Includes Ovarian Torsion, Cyst Rupture, Fibroid Degeneration, Bleed from occult Cancer
Ovarian Torsion most critical — rapid surgery needed to save ovary
- Patients look ill
- Send to E.D. anyway, will need imaging to R/O abdominal catastrophes
Other Acute Conditions will either:
- Present mildly, exam is normal, they resolve on own
- Present mildly but persistently with normal exam, present no imminent danger, get temporized with analgesia & worked up as “Chronic Abdominal/Pelvic Pain”
- Present severely — Send to E.D. for imaging to R/O abdominal catastrophes