medicina57巻5号

2020年04月発行

特集 デキル内科医のコンサルト—専門医が教える隠れたエッセンス コンサルトを依頼する

女性の腹痛—コンサルトのコツと落とし穴

著者： 柴田綾子¹

所属機関： ¹淀川キリスト教病院産婦人科

ページ範囲：P.736 - P.740

Point
◎月経中だと言っていても妊娠していることがある．
◎骨盤内炎症性疾患では帯下の異常が重要．
◎骨盤内炎症性疾患では発熱がないこともある．

参考文献

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2）急性腹症診療ガイドライン作成委員会：急性腹症診療ガイドライン2015．医学書院，2015

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8）Dahlberg DL, et al：Differential diagnosis of abdominal pain in women of childbearing age. Appendicitis or pelvic inflammatory disease? Adv Nurse Pract. 12：40-45；quiz 45-46, 2004

9）Mimoun C, et al：Is a self-assessed questionnaire useful for the diagnosis of ectopic pregnancy in hospitalized patients? PloS One 11：e0155054, 2016

10）Park JW, et al：A model for prediction of pelvic inflammatory disease and acute appendicitis in childbearing-aged women who visit the Emergency Department with abdominal pain. J Korean Soc Emerg Med 23：649-656, 2012

11）Morishita K, et al：Clinical prediction rule to distinguish pelvic inflammatory disease from acute appendicitis in women of childbearing age. Am J Emerg Med 25：152-157, 2007

12）Cheng L, et al：Risk factors for ectopic pregnancy；A multi-center case-control study. BMC Pregnancy Childbirth 15：187, 2015

13）Hay PE, et al：Which sexually active young female students are most at risk of pelvic inflammatory disease? A prospective study. Sex Transm Infect 92：63-66, 2016

14）Ayim F, et al：Can risk factors, clinical history and symptoms be used to predict risk of ectopic pregnancy in women attending an early pregnancy assessment unit?. Ultrasound Obstet Gynecol 48：656-662, 2016

15）Farrukh S, et al：The additive value of pelvic examinations to history in predicting sexually transmitted infections for young female patients with suspected cervicitis or pelvic inflammatory disease. Ann Emerg Med 72：703-712.e1, 2018