Lower abdominal pain in women

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    Upper genital tract infection should be suspected in women with lower abdominal pain (see Upper genital tract infections).
    Gynaecological examination should be routinely performed:

    • Inspection of the vulva, speculum examination: check for purulent discharge or inflammation.
    • Abdominal exam and bimanual pelvic exam: check for pain on mobilising the cervix. 

     

    If available, POCUS a Citation a. POCUS should only be performed and interpreted by trained clinicians. : perform FAST views to evaluate for free fluid and urological abnormalities. Perform pelvic views to evaluate for uterine and adnexal pathologies. Consult a gynaecologist (local or via telemedicine services). 

    Case management

    Algorithme Abdominal pain

     

    Footnotes
    • (a)POCUS should only be performed and interpreted by trained clinicians.