Friday, January 11, 2008
Dysmenorrhea in the differential diagnosis of Chinese and We
Western differential diagnosis : 1. Endometriosis : its dysmenorrhea feature secondary sexual heavier and more in 30 ~ 40-year-old women. Regular gynecological examinations rectum sac in the uterus and uterine sacral ligament palpable one or several tenderness sexual induration or mass. Nodular increased menstrual period or the emergence of new nodules. In addition, direct examination and biopsy of laparoscopic examination that can be diagnosed. 2. Menstrual pain caused by blocked drainage : their pain is characterized by cyclical, mounds or less after amenorrhea. Vaginal common in congenital malformation; Cervical scar formation after surgery, cervical stenosis or atresia; curettage abortions or when operating in rough, leading to cervical and uterine tube adhesion. Asked by history and gynecological examinations, diagnosis. TCM differential diagnosis : 1. Pelvic inflammatory disease : about by the refusal Shaofuzhuyu pain, often accompanied by fever, Leucorrhea increasing attack is not cyclical characteristics. 2. OK spit upon check in battle : lower abdomen pain, accompanied by more cyclical spit check in battle or Syndromes, and by the amount of such reduction or not. 3. Ectopic pregnancy : there can be stopped by the history of the vagina of a small amount of blood, protruding side Shaofuzhuyu like tearing pain, check obvious abdominal tenderness and anti-throbbing, pregnant avoid positive tests. 4. Abortion : menopause and pregnancy history reactions, vaginal bleeding and abdominal pain often can be seen from embryos. - free urine pregnancy test positive or weakly positive.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment