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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.

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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

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

References
http://pedemmorsels.com/ovarian-torsion/?utm_source=feedburner&utm_medium=twitter&utm_campaign=Feed%3A+FOAMEM+%28FOAM+RSS%29
http://www.rcemlearning.co.uk/modules/tummy-painagain/
http://radiopaedia.org/articles/ovarian-torsion
http://emlyceum.com/2012/06/21/ovarian-torsion-answers/
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