Pelvic Pain: Diagnosis and Management

Front Cover
Fred M. Howard
Lippincott Williams & Wilkins, 2000 - Medical - 529 pages
This clinical guide offers much-needed assistance in pinpointing the c ause of acute, chronic, and recurring pelvic pain and recommends the m ost effective medical or surgical treatment for the pain and the under lying disorder. The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort . The section on diagnosis and treatments follows an organ-based appro ach, providing the most efficient, cost-effective way to "rule out" va rious causes of pelvic pain. Appendices include pain maps, pain diarie s, pain scales, and depression scales.
 

Contents

Taking a History
7
Physical Examination
26
Laboratory and Imaging Evaluation
43
Reproductive System
77
Adhesions
93
Uterine Leiomyomas
151
Pelvic Varicosities and Pelvic Congestion
171
Pelvic Inflammatory Disease
184
Urolithiasis 277
277
Urethral Diverticulum 300
300
Chronic Urethral Syndrome 309
309
Lumbar Vertebral Disease 359
359
Fibromyalgia 381
381
Neoplasia of the Spinal Cord or Sacral
414
Pelvic Floor Pain Syndrome 429
429
Abdominal Migraines 441
441

Vulvodynia
204
Colitis
217
Dysmenorrhea 100
100
Endocervical and Endometrial Polyps 122
122
Diverticular Disease 229
229
Peritoneal Cysts 246
246
Radiation Cystitis 271
271
Depression 449
449
Familial Mediterranean Fever 459
459
Herpes Zoster Neuralgias 466
466
Sleep and Sleep Disturbance 474
474
Somatic Referral 485
485
Chronic Pain as a Diagnosis 493
493
Abuse and Chronic Pain 509
509

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