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Ovarian Torsion

Signs & Symptoms

 Pelvic pain Gr. Female #criteria
Note: Acute onset, moderate to severe, sharp, dull, stabbing, colicky, or crampy
Ref: Uptodate [ Ovarian and fallopian tube torsion] Epocrates [ History & Exam]
Acute onset of pelvic pain Gr. Female #criteria
Note: Acute onset, moderate to severe, sharp, dull, stabbing, colicky, or crampy
Ref: Uptodate [ Ovarian and fallopian tube torsion] Epocrates [ History & Exam]
Severe pelvic pain Gr. Female #criteria
Note: Acute onset, moderate to severe, sharp, dull, stabbing, colicky, or crampy
Ref: Uptodate [ Ovarian and fallopian tube torsion] Epocrates [ History & Exam]
Sharp pelvic pain Gr. Female #criteria
Note: Acute onset, moderate to severe, sharp, dull, stabbing, colicky, or crampy
Ref: Uptodate [ Ovarian and fallopian tube torsion] Epocrates [ History & Exam]

Physical Examination

 Localized Abdominal tenderness Gr. Female #criteria
Ref: Uptodate [ Ovarian and fallopian tube torsion] Epocrates [ History & Exam]
Adnexal tenderness
Ref: Epocrates [ Overview of presentation]
Pelvic tenderness
Ref: Epocrates [ Overview of presentation]

Lab / Serology

 High serum CD64 (negative symptom) Gr. Female
Ref: Uptodate [ Ovarian and fallopian tube torsion]
Leukocytosis Gr. Female
Note: due to Infection
Ref: Epocrates [ Tests]
Severe Anemia (negative symptom) Gr. Female
Note: due to Hemorrhage
Ref: Uptodate [ Ovarian and fallopian tube torsion] Epocrates [ Tests]

Imagin Study

 Decreased Doppler flow within the ovary Gr. Female #criteria
Ref: Uptodate [ Ovarian and fallopian tube torsion]
Absent Doppler flow within the ovary Gr. Female #criteria
Ref: Uptodate [ Ovarian and fallopian tube torsion]
Tubular structure with internal heterogeneous echoes Gr. Female #criteria
Ref: Uptodate [ Ovarian and fallopian tube torsion]

Complication

 Ovaries With vascular congestion Gr. Female
Ref: Uptodate [ Ovarian and fallopian tube torsion]
Enlarged ovaries Gr. Female
Ref: Uptodate [ Ovarian and fallopian tube torsion]
Ovaries With lymphatic congestion Gr. Female
Ref: Uptodate [ Ovarian and fallopian tube torsion]

Risk Factors

 Reproductive age
Ref: Uptodate [ Ovarian and fallopian tube torsion]

Cause

Other