Cervical Motion Tenderness: Causes & Reasons

Possible Causes for Cervical Motion Tenderness

Symptoms and physical findings vary widely and may include lower abdominal tenderness, adnexal tenderness, and cervical motion tenderness. [bestpractice.bmj.com]

Seventeen days later, she presented with severe bilateral lower abdominal pain, cervical motion tenderness, uterine tenderness, and bilateral adnexal tenderness. [ncbi.nlm.nih.gov]

Antibiotic treatment should be initiated in patients who are sexually active and who have pelvic pain, cervical motion tenderness, or adnexal or uterine tenderness for which [bestpractice.bmj.com]

Mucopurulent Cervicitis

cervical motion tenderness, uterine tenderness or adnexal tenderness. [clinicaltrials.gov]

Bimanual pelvic examination: fornicial or cervical motion tenderness suggests PID. [speciality.medicaldialogues.in]

Findings that suggest a specific cause or other disorders include the following: Fever: PID or HSV infection Cervical motion tenderness: PID Vesicles, vulvar or vaginal pain [msdmanuals.com]

Chlamydial Pelvic Inflammatory Disease

More common presentations include acute pelvic pain (of variable intensity), cervical motion tenderness, vaginal discharge, fever, dyspareunia, and leukocytosis. [radiopaedia.org]

On pelvic examination PID is very likely if there is purulent endocervical discharge, cervical motion tenderness (chandelier sign), and adnexal tenderness with bimanual examination [pedclerk.bsd.uchicago.edu]

On pelvic examination, the patient will likely have tenderness of the cervix (cervical motion tenderness), uterus or adnexa. [clinicaladvisor.com]

Acute Pelvic Inflammatory Disease

motion tenderness Adnexal tenderness Thickening or definite mass Minimum clinical criteria for diagnosis Cervical motion tenderness Uterine tenderness Adnexal tenderness [medchrome.com]

The most frequent signs and symptoms were abnormal vaginal discharge (100%), adnexal tenderness (97.1%), cervical motion tenderness (94.3%) and fever ≥ 38.3 degrees C (82.9% [ncbi.nlm.nih.gov]

More common presentations include acute pelvic pain (of variable intensity), cervical motion tenderness, vaginal discharge, fever, dyspareunia, and leukocytosis. [radiopaedia.org]

Ectopic Pregnancy

Cervical motion tenderness (82.2%) was the most frequent sign. Urinary beta-hCG was positive in 96.1% cases. [ncbi.nlm.nih.gov]

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) all [ncbi.nlm.nih.gov]

[…] of an adnexal mass in the absence of an intrauterine pregnancy on transvaginal sonography (LR+ 111; 95% CI, 12-1028; n = 6885), and the physical examination findings of cervical [ncbi.nlm.nih.gov]

Acute Endometritis

motion tenderness or uterine tenderness or adnexal tenderness. [cdc.gov]

[…] or cervical motion tenderness. [drplace.com]

They will have a history of fever and lower abdominal pain, with leukocytosis and bilateral adnexal or cervical motion tenderness on bimanual pelvic examination. [clinicalgate.com]

Acute Pelvic Cellulitis

During the bimanual exam, cervical motion tenderness and adnexal tenderness are most commonly associated with pelvic inflammatory disease (salpingitis, tubo-ovarian abscess [clinicaladvisor.com]

Pelvic exam may reveal cervical motion tenderness that is exaggerated on the side of the tubal ectopic. [www1.cgmh.org.tw]

[…] culture Imaging: Fetal ultrasound as indicated Pelvic inflammatory disease/Salpingitis/Tubo-ovarian abscess (spectrum of disease): Sx: Uterine/adnexal/cervical motion tenderness [clinicaladvisor.com]

Pelvic Congestion Syndrome

Patient has a positive chandelier sign (cervical motion tenderness) as well as bilateral adenxal tenderness. [proz.com]

Pelvic examination detects tender ovaries and cervical motion tenderness. Symptoms and signs reference 1. [msdmanuals.com]

Pelvic examination detects tender ovaries and cervical motion tenderness. 1. Perry CP: Current concepts of pelvic congestion and chronic pelvic pain. [merckmanuals.com]

Chronic Pelvic Cellulitis

Pelvic exam may reveal cervical motion tenderness that is exaggerated on the side of the tubal ectopic. [www1.cgmh.org.tw]

Abdominal examination findings include tenderness and guarding in the lower quadrants. [www1.cgmh.org.tw]

Once hemoperitoneum has occurred, distension, rebound tenderness, and sluggish bowel sounds may develop. [www1.cgmh.org.tw]

