NSG 6430 - Week 6 Discussion. Latest.

Discuss the questions that would be important to include when interviewing a patient with this issue. ● History focusing on pain onset, location, duration, character, alleviating/aggravating factors, radiation and severity (0-10) ● Sexually active? ● # of partners? ● Contraception? Barriers? ● STIs? ● Pregnancies? ● Social history? ● Regular periods? Abnormal cramping? ● Do you have pain with urination or sexual intercourse? ● Have you had any irregular/abnormal bleeding? ● Any irregular or foul-smelling discharge? ● Any fevers? ● Nausea/vomiting? • Describe the clinical findings that may be present in a patient with this issue Gynecological causes account for about 4% of all abdominal pain complaints seen in emergency departments. Of those, 3% of cases are attributed to ovarian torsion. Also referred to as adnexal torsion or tubo-ovarian torsion, ovarian torsion is the partial or complete rotation of the ovary and portion of the fallopian tube on the vascular and ligamentous structures, which results in limitation or complete cutoff of the blood supply to the ovary. The incidence of ovarian torsion is higher in younger women (15-30 years) and postmenopausal women. Approximately 20% of the cases occur during pregnancy. Risk factors for ovarian torsion include hypermobility of the ovary due to increased length of ovarian ligaments, enlarged corpus luteum in pregnancy; and the presence of ovarian masses/cysts (Faustinella, 2020).