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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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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

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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