Adnexal mass evaluation in the emergency department.
Female patients who have stable vital signs presenting to the emergency department with abdominopelvic pain and an adnexal mass can be extremely difficult to manage. However, by performing a rapid problem-oriented history and physical with emphasis on the age of patient, menstrual history, and pelvic exam, a detailed differential diagnosis can be compiled. With the addition of a complete blood count and HCG, if appropriate, and a CA-125 for your consultant, additional information can be obtained while a ultrasound examination is being performed. With the above information, consultation and disposition should be readily accomplished.
Morgan
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Emergency Medicine Residency, San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center/Wilford Hall Medical Center, Fort Sam Houston, Texas, USA.
D000291:Adnexal Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D011247:Pregnancy; D012307:Risk Factors; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D014481:United States