dd - nis

[ArchivalUser]

A unilateral, tender adnexal mass has been reported in between 50 and 90% of patients with ovarian torsion.

[ArchivalUser]

thanks Kola. thanks to all of you for the good discussion.

[ArchivalUser]

History

1]Classically, patients present with sudden onset, severe, unilateral lower abdominal pain that worsens intermittently over many hours. A minority of patients, however, complain of mild pain that follows a more prolonged time course. The pain usually is localized over the involved side, often radiating to the back, pelvis, or thigh. Approximately 25% of patients experience bilateral lower quadrant pain. It may be described as sharp and stabbing or less frequently crampy.
2] Nausea and vomiting occur in approximately 70% of patients, mimicking a gastrointestinal source of pain and further obscuring the diagnosis.
3] History of prior episodes may be elicited possibly due to partial, spontaneously resolving torsion.
4] Fever may occur as a late finding as the ovary becomes necrotic.
5] Onset during exercise or other agitating movement is common.Physical

The physical examination, like the history, is typically nonspecific and is highly variable.

1] A unilateral, tender adnexal mass has been reported in between 50 and 90% of patients. However, absence of such a finding does not exclude the diagnosis.
2] Tenderness to palpation is common; however, it is mild in approximately 30% and absent in another 30% of patients. Therefore, the absence of tenderness cannot be used to rule out torsion.
3]Peritoneal findings are infrequent and indicate advanced disease if present.

[ArchivalUser]

this great Kola. thanks for sharing the information. it is very helpful.

[ArchivalUser]

wow..thx kola