Uterine-tenderness: Causes & Reasons

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Possible Causes for uterine tenderness

Puerperium

This diagnosis is suggested by the general signs of infection and the uterine tenderness. [bettercare.co.za]

Abdominal examination: Loin tenderness Abdominal rigidity and tenderness. Uterine size, tenderness and abdominal masses related to the uterus. [gfmer.ch]

Determine the height of the uterine fundus and assess whether any uterine tenderness is present. Assess whether the amount of vaginal bleeding is more than normal. [bettercare.co.za]

Endometriosis

The physician should palpate for a fixed, retroverted uterus, adnexal and uterine tenderness, pelvic masses or nodularity along the uterosacral ligaments. [web.archive.org]

Physical examination should be performed during early menses, when implants are likely to be largest and most tender. [web.archive.org]

Abruptio Placentae

tenderness, uterine contractions, and fetal distress. [emedicine.com]

Most women will have some uterine tenderness or back pain. And in close to a quarter of cases, an abruption will cause the woman to go into labor prematurely. [babycenter.com]

Uterine tenderness/pain D. Painless, bright red vaginal bleeding 5. [nurseslabs.com]

Lochiostasis

UTERINE INFECTION • Mild—rise in temperature ( 100.4 F) Rise in pulse rate ( 90) Lochial discharge becomes offensive and copious The uterus is subinvoluted and tender(may [slideshare.net]

Threatened Abortion

Such infections are characterized by fever, chills, uterine tenderness and occasionally, peritonitis. [brooksidepress.org]

Diffuse uterine tenderness, adnexal tenderness, or both may be present. [emedicine.medscape.com]

On vaginal examination, the internal cervical os is closed and no cervical motion tenderness or tissue is found. [emedicine.medscape.com]

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 adnexal tenderness. [web.archive.org]

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]

Puerperal Infection

At the time of uterine tenderness (Day 2, postpartum), 4 of 5 patients had gram-stained lochial smears showing a predominance of gram-positive cocci. [ncbi.nlm.nih.gov]

Note subinvolution of uterus, extreme uterine tenderness. Rationale: Allows early identification and treatment; promotes resolution of infection. [freenursingcareplan.blogspot.com]

The major symptoms of a genital tract infection include fever, malaise, abdominal pain, uterine tenderness, and abnormal vaginal discharge. [medical-dictionary.thefreedictionary.com]

Acute Endometritis

Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [msdmanuals.com]

Sometimes, it is also accompanied with bloody stench, uterus slightly large than usual or even uterine tenderness. [global.fuyanpills.com]

Uterine or renal angle pain and tenderness. The woman is generally unwell or seems unduly anxious/distressed. [patient.info]

Puerperal Pelvic Cellulitis

tenderness discharge - foul odor, profuse, bloody delayed uterine involution lab studies for endometritis CBC w differential metabolic panel urine and blood cultures (endometrial [quizlet.com]

Since wide variations occur in the degree of uterine tenderness, the finding of uterine tenderness is not a precise guide to establish whether or not uterine infection is [glowm.com]

Note subinvolution of uterus, extreme uterine tenderness. Allows early identification and treatment; promotes resolution of infection. [rnpedia.com]

Chorioamnionitis

The mother had high fever and marked uterine tenderness, and the infant had poor Apgar scores, fever, and pulmonary infiltrates. [ncbi.nlm.nih.gov]

tenderness, and/or malodorous amniotic fluid. [ncbi.nlm.nih.gov]

Fifteen days after initiation of therapy, an amniotic fluid culture was negative, although uterine tenderness persisted for 7 weeks. [ncbi.nlm.nih.gov]

Amnionitis

Clinically, chorionamnionitis can present with the following maternal signs and symptoms: 1,2 fever abdominal pain / uterine tenderness raised white blood cell count ( 15 [radiopaedia.org]

Fever [5] Maternal tachycardia (cardiac arrhythmia) Increased fetal heart rate (fetal tachycardia) [6] Sweating Uterine tenderness and pain Foul smelling vaginal discharge [pregmed.org]

tenderness, foul amniotic fluid odor or leukocytosis Clinical features have poor specificity and sensitivity for prediction of histologic chorioamnionitis Associated with [pathologyoutlines.com]

Septic Abortion

tenderness, adnexal tenderness, peritonitis, or features of septicemia. [ncbi.nlm.nih.gov]

Symptoms and signs of abortion‐related infections include fever, pelvic/abdominal pain, prolonged vaginal bleeding, uterine tenderness, foul‐smelling uterine discharge, and [doi.org]

Rebound Tenderness ) Abdominal Distention Pelvic and vaginal exam Cervical motion tenderness ( Cervicitis or Pelvic Inflammatory Disease ) Abnormal Vaginal Discharge ( Vaginitis [fpnotebook.com]

Spontaneous Rupture of Membranes

[…] contractions, and without clinical signs of intraamniotic infection (fever, uterine tenderness, foul smelling amniotic fluid, or fetal tachycardia). [losangelesfetaltherapy.org]

Ascertain accuracy of gestation age exclude labour - presence of regular painful contractions Assess maternal condition: Temp / pulse / uterine tenderness/ Colour of liquor [aippg.net]

No one strategy is correct, but generally, signs of fetal compromise or infection (eg, persistently nonreassuring fetal testing results, uterine tenderness plus fever) should [msdmanuals.com]

Vaginitis

If there are symptoms, then fever, cervical motion tenderness, lower abdominal pain, new or different discharge, painful intercourse, uterine tenderness, adnexal tenderness [en.wikipedia.org]

The physician should also assess the patient for uterine or tubo-ovarian tenderness and perform a speculum examination to detect erythema, edema or lesions. [aafp.org]

or adnexal tenderness will be experienced.[5] Mucopurulent cervicitis and or urethritis may be observed. [en.wikipedia.org]

Vaginal Candidiasis

The physician should also assess the patient for uterine or tubo-ovarian tenderness and perform a speculum examination to detect erythema, edema or lesions. [web.archive.org]

OR uterine tenderness OR adnexal tenderness. [web.archive.org]

Follow-Up Patients should demonstrate substantial clinical improvement (e.g., defervescence; reduction in direct or rebound abdominal tenderness; and reduction in uterine, [web.archive.org]

Tubo-Ovarian Abscess

Minimal criteria for diagnosis and empiric treatment: Lower abdominal or pelvic pain without another identifiable cause PLUS Uterine tenderness or Adnexal tenderness or Cervical [accessemergencymedicine.mhmedical.com]

Lower abdominal pain and uterine tenderness were present in all cases. [scielo.br]

uterine tenderness, or adnexal tenderness. [emdocs.net]

Mucopurulent Cervicitis

uterine tenderness or adnexal tenderness. [clinicaltrials.gov]

All had a history of mild-to-moderate pelvic discomfort for 30 days or less, uterine or adnexal tenderness, and leukorrhea, mucopurulent cervicitis, or untreated gonococcal [acronymfinder.com]

Cervicitis may be a sign of an upper genital-tract infection making it important to assess for pelvic inflammatory disease (PID), particularly in the context of uterine tenderness [stiplus.com.au]

Endometritis

Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [merckmanuals.com]

The diagnosis of postpartum endometritis is based on the presence of fever, leukocytosis, uterine tenderness, and foul-smelling lochia. [blogs.nejm.org]

Symptoms are uterine tenderness, abdominal or pelvic pain, fever, malaise, and sometimes discharge. Diagnosis is clinical, rarely aided by culture. [merckmanuals.com]

Chronic Pelvic Inflammatory Disease

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

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

Uterine tenderness Adnexal tenderness. [lecturio.com]

Salpingitis

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

12/16 (75.0) 7/9 (77.8) 1/3 (33.3) 15/21 (71.4) 35/49 (71.4) Uterine tenderness 14/17 (82.4) 9/9 (100) 3/3 (100) 20/23 (87.0) 46/52 (88.5) Adnexal tenderness Unilateral [academic.oup.com]

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

Sexually Transmitted Disease

Uterine or adnexal tenderness when pressing the outside and inside hands together. [patient.info]

OR uterine tenderness OR adnexal tenderness. [cdc.gov]

