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48 Possible Causes for Cervical Motion Tenderness, Hemorrhage, Left Lower Quadrant Pain

  • 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] A healthy 29-year-old woman who has been trying to conceive presents with vaginal spotting for the past 5 days and intermittent crampy abdominal pain in her left lower quadrant[nejm.org] […] the performance of computed tomography (CT) as a diagnostic aid to differentiate between ruptured ovarian corpus luteal cyst (ROCLC) and ruptured ectopic pregnancy with hemorrhage[ncbi.nlm.nih.gov]

  • 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] The Case of Rachel T A 24yo nulliparous female presents to the emergency department with constant left lower quadrant pain of 2 days duration.[sharinginhealth.ca] Abstract This study examines whether pelvic inflammatory disease (PID) facilitates the development of intracerebral hemorrhage (ICH).By using outpatient claims data from the[ncbi.nlm.nih.gov]

  • Ovarian Cyst

    motion tenderness Underlying malignancy may be associated with early satiety, weight loss/cachexia, lymphadenopathy, or shortness of breath related to ascites or pleural[emedicine.com] […] bowel movements Pain during sexual intercourse (dyspareunia) Pain in the lower right or left quadrant of the abdomen on one side Nausea and vomiting There are many causes[medicinenet.com] Hemorrhagic ovarian cysts ( HOCs ) usually result from hemorrhage into a corpus luteum or other functional cyst.[radiopaedia.org]

  • Ovarian Torsion

    Pelvic inflammatory disease Sexually active female with lower abdominal pain, cervical motion tenderness, and adnexal tenderness.[online.epocrates.com] An 11-year-old prepubertal girl presented with severe left lower quadrant abdominal pain and mild rebound.[ncbi.nlm.nih.gov] If hemorrhagic infarction is present, signal changes include 4 : T1 thin rim of high signal (methemoglobin) without contrast enhancement endometriomas and hemorrhagic corpus[radiopaedia.org]

  • Tubo-Ovarian Abscess

    tenderness.[ncbi.nlm.nih.gov] A 31-year-old Thai cassava farmer woman presented with fever and abdominal pain at left lower quadrant for one month.[ncbi.nlm.nih.gov] Varied appearance of hemorrhagic cysts.[doi.org]

  • Ovarian Cyst Torsion

    Purulent cervical discharge and cervical motion tenderness point more towards PID with a tubo-ovarian abscess.[cdemcurriculum.com] They are more likely to present with fever and diffuse pain, rather than focused right or left lower quadrant pain.[emdocs.net] Figure 3 A 3-D surface rendering in a hemorrhagic ovarian cyst.[degruyter.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 increase[doi.org] lower quadrant Bowel: diverticulitis, sigmoid colon volvulus, bowel obstruction, gas accumulation, Toxic megacolon Right low back pain Liver: hepatomegaly Kidney: kidney[en.wikipedia.org] This is the first reported case of a patient presenting in hemorrhagic shock due to a ruptured tubal pregnancy that was associated with an ongoing intrauterine pregnancy complicated[ncbi.nlm.nih.gov]

  • Abdominal Visceral Abscess

    Purulent cervical discharge and cervical motion tenderness point more towards PID with a tubo-ovarian abscess.[cdemcurriculum.com] It is associated with anorexia, nausea, and vomiting. — Diverticulitis – Left lower quadrant pain is the most common complaint.[medical-institution.com] Physical signs included abdominal tenderness 95.4% (166/174), cervical motion tenderness 32.2% (56/174), and adnexal tenderness 48.3% (84/174) ( Table 1 ).[dovepress.com]

  • Urinary Tract Infection

    Pelvic examination should be performed to exclude vaginitis, cervicitis, or pelvic tenderness (eg, cervical motion tenderness, which suggests pelvic inflammatory disease).[emedicine.medscape.com] The Extracranial Consequences of Subarachnoid Hemorrhage . World Neurosurgery, Vol. 109, Issue. , p. 381.[doi.org] Most adult women with simple lower UTI have suprapubic tenderness.[emedicine.medscape.com]

  • Ruptured Ectopic Pregnancy

    Haemodynamic instability and cervical motion tenderness may indicate rupture or imminent rupture.[bestpractice.bmj.com] Snap Shot A 23-year-old woman in the ER complains of severe left lower quadrant abdominal pain of 6 hour duration with is associated with some moderate vaginal bleeding.[medbullets.com] The sudden rupture of a fallopian tube caused by ectopic pregnancy can lead to hemorrhagic shock and death if not diagnosed and treated in a timely fashion.[ncbi.nlm.nih.gov]

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