Transcript
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Pelvic painTereza Indrielle, ST1
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Incidence4 in 100Asthma or back pain
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Causes1. 2. 3. 4. 5.
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Causes – gynae ONLY
1. endometriosis2. adhesions3. PID4. ovarian cyst5. psychogenic
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Endometriosis
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Endometriosis - stages
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DiagnosisMacroscopicNot very accurate
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TREATMENT
Stop periodsBurn it – might help or not (central sensitisation of NS established – pain continues)
Resect it
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Adhesions
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PID
Episode of PID -> 20%chronic painFitz - Hugh – Curtis SY
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Ovarian cyst
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PSYCHOGENIC
Psychosocial influence (Mathias et al. 1996 – separated, widowed and divorced more likely to have CPP and more likely to report it)
60% NO DIAGNOSIS
Antidepressants ineffective