Ovarian Disease

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