1. Lower Abdominal Pain
Analysis : Site, onset, character, radiation, timing, exacerbating
and relieving factors, severity and associated symptoms:
Gyne (not pregnant) Obs (pregnant)
OVARIES: ovarian cyst (menstrual irregularity)
UTERUS:
 PID : abdominal pain , fever , vaginal
Early Late
discharge and dysparunea
 Complicated fibroids : mennorhagia and Preterm Labor: contractions, show,
Ectopic , abortion or molar :
pressure symptoms ROM... previous preterm labor, genital
vaginal bleeding and uterine
 Cancer : fever , anorexia , weight loss, night tract infection, stress, fatigue, cervical
sweats, vaginal bleeding. contraction .. and for molar add
incompetence (previous surgeries or
 Endometriosis : irregular bleeding hyperemesis gravidarum, hyperthyroid
trauma), polyhydramnios, multiple
symptoms and respiratory distress
pregnancies, macrosomia.. etc of the
(trophoblastic embolisation).
GIT: N & V , diarrhea … risk factors.
UTI: dysuria , frequency , urgency, Placental abruption: vaginal
UTI: dysuria , frequency , urgency, hematuria .. etc
hematuria .. etc bleeding.. history of trauma, smoking,
GIT: N & V , diarrhea … short cord, polyhydramnios, PROM,
preeclampsia, previous abruption,
UTERUS: complicated fibroids multiple, multiparity, and maternal
age.
UTI: dysuria , frequency , urgency,
hematuria .. etc
GIT: N & V , diarrhea …
UTERUS: complicated fibroids