I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

Wednesday, 13 May 2015

Ovarian Torsion

Strangulated Hernias could rarely include an ovary - 4.9 cases/  100,000
Ovarian torsion occurs in young women (63% in 7-10yr old), and post-menopausal women
20% of cases occur during pregnancy

- Bowel takes a long time, so if there's a hard lump, think of a trapped ovary
- It might feel mobile like a bean
- Don't squish the ovary
- More commonly on the right hand side
- More likely if there's a cyst
- 60% of patients also have vomiting
- 3% have peritoneal signs
- 30% have no tenderness to palpation

Ovaries can be difficult to reduce but don't become ischaemic as quickly as testicles.


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