Question 101 (part 2) · LEK · Other

A 35-year-old female patient has been suffering for non-specific hypogastric pain for 8 months. The patient reports that the pain affects her normal professional activity. Neither bimanual palpation nor a screening transvaginal ultrasound reveal any abnormalities. Which of the following are the causes of chronic pelvic pain in the patient:

1) deep endometriosis affecting the sacrospinous ligaments;
2) interstitial cystitis;
3) coeliac disease;
4) trigeminal neuralgia;
5) sacral plexus branch neuralgia.
The correct answer is:
  1. A. 1,2.
  2. B. 1,2,3,4.
  3. C. 1,2,3,5.
  4. D. 2,5.
  5. E. 1,3,5.
Hint

Chronic pelvic pain may arise from genital, urinary, gastrointestinal or neural structures — exclude the source far from the pelvis.

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