Pelvic Inflammatory Disease
Seventeen days later, she presented with severe bilateral lower abdominal pain, cervical motion tenderness, uterine tenderness, and bilateral adnexal tenderness.[ncbi.nlm.nih.gov]
Uterine tenderness or cervical motion pain or adnexal tenderness is most often present on pelvic exam in most cases of moderate PID.[www2a.cdc.gov]
Endometriosis
However, there may be: Posterior fornix or adnexal tenderness.[patient.info]
The physician should palpate for a fixed, retroverted uterus, adnexal and uterine tenderness, pelvic masses or nodularity along the uterosacral ligaments.[web.archive.org]
Palpable nodules in the posterior fornix or adnexal masses (endometriosis can cause cystic lesions on the ovaries, known as 'chocolate cysts').[patient.info]
Gonorrhea
Adnexal tenderness (usually bilateral) or adnexal mass Intermenstrual bleeding Fever, chills, nausea, and vomiting (less common) In males, the major genitourinary symptoms[emedicine.medscape.com]
[…] abdominal pain: Most consistent symptom of PID Increased vaginal discharge or mucopurulent urethral discharge Dysuria: Usually without urgency or frequency Cervical motion tenderness[emedicine.medscape.com]
Tubo-Ovarian Abscess
Upon palpation, patients affected by a TOA usually report adnexal tenderness, that is unilateral.[symptoma.com]
All had lower abdominal tenderness and 9 (45%) had cervical motion or adnexal tenderness.[ncbi.nlm.nih.gov]
, uterine tenderness, or adnexal tenderness.[emdocs.net]
Tubal Pregnancy
[…] of cervical motion tenderness (LR 4.9; 95% CI, 1.7-14; n 1435), an adnexal mass (LR 2.4; 95% CI, 1.6-3.7; n 1378), and adnexal tenderness (LR 1.9; 95% CI, 1.0-3.5; n 1435[doi.org]
The most common physical exam findings are bilateral adnexal tenderness and purulent cervical discharge.[saem.org]
, uterine tenderness, or adnexal tenderness.[emdocs.net]
Ectopic Pregnancy
[…] of cervical motion tenderness (LR 4.9; 95% CI, 1.7-14; n 1435), an adnexal mass (LR 2.4; 95% CI, 1.6-3.7; n 1378), and adnexal tenderness (LR 1.9; 95% CI, 1.0-3.5; n 1435[ncbi.nlm.nih.gov]
A lack of adnexal abnormalities on transvaginal sonography (negative LR [LR ] 0.12; 95% CI, 0.03-0.55; n 6885) decreases the likelihood of ectopic pregnancy.[doi.org]
tenderness and masses state of cervix and material passing through it fetal heart (almost never heard in ectopic) INVESTIGATIONS beta-HCG (should almost double every 2 days[lifeinthefastlane.com]
Metastatic Ovarian Carcinoma
Abstract Distinguishing primary ovarian carcinoma from metastatic carcinoma to the ovary is often difficult by histologic examination alone. Recently an immunohistochemical marker CDX-2 was found to be of considerable diagnostic value in establishing the gastrointestinal origin of metastatic tumors. The aim of this[…][ncbi.nlm.nih.gov]
Ovarian Torsion
Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass.[cdemcurriculum.com]
Pelvic inflammatory disease Sexually active female with lower abdominal pain, cervical motion tenderness, and adnexal tenderness.[online.epocrates.com]
There is adnexal tenderness. A raised white cell count is common.[radiopaedia.org]
Salpingitis
Cervicitis, adnexal tenderness and salpingitis were not associated with any specific serovar.[ncbi.nlm.nih.gov]
Findings of bilateral adnexal tenderness and signs of a lower genital tract infection (mucopus, or leukorrhea, or both) should prompt clinicians to consider the diagnosis[ncbi.nlm.nih.gov]
Lower abdominal pain and adnexal tenderness are the most consistent findings.[ncbi.nlm.nih.gov]
Ovarian Cyst Torsion
Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass.[cdemcurriculum.com]
One study of emergency department physicians found an inter-examiner reliability of only 23% for detection of pelvic masses, and only 32% for the presence of adnexal tenderness[emlyceum.com]
The abdomen may feel tender. Doctors usually suspect adnexal torsion based on symptoms and results of a physical examination.[merckmanuals.com]