Gonorrhea

[…] discharge Vaginal bleeding; vulvovaginitis in children Cervical friability - Tendency to bleed upon manipulation Cervical motion tenderness during bimanual pelvic examination [emedicine.medscape.com]

motion tenderness Adnexal tenderness (usually bilateral) or adnexal mass Intermenstrual bleeding Fever, chills, nausea, and vomiting (less common) In males, the major genitourinary [emedicine.medscape.com]

[…] following: Lower abdominal pain: Most consistent symptom of PID Increased vaginal discharge or mucopurulent urethral discharge Dysuria: Usually without urgency or frequency Cervical [emedicine.medscape.com]

Cervical Laceration

On physical exam she has paraspinal tenderness in the cervical region. She has limited motion in all planes secondary to pain. [orthobullets.com]

Physical exam revealed mild suprapubic tenderness to palpation, no cervical laceration, no cervical motion or adnexal tenderness, and moderate dark red blood in the vaginal [emdocs.net]

[…] of midline cervical tenderness. [racgp.org.au]

Tubo-Ovarian Abscess

tenderness. [ncbi.nlm.nih.gov]

Physical examination will be positive for abdominal and/or adnexal tenderness and potentially show cervical motion tenderness as well. [visualdx.com]

Exam is significant for cervical friability and white cervical discharge, as well as cervical motion and right adnexal tenderness. [emdocs.net]

Pelvic Vein Thrombophlebitis

Abstract Pelvic vein thrombophlebitis is an unusual, but extremely serious, complication of pelvic surgery. It occurs in approximately 0.5 to 1 per cent of patients who develop operative site infections. It may present as two distinct clinical syndromes: acute ovarian vein thrombosis and diffuse thrombosis of multiple[…] [ncbi.nlm.nih.gov]

Fitz-Hugh-Curtis Syndrome

Surprisingly there is often no or only minimal pelvic pain, vaginal discharge or cervical motion tenderness, which may lead to the diagnosis being missed. [en.wikipedia.org]

There is usually also tenderness on palpation of the right upper abdomen and tenderness to percussion of the lower ribs which protect the liver. [en.wikipedia.org]

Salpingitis

Pelvic inflammatory disease; Cervical motion tenderness Tubo-ovarian abscess? Treatment? [brainscape.com]

PID should be suspected in young, sexually active women who present with lower abdominal pain and adnexal/cervical motion tenderness! [amboss.com]

ESSENTIALS OF DIAGNOSIS Uterine, adnexal, or cervical motion tenderness. Abnormal discharge from the vagina or cervix. Absence of a competing diagnosis. [accessmedicine.mhmedical.com]

Puerperal Pelvic Cellulitis

Elsevier Health Sciences, 26.07.2014 - 3237 Seiten Ferri’s Clinical Advisor 2015 is the fastest, most effective way to access current diagnostic and therapeutic information on more than 700 common medical conditions. Dr. Ferri’s popular "5 books in 1" format provides quick guidance on short QT syndrome, microscopic[…] [books.google.de]

Chronic Pelvic Inflammatory Disease

More common presentations include acute pelvic pain (of variable intensity), cervical motion tenderness, vaginal discharge, fever, dyspareunia, and leukocytosis. [radiopaedia.org]

Motion Tenderness Uterine Tenderness Adnexal Tenderness The following add support for the diagnosis: Fever (>101°F / >38.3°C) Mucopurulent cervical discharge or friability [pedemmorsels.com]

motion tenderness or uterine tenderness or adnexal tenderness. [mshc.org.au]

Gonococcal Vulvovaginitis

Findings that suggest a specific cause or other disorders include the following: Fever: PID or HSV infection Cervical motion tenderness: PID Vesicles, vulvar or vaginal pain [msdmanuals.com]

TABLE 1 Diagnostic Criteria for PID Minimal criteria Cervical motion tenderness Uterine or adnexal tenderness Additional criteria* Abnormal cervical or vaginal mucopurulent [aafp.org]

Pelvic exam demonstrates an absence of cervical motion tenderness and no adnexal tenderness. Which of the following is the most likely diagnosis? [medbullets.com]

Cervicitis

cervical motion tenderness, uterine tenderness or adnexal tenderness. [clinicaltrials.gov]

Findings that suggest a specific cause or other disorders include the following: Fever: pelvic inflammatory disease (PID) or HSV infection Cervical motion tenderness: PID [msdmanuals.com]

adnexal tenderness, or cervical motion tenderness on pelvic exam. [sti.guidelines.org.au]

Adnexitis

PID should be suspected in young, sexually active women who present with lower abdominal pain and adnexal/cervical motion tenderness! [amboss.com]

More common presentations include acute pelvic pain (of variable intensity), cervical motion tenderness, vaginal discharge, fever, dyspareunia, and leukocytosis. [radiopaedia.org]

