Pain - Abdominal and Pelvic Pain CAPT Mike Hughey MC USNR...

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Slide 1 Abdominal and Pelvic Pain CAPT Mike Hughey, MC, USNR
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Slide 2 Uncertainty of Diagnosis “When I see a woman with abdominal or pelvic pain, I often haven't a clue as to what the problem is, even using ultrasound, a full lab, and countless consultants.” “All I know is that the patient is sick with something.”
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Slide 3 The Point is: “In gynecology, the diagnosis is often obscure.” “You must frequently treat the patient before you know the correct diagnosis.”
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Slide 4 The Other Point is: “More important than knowing the correct diagnosis is doing the right thing for the patient.”
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Slide 5 Pain of Unknown Cause Bedrest for a few days is never the wrong thing to do.
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Slide 6 Pain and Fever Give antibiotics to cover PID Mild symptoms respond to PO drugs. Severe symptoms respond to IVs.
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Slide 7 Chronic Pelvic Pain Doxycycline OCPs Refer to GYN if pain persists
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Slide 8 Pregnancy Test Every patient complaining of lower abdominal pain should have a pregnancy test.
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Slide 9 BCPs and Pain Most with chronic pain benefit from BCPs -dysmenorrhea -ovarian cysts -endometriosis -adenomyosis Monophasic better Cyclic vs. Continuous
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Slide 10
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Pain - Abdominal and Pelvic Pain CAPT Mike Hughey MC USNR...

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