Difference between revisions of "Fitz-Hugh-Curtis syndrome"

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*May not have symptoms of PID
 
*May not have symptoms of PID
  
==Workup==
+
==Differential Diagnosis==
 +
{{DDX RUQ}}
 +
 
 +
==Diagnosis==
 
*Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>
 
*Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>
 
**Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246</ref>
 
**Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246</ref>
 
*If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
 
*If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
 
*Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia
 
*Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia
 
==Differential Diagnosis==
 
{{DDX RUQ}}
 
  
 
==Management==
 
==Management==
 
*Fully treat [[pelvic inflammatory disease]]
 
*Fully treat [[pelvic inflammatory disease]]
  
==Sources==
+
==Disposition==
 +
 
 +
==References==
 
<references/>
 
<references/>
  
 
[[Category:OB/GYN]]
 
[[Category:OB/GYN]]

Revision as of 21:49, 21 September 2015

Background

Clinical Features[1]

Differential Diagnosis

RUQ Pain

Diagnosis

  • Aminotransferases usually normal or mildly elevated [1]
    • Generally not markedly elevated [2][3]
  • If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
  • Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia

Management

Disposition

References

  1. 1.0 1.1 Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.
  2. Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.
  3. Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246