【正文】
ve or crouched up in bed? check vital sign abdominal examination:location of pain,rebounding tenderness or guarding,any mass or hernia pelvic examination:vaginal discharge or pelvic mass or assess the pelvic tenderness cervical lifting pain?blood in the peritoneal cavity(ectopic pregnancy) or inflammation in the peritoneal (PID) OHSS?PV was not done (risk of rupture of ovarian cysts),but suspected ectopic pregnancy ?immediate laparotomy 診斷 (III) ? Investigations triple swabs(high vagina,cervix,endocervix)?r/o STD as chlamydia or gonorrhea sent midstream urine?r/o UTI check CBC/CRP check urine or serum HCG?r/o ectopic pregnnacy pelvic ultrasound?r/o pelvic pathology laparoscopyimportant place in management of chronic pelvic pain in women of reproductive age?!眊old standard” for diagnosis of endometriosis,ectopic pregnnacy and PID