What does no cervical motion tenderness mean?

Cervical motion tenderness is a gynecological exam finding that could be indicative of peritoneal infection. It is a significant clinical finding that can change the differential diagnosis for a patient and is assessable in female patients of various ages.

What does indirect tenderness mean?

2 Rovsing Sign (Indirect Tenderness) The Rovsing sign (Neils T. Rovsing, 1862-1927, Danish surgeon) is positive when pressure over the patient’s left lower quadrant causes pain in the right lower quadrant.

What diagnostic test best confirms the diagnosis of pelvic inflammatory disease?

Laparoscopy is the criterion standard for the diagnosis of PID. It is significantly more specific and sensitive than are clinical criteria alone.

How is cervical motion tenderness diagnosed?

No single historical, physical, laboratory, or imaging finding is both sensitive and specific for the diagnosis of pelvic inflammatory disease (PID). Cervical motion tenderness (CMT), when present, is classically found on bimanual examination of the cervix and uterus.

What can cause cervical motion tenderness?

Cervical motion tenderness is an indication of peritoneal irritation….Other causes of cervical motion tenderness include:

  • Gastrointestinal: appendicitis, diverticulitis, inflammatory bowel disease, hernia, perforated abdominal viscus, abdominal wall hematoma.
  • Urinary: ureteral lithiasis, interstitial cystitis.

Can a sensitive cervix cause miscarriage?

This increased sensitivity means that any irritation to the cervix, such as intercourse or an internal examination, can result in spotting or bleeding. A friable or sensitive cervix on its own is not a risk to pregnancy. However, a woman should consult her doctor immediately if any bleeding occurs during pregnancy.

What is tenderness pain?

In medicine, tenderness is pain or discomfort when an affected area is touched. It should not be confused with the pain that a patient perceives without touching. Pain is patient’s perception, while tenderness is a sign that a clinician elicits.

What type of pain is referred to as peritoneal tenderness?

The provider can feel growths and organs in the belly area and find where you feel pain. Abdominal tenderness can be mild to severe. Rebound tenderness occurs when the tissue that lines the abdominal cavity (the peritoneum) is irritated, inflamed, or infected. This is called peritonitis.

How do you rule out pelvic inflammatory disease?

There’s no single test for diagnosing pelvic inflammatory disease (PID). It’s diagnosed based on your symptoms and a gynaecological examination.

  1. a urine or blood test.
  2. a pregnancy test.
  3. an ultrasound scan, which is usually carried out using a probe passed into the vagina (transvaginal ultrasound)

Does pelvic inflammatory disease show up on a Pap smear?

An annual pap smear with thorough STD testing is important for all sexually active women. How is PID Diagnosed? PID can be difficult to diagnose unless a woman has symptoms. Standard STD testing, along with a good medical/reproductive health history and physical exam is the best defense.

Does endometriosis cause cervical motion tenderness?

Findings of a retroverted uterus, decreased uterine mobility, cervical motion tenderness, and tender uterosacral nodularity are suggestive of endometriosis when present, but these findings often are absent.

Is the cervix sensitive during early pregnancy?

If you’ve conceived, the cervix will remain in a higher position. The second noticeable change is in the feel of the cervix. If you haven’t conceived, your cervix will feel firm before your period, like an unripened fruit. If you are pregnant, your cervix will feel soft .