Prepubertal pelvic pain - Revision history

Danbot: Strip excess bold

2026-03-22T09:32:34Z

Strip excess bold

← Older revision		Revision as of 09:32, 22 March 2026
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	===GI===		===GI===
	*~~'''~~[[Constipation]]~~'''~~ (most common benign cause)		*[[Constipation]] (most common benign cause)
	*~~'''~~[[Appendicitis]]~~'''~~		*[[Appendicitis]]
	*Mesenteric lymphadenitis		*Mesenteric lymphadenitis
	*[[Intussusception]]		*[[Intussusception]]
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	===GU===		===GU===
	*~~'''~~[[UTI]]~~'''~~		*[[UTI]]
	*~~'''~~[[Ovarian torsion]]~~'''~~ (can occur even without ovarian mass)		*[[Ovarian torsion]] (can occur even without ovarian mass)
	*Ovarian cyst (functional — rare prepubertally but can occur)		*Ovarian cyst (functional — rare prepubertally but can occur)
	*Labial adhesions (can cause urinary retention)		*Labial adhesions (can cause urinary retention)
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	===Other===		===Other===
	*~~'''~~Inguinal hernia~~'''~~ (incarcerated)		*Inguinal hernia (incarcerated)
	*Musculoskeletal (hip pathology, muscle strain)		*Musculoskeletal (hip pathology, muscle strain)
	*~~'''~~Abuse~~'''~~ — always consider		*Abuse — always consider

	==Evaluation==		==Evaluation==
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	==Management==		==Management==
	*~~'''~~Constipation~~'''~~: enema/disimpaction, stool softeners, dietary counseling		*Constipation: enema/disimpaction, stool softeners, dietary counseling
	*~~'''~~UTI~~'''~~: age-appropriate antibiotics (see [[UTI (peds)]])		*UTI: age-appropriate antibiotics (see [[UTI (peds)]])
	*~~'''~~Appendicitis~~'''~~: surgical consultation		*Appendicitis: surgical consultation
	*~~'''~~Ovarian torsion~~'''~~: emergent surgical consultation for detorsion		*Ovarian torsion: emergent surgical consultation for detorsion
	*~~'''~~Vaginal foreign body~~'''~~: removal (may require sedation)		*Vaginal foreign body: removal (may require sedation)
	*~~'''~~Suspected abuse~~'''~~: child protective services notification, forensic exam per local protocol		*Suspected abuse: child protective services notification, forensic exam per local protocol

	==Disposition==		==Disposition==

Danbot: Expanded with concise EM-focused content: age-appropriate DDx, constipation/UTI as common causes, ovarian torsion, abuse screening, disposition

2026-03-21T00:43:29Z

Expanded with concise EM-focused content: age-appropriate DDx, constipation/UTI as common causes, ovarian torsion, abuse screening, disposition

@@ Line 2: / Line 2: @@
 ==Background==
 [[File:Blausen 0732 PID-Sites.png|thumb|Pelvic anatomy.]]
 ==Clinical Features==
-*Prepubertal pelvic pain
+===History===
 ==Differential Diagnosis==
 {{Prepubertal pelvic pain DDX}}
 ==Evaluation==
-===Workup===
+*[[Urinalysis]] + culture
+*Abdominal X-ray if constipation suspected (to confirm or rule out fecal loading)
-===Diagnosis===
+*Pelvic/abdominal ultrasound if ovarian torsion, mass, or appendicitis suspected
 ==Management==
+*'''Constipation''': enema/disimpaction, stool softeners, dietary counseling
 ==Disposition==
 ==See Also==
 *[[Pelvic Pain]]
+*[[Abdominal pain (peds)]]
-==External Links==
+*[[Ovarian torsion]]
 ==References==

Ostermayer at 17:21, 17 January 2026

2026-01-17T17:21:26Z

← Older revision		Revision as of 17:21, 17 January 2026
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	{{~~Peds top~~}} ~~[[Pelvic pain]].''~~		{{PediatricPage\|Pelvic pain}}
	==Background==		==Background==
	[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]		[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]

Rossdonaldson1: /* Differential Diagnosis */

2023-05-03T16:30:49Z

Differential Diagnosis

@@ Line 8: / Line 8: @@
 ==Differential Diagnosis==
 {{Prepubertal pelvic pain DDX}}
 ==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2023-05-03T16:30:36Z

Differential Diagnosis

← Older revision		Revision as of 16:30, 3 May 2023
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Prepubertal pelvic pain DDX}}
			===[[Prepubertal pelvic pain]]===
	====Gynecologic====		====Gynecologic====
	*[[Trauma]]		*[[Trauma]]
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	*[[Sickle cell crisis]]		*[[Sickle cell crisis]]
	*Neoplasms		*Neoplasms


	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Clinical Features */

2023-05-03T16:29:56Z

Clinical Features

← Older revision		Revision as of 16:29, 3 May 2023
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	==Clinical Features==		==Clinical Features==
			*Prepubertal pelvic pain

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 16:28, 3 May 2023

2023-05-03T16:28:44Z

← Older revision		Revision as of 16:28, 3 May 2023
Line 2:		Line 2:
	==Background==		==Background==
	[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]		[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]

			==Clinical Features==

	==Differential Diagnosis==		==Differential Diagnosis==
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	*[[Sickle cell crisis]]		*[[Sickle cell crisis]]
	*Neoplasms		*Neoplasms


			==Evaluation==
			===Workup===

			===Diagnosis===

			==Management==


			==Disposition==

	==See Also==		==See Also==
	*[[Pelvic Pain]]		*[[Pelvic Pain]]

			==External Links==

	==References==		==References==
	<references/>		<references/>
	~~Hardwood-Nuss~~

	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:OBGYN]]		[[Category:OBGYN]]
	[[Category:Symptoms]]		[[Category:Symptoms]]

Rossdonaldson1 at 16:27, 3 May 2023

2023-05-03T16:27:38Z

← Older revision		Revision as of 16:27, 3 May 2023
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			{{Peds top}} [[Pelvic pain]].''
	==Background==		==Background==
	[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]		[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]

Rossdonaldson1 at 21:39, 17 December 2019

2019-12-17T21:39:42Z

← Older revision		Revision as of 21:39, 17 December 2019
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			==Background==
			[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]

	==Differential Diagnosis==		==Differential Diagnosis==
	====Gynecologic====		====Gynecologic====

ClaireLewis at 20:13, 22 October 2019

2019-10-22T20:13:37Z

← Older revision		Revision as of 20:13, 22 October 2019
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	====Gynecologic====		====Gynecologic====
	*[[Trauma]]		*[[Trauma]]
	**[[Laceration]]		**[[vaginal trauma\|Laceration]]
	**Hematoma		**Hematoma
	**[[sexual assault\|Sexual abuse]]		**[[sexual assault\|Sexual abuse]]