nausea/vomiting Sonography (+) Onset after exercise (-) Syncope (+) Tenderness and (-) Circulatory collapse rebound palpation 7x7 cm firm mass Ovary obscured in ultrasound Usually occurs in second half of menstrual cycle Hemorrhagic follicular (+) Acute onset of (-) Vaginal bleeding cyst abdominal pain (+) Onset after exercise (+) Tenderness and rebound palpation Ruptured Right-sided (+) Acute onset of (-) Pregnancy Test Ectopic Pregnancy abdominal pain (+) Tenderness and rebound palpation (+) Right lower quadrant location of pain (+) Pain on ambulation