Cervical motion tenderness (often evident from facial expression) when the cervix is moved from side to side with the fingers of the gloved hand in the vagina. [patient.info]

Chlamydial Pelvic Inflammatory Disease

tenderness, and adnexal tenderness, noted for 18); and the presence of all three symptoms (noted for 6). [nejm.org]

[…] and adnexal or uterine tenderness. [sti.guidelines.org.au]

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

Postpartum Hemorrhage of the Uterus

Doctors must recognize the risk factors for endomyometritis injuries, including fever, high white blood count, and uterine tenderness. [birthinjuryjustice.org]

[…] bleeding or postpartum hemorrhage at the time of attempted manual separation of the placenta Fever Pelvic or uterine tenderness Treatment If the placenta does not separate [amboss.com]

Odorous lochia, severe abdominal cramping, uterine tenderness, and increased body temperature also may indicate hemorrhage. [americannursetoday.com]

Acute Pelvic Inflammatory Disease

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

AND/OR uterine tenderness AND/OR adnexal tenderness on pelvic examination Ability to provide written informed consent Exclusion Criteria: Women with any of the following [clinicaltrials.gov]

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

Fetal Trauma

Typical signs of placental abruption—spontaneous rupture of membranes, vaginal bleeding and uterine tenderness—are infrequent after trauma.3 Uterine injury, either rupture [emsworld.com]

More minor degrees of abruptio can Cause a propensity to delayed onset of premature labour, and diagnostic ultrasound or other evidence of the abruptio such as uterine tenderness [medlit.info]

[…] rate of maternal death is low, but the rate of fetal death from placental abruption is high.6 Placental abruption is caused when shearing forces rip the placenta from the uterine [emsworld.com]

Abdominal Radiation

Grade 2 : uterine tenderness; tetany, with or without uterine bleeding; fetal distress; mother is not in shock. [medical-dictionary.thefreedictionary.com]

Signs and symptoms of placental abruption include: Vaginal bleeding, although there might not be any Abdominal pain Back pain Uterine tenderness or rigidity Uterine contractions [mayoclinic.org]

The uterus is palpated for tenderness, consistency, and frequency and duration of uterine contractions, if present. [ncbi.nlm.nih.gov]

Birth

Puerperal infection defined according to clinical criteria ‐ uterine tenderness, uterine subinvolution and fever in the absence of any other known cause of infection in the [doi.org]

Contact your health care provider if you have a fever or if your abdomen is tender to the touch. These signs and symptoms could indicate a uterine infection. [web.archive.org]

Types of outcome measures Primary outcomes Postpartum endometritis: defined as a clinical diagnosis, usually involving fever, uterine fundal tenderness, or purulent lochia [doi.org]

Atrophic Vaginitis

Several trials assessed safety and evaluated the occurrence of endometrial hyperplasia, endometrial stimulation, and other adverse events, such as breast tenderness and uterine [liebertpub.com]

[…] bleeding, perineal pain, and breast pain and tenderness have been reported more often with the use of CEE cream compared with rings or tablets, these have been relatively [liebertpub.com]

[…] estradiol were detectable in only 5 of the 20 subjects, 2 of whom had detectable levels before treatment as well.35 Although such adverse events as endometrial proliferation, uterine [liebertpub.com]

Appendiceal Abscess

Grade 2 : uterine tenderness; tetany, with or without uterine bleeding; fetal distress; mother is not in shock. [medical-dictionary.thefreedictionary.com]

The uterus is palpated for tenderness, consistency, and frequency and duration of uterine contractions, if present. [ncbi.nlm.nih.gov]

Puerperal Pyrexia

Since wide variations occur in the degree of uterine tenderness, the finding of uterine tenderness is not a precise guide to establish whether or not uterine infection is [glowm.com]

tenderness, pelvic abscess, peritonitis, mechanical or foreign body injury, any system/organ failure or shock. [ncbi.nlm.nih.gov]

Examination Pulse, BP, Temperature, respiratory rate Examine chest, heart, skin to look for signs of infection Examine abdomen – including abdominal wound, uterine / renal [busyspr.com]