Fitz-Hugh-Curtis syndrome - Revision history

Rossdonaldson1: /* Evaluation */

2021-10-06T16:13:23Z

Evaluation

← Older revision		Revision as of 16:13, 6 October 2021
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	==Evaluation==		==Evaluation==
			[[File:PMC4499951 jpts-27-1641-g003.png\|thumb\|CT abdomen (A–D = portal venous phase): A. Homogeneously thickened strip of enhancement (black arrow); B. Lesion in the right paracolic gutter area without exact anomaly density; C. Pelvic fat spaces with increased density, inhomogeneous enhancement, and visible rectal effusion (cross); D. Bilateral ovarian abscess (white arrow) and surrounding uterus effusion.]]
	*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>

Dieseldoc: /* Background */

2021-10-06T01:12:02Z

Background

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	[[File:Perihepatic adhesions 2.jpg\|thumbnail\|"Violin string sign", adhesions between the liver and abdominal wall.]]		[[File:Perihepatic adhesions 2.jpg\|thumbnail\|"Violin string sign", adhesions between the liver and abdominal wall.]]
	*A complication of [[Pelvic Inflammatory Disease]], involving acute [[gonococcal]] or [[chlamydia]] trachomatis peritonitis of the right upper quadrant in women		*A complication of [[Pelvic Inflammatory Disease]], involving acute [[gonococcal]] or [[chlamydia]] trachomatis peritonitis of the right upper quadrant in women
	*Pain is caused by liver capsule inflammation		*Pain is caused by liver capsule inflammation leading to the creation of adhesions

	==Clinical Features<ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>==		==Clinical Features<ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>==

Rossdonaldson1: /* Disposition */

2018-10-23T21:53:41Z

Disposition

← Older revision		Revision as of 21:53, 23 October 2018
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	**Failure of outpatient therapy		**Failure of outpatient therapy
	**[[Tubo-ovarian abscess]]		**[[Tubo-ovarian abscess]]

			==See Also==
			*[[PID]]

	==References==		==References==

Kxl328: /* Disposition */

2018-10-06T23:14:55Z

Disposition

← Older revision		Revision as of 23:14, 6 October 2018
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	==Disposition==		==Disposition==
			*Admission criteria same for [[PID]]
			**Pregnancy
			**Toxic, systemic symptoms
			**Poor compliance
			**Failure of outpatient therapy
			**[[Tubo-ovarian abscess]]

	==References==		==References==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T02:35:52Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 02:35, 22 July 2016
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	{{DDX RUQ}}		{{DDX RUQ}}

	==~~Diagnosis~~==		==Evaluation==
	*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>

Ostermayer: Text replacement - "Category:OB/GYN" to "Category:OBGYN"

2016-03-22T14:21:29Z

Text replacement - "Category:OB/GYN" to "Category:OBGYN"

← Older revision		Revision as of 14:21, 22 March 2016
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	<references/>		<references/>

	[[Category:~~OB/GYN~~]]		[[Category:OBGYN]]

Alvarez13: pic

2015-11-02T07:27:20Z

pic

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	==Background==		==Background==
			[[File:Perihepatic adhesions 2.jpg\|thumbnail\|"Violin string sign", adhesions between the liver and abdominal wall.]]
	*A complication of [[Pelvic Inflammatory Disease]], involving acute [[gonococcal]] or [[chlamydia]] trachomatis peritonitis of the right upper quadrant in women		*A complication of [[Pelvic Inflammatory Disease]], involving acute [[gonococcal]] or [[chlamydia]] trachomatis peritonitis of the right upper quadrant in women
	*Pain is caused by liver capsule inflammation		*Pain is caused by liver capsule inflammation

Rossdonaldson1 at 21:49, 21 September 2015

2015-09-21T21:49:17Z

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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]]

Kxl328 at 20:22, 21 September 2015

2015-09-21T20:22:33Z

← Older revision		Revision as of 20:22, 21 September 2015
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	==Management==		==Management==
			*Fully treat [[pelvic inflammatory disease]]

	==Sources==		==Sources==

Kxl328 at 20:21, 21 September 2015

2015-09-21T20:21:53Z

← Older revision		Revision as of 20:21, 21 September 2015
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	**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

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