Calgary Blackbook @CalgaryBlackBook
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Causes of Acute and Chronic Pelvic Pain - Differential Diagnosis Algorithm
Acute Pelvic Pain:
 • Non-Gynecologic
 •
Chronic Pelvic Pain ... Acute Pelvic Pain ... : • Non-Gynecologic ... Co-morbidities • Gynecologic ... Causes #OBGyn #Gynecology
Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis,
of Acute Pelvic Pain ... Algorithm Non-Gynecologic ... • Ovulation pain ... Acute #Pelvic #Pain ... Causes #OBGyn #Gynecology
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
Chronic Pelvic Pain ... Abdominal wall pain ... Gynecologic: ... • Myofascial pain ... Causes #OBGyn #Gynecology
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm
Primary Amenorrhea - No onset of menarche
of Primary and Secondary ... by age 16 with secondary ... age 14 without secondary ... Central - Pituitary Secondary ... Causes #OBGyn #Gynecology
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
decalvans - Secondary ... areata • Secondary ... Diffuse #Focal #HairLoss
Somatoform Disorders - Differential Diagnosis Algorithm
 - Patient presents with complex medical problem or symptoms that
Motivation is primary gain ... Motivation is secondary ... gain Symptoms ... physical symptom • Pain ... Disorder - Pain
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm
No onset of menarche by age 16 with secondary
by age 16 with secondary ... age 14 without secondary ... Causes #OBGyn #Gynecology
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Causes of Secondary ... Cervical stenosis #Secondary ... Causes #OBGyn #Gynecology
Causes of Pelvic Organ Prolapse - Differential Diagnosis Algorithm
Herniation of one or more pelvic organs
Risk factors:
possible lower back pain ... Algorithm #Causes #Gynecology
Pathologic / Fragility Fractures - Differential Diagnosis Algorithm 
Tumours
 - See Bone Lesions Scheme
Paget's Disease
 -
Osteodystrophy - Secondary ... Ricketts - Diffuse Pain ... Post-Menopausal • Elderly Secondary