Pelvic Congestion Syndrome: Difference between revisions
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== Differential Diagnosis == | == Differential Diagnosis == | ||
Due to clinical presentation, PCS has an extensive list of differential diagnosis to be ruled out prior to the diagnosis. Ignacio et al. has suggested the following differential diagnosis list: | |||
*Bowel Pathology | |||
*Cancer | |||
*Endometriosis | |||
*Fibroids | |||
*Fibromyalgia | |||
*Ovarian Cyst | |||
*Pelvic Inflammatory Disorder | |||
*Porphyria | |||
*Uterine Prolapse | |||
*Orthopedic, Neurologic, or Urogenic Pathology (2) | |||
In addition to some characteristics above, Semmel also suggested the remaining differential diagnosis: | |||
*Leiomyoma | |||
*Adenomyosis | |||
*Nutcracker Syndrome | |||
*Inflammatory Bowel Syndrome | |||
*Diverticulitis/Diverticulosis/Meckel's Diverticulum | |||
*Interstitial Cystitis<br> | |||
*Fascitis | |||
*Psychosexual Dysfunction | |||
*Depression (6). | |||
== Case Reports/ Case Studies == | == Case Reports/ Case Studies == |
Revision as of 00:47, 5 April 2016
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Top Contributors - Megan Petty, Cynthia Brown, Elaine Lonnemann, WikiSysop, Kim Jackson, Nicole Hills and Lucinda hampton
Definition/Description[edit | edit source]
A manifestation of Peripheral Vascular Disease (PVD) in ovarian veins which causes the blood to flow backwards instead of forward, or up, towards the heart (1). "Vericose Veins of the ovaries" (1). This syndrome has various names such as ovarian variocele or ovarian varicocele (1).
Prevalence[edit | edit source]
Most often seen in women who are of childbearing age, or older (1). Majority of women who are affected have had a history of multiple pregnancies (1). This syndrome can also occur in men and is diagnosed through presentation of visible varicosities on the scrotum (1). Is the cause of about 10-15% of referrals to gynecologists or other pain related clinics (4).
Characteristics/Clinical Presentation[edit | edit source]
add text here
Associated Co-morbidities[edit | edit source]
Impaired circulatory function, such as peripheral vascular disease, is often associated with PCS (1).
Medications[edit | edit source]
Patients with PCS can often be prescribed hormonal medications (4). This pharmacological management of this condition is directed towards decreasing congestion from the varicose veins, and also decreasing blood flow to the varicose veins (5).
Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
Due to clinical presentation, PCS has an extensive list of differential diagnosis to be ruled out prior to the diagnosis. Ignacio et al. has suggested the following differential diagnosis list:
- Bowel Pathology
- Cancer
- Endometriosis
- Fibroids
- Fibromyalgia
- Ovarian Cyst
- Pelvic Inflammatory Disorder
- Porphyria
- Uterine Prolapse
- Orthopedic, Neurologic, or Urogenic Pathology (2)
In addition to some characteristics above, Semmel also suggested the remaining differential diagnosis:
- Leiomyoma
- Adenomyosis
- Nutcracker Syndrome
- Inflammatory Bowel Syndrome
- Diverticulitis/Diverticulosis/Meckel's Diverticulum
- Interstitial Cystitis
- Fascitis
- Psychosexual Dysfunction
- Depression (6).
Case Reports/ Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
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References[edit | edit source]
see adding references tutorial.