Selective physical examination:
Rebound tenderness is suggestive of peritonitis.
Purulent discharge –
suggestive of Pelvic inflammatory disease
Cervical motion tenderness –
Dilated with or without tissue protruding
Uniformly enlarged and tender around menses
Retroverted and fixed with tenderness
Twisterd ovarian mass
Post menopausal women:
Tenderness - abdomen with purulent discharge –
PYOMETRA secondary to senile endometritis, Carcinoma endometrium, carcinoma cervix.
Associated with mass abdomen –
ovarian neoplasm, benign or malignant, FIBROID.
Urine pregnancy test
Counseling is also mandatory in addition to the above lines of management.
Subscribe to our Free Newsletters!