Managing Complications in Pregnancy and Childbirth: - IAWG

S-116 Abdominal pain in early pregnancyDIAGNOSISTABLE S-15Diagnosis of abdominal pain in early pregnancyPresenting Symptom andOther Symptoms and SignsTypically PresentSymptoms and SignsSometimes PresentProbable Diagnosis• Abdominal pain• Adnexal mass on vaginalexamination• Lower abdominal pain• Low-grade fever• Rebound tenderness• Dysuria• Increased frequency andurgency of urination• Abdominal pain• Dysuria• Spiking fever/chills• Increased frequency andurgency of urination• Abdominal pain• Low-grade fever/chills• Lower abdominal pain• Absent bowel sounds• Palpable, tender discretemass in lower abdomen• Light b vaginal bleeding• Abdominal distension• Anorexia• Nausea/vomiting• Paralytic ileus• Increased white bloodcells• No mass in lowerabdomen• Site of pain higher thanexpected• Retropubic/suprapubicpain• Retropubic/suprapubicpain• Loin pain/tenderness• Tenderness in rib cage• Anorexia• Nausea/vomiting• Rebound tenderness• Abdominal distension• Anorexia• Nausea/vomiting• ShockOvarian cyst a , pageS-117Appendicitis, pageS-117Cystitis, page S-101Acute pyelonephritis,page S-102Peritonitis, page S-111