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ACR Appropriateness Criteria on acute pelvic pain in the reproductive age group
- Source :
- Journal of the American College of Radiology : JACR. 6(4)
- Publication Year :
- 2008
-
Abstract
- Premenopausal women who present with acute pelvic pain frequently pose a diagnostic dilemma, exhibiting nonspecific signs and symptoms, the most common being nausea, vomiting, and leukocytosis. Diagnostic considerations encompass multiple organ systems, including obstetric, gynecologic, urologic, gastrointestinal, and vascular etiologies. The selection of imaging modality is determined by the clinically suspected differential diagnosis. Thus, a careful evaluation of such a patient should be performed and diagnostic considerations narrowed before a modality is chosen. Transvaginal and transabdominal pelvic sonography is the modality of choice when an obstetric or gynecologic abnormality is suspected, and computed tomography is more useful when gastrointestinal or genitourinary pathology is more likely. Magnetic resonance imaging, when available in the acute setting, is favored over computed tomography for assessing pregnant patients for nongynecologic etiologies because of the lack of ionizing radiation.
- Subjects :
- Diagnostic Imaging
medicine.medical_specialty
medicine.diagnostic_test
Critical Care
Genitourinary system
Nausea
business.industry
Pelvic pain
Magnetic resonance imaging
Pelvic Pain
United States
Premenopause
Acute Disease
Etiology
medicine
Vomiting
Humans
Radiology, Nuclear Medicine and imaging
Female
Radiology
Abnormality
Differential diagnosis
medicine.symptom
Practice Patterns, Physicians'
business
Subjects
Details
- ISSN :
- 1558349X
- Volume :
- 6
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Radiology : JACR
- Accession number :
- edsair.doi.dedup.....e24b2d3b0d67928ddae7b880d4efba33