[…] or Adnexal tenderness or Cervical motion tenderness The previous requirement of having all three minimum criteria present could result in missing many cases of PID. [emedicine.medscape.com]

Tubal Pregnancy

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) all [doi.org]

Cervical motion tenderness, unilateral or bilateral adnexal tenderness, or an adnexal mass may be present. [merckmanuals.com]

[…] of an adnexal mass in the absence of an intrauterine pregnancy on transvaginal sonography (LR+ 111; 95% CI, 12-1028; n = 6885), and the physical examination findings of cervical [doi.org]

Ruptured Ectopic Pregnancy

Haemodynamic instability and cervical motion tenderness may indicate rupture or imminent rupture. [bestpractice.bmj.com]

Cervical motion tenderness, unilateral or bilateral adnexal tenderness, or an adnexal mass may be present. [merckmanuals.com]

motion tenderness adnexal mass A ruptured ectopic pregnancy may present with hypotension signs of shock Evaluation Labs b-hCG does not increase appropriately quantitative [medbullets.com]

Gonococcemia

Pelvic examination revealed white, thin discharge with no cervical motion tenderness. [shmabstracts.com]

Women usually present with pelvic and abdominal pain, fever, chills, and cervical motion tenderness. [cdc.gov.tw]

Physical exam revealed multiple 4‐ to 5‐mm tender maculopapular lesions and pustules with eschar in her hands, multiple tattoos, and mild swelling with limited range of motion [shmabstracts.com]

Chronic Cervicitis

Findings that suggest a specific cause or other disorders include the following: Fever: PID or HSV infection Cervical motion tenderness: PID Vesicles, vulvar or vaginal pain [merckmanuals.com]

On pelvic examination, the patient will likely have tenderness of the cervix (cervical motion tenderness), uterus or adnexa. [clinicaladvisor.com]

True erosion: Vaginal bleeding, sharply defined ulcers of cervix Cervical motion tenderness may be appreciated on bimanual pelvic exam (suggests PID). [tipsdiscover.com]

Bleeding from an Ectopic Pregnancy

Cervical motion tenderness may be a sign of PID ! [amboss.com]

Bimanual examination allows assessment of uterine size, dilatation of the cervical os, pelvic tenderness and cervical motion tenderness. [racgp.org.au]

motion tenderness may suggest peritoneal inflammation. [emedicine.medscape.com]

Luteoma

On per-vaginal examination, the uterus was eight weeks in size, the right fornix was free, the left fornix was full and tender, and cervical motion tenderness was present. [cureus.com]

motion tenderness Underlying malignancy may be associated with early satiety, weight loss/cachexia, lymphadenopathy, or shortness of breath related to ascites or pleural [emedicine.medscape.com]

On abdominal examination, there was no palpable abdominal mass, but left iliac fossa guarding and tenderness were present. [cureus.com]

Heterotopic Pregnancy

Cervical motion tenderness may be a sign of PID ! [amboss.com]

However, the presence of cervical motion tenderness during a digital vaginal examination (LR+ 4.9, 95% CI, 1.7 to 14) or the finding of abdominal pain with cough or tenderness [medpagetoday.com]

Pelvic exam: Os, uterine size, cervical motion tenderness, adnexal findings ? ** No combination of H&P elements can reliably exclude ectopic. ** Step 3: Do I need labs ? [60secondem.com]

Postcoital Bleeding

During this exam, one may delineate whether there is presence of cervical motion tenderness which may help with diagnosing an underlying infection. [ncbi.nlm.nih.gov]

motion tenderness, bilateral adnexal tenderness, and abdominal tenderness. 4.2. [ncbi.nlm.nih.gov]

Cervical Ectropion Cervical ectropion does not require treatment unless bleeding is persistent and bothersome to the patient. [ncbi.nlm.nih.gov]

Pyosalpinx

Minimum criteria needed for clinical diagnosis: Lower abdominal tenderness- cardinal symptom Adnexal tenderness Cervical motion tenderness Additional criteria, which increase [lumen.luc.edu]

According to the 2010 guidelines of the Centers for Disease Control and Prevention, PID was diagnosed when a combination of abdominal tenderness, cervical motion tenderness [docksci.com]

PID is more likely if lower abdominal, unilateral or bilateral adnexal, and cervical motion tenderness are present. [merckmanuals.com]

Ovarian Torsion

Cervical motion tenderness, a unilateral tender adnexal mass, and peritoneal signs are usually present. [merckmanuals.com]

Pelvic inflammatory disease Sexually active female with lower abdominal pain, cervical motion tenderness, and adnexal tenderness. [online.epocrates.com]

Purulent cervical discharge and cervical motion tenderness point more towards PID with a tubo-ovarian abscess. [cdemcurriculum.com]