163 Pelvic Pain Playbook – Endometriosis, Fibroids, Cysts & Torsion
Physician Assistant Exam Review
Brian Wallace PA-C
4.8 • 1.3K Ratings
🗓️ 15 April 2026
⏱️ 33 minutes
🧾️ Download transcript
Summary
Endometriosis Presence of endometrial glands and stroma outside the uterine cavity, most commonly on the ovaries, fallopian tubes, pelvic peritoneum, and uterosacral ligaments The tissue behaves like endometrium: bleeds with every cycle, causing inflammation, adhesions, and scarring Risk Factors Nulliparity, early menarche, short cycles → increased lifetime exposure to retrograde menstruation Family history → first-degree […]
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Transcript
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| 0:00.0 | Hello and welcome to episode 163 of the physician assistant exam review podcast. This week |
| 0:05.1 | we're going to be covering pelvic pain, masses, and discerning surgical emergencies versus |
| 0:10.2 | this can get watched for a little bit. My name is Brian Wallace. |
| 0:24.8 | I'm the host and creator here at Physician Assistant Exam Review, |
| 0:27.6 | where I've been behind this microphone for what's about to be 15 years, |
| 0:31.7 | which is unbelievable to me. |
| 0:33.4 | It's been such a pleasure to be working with students, |
| 0:35.6 | with helping students with producing this content. |
| 0:37.9 | I appreciate that you guys allow me to do this, that you support me, both with your time, with your attention, with your focus and with, and monetarily, quite frankly, so that I can continue to put this content out there and continue to help students. |
| 0:51.8 | It's just been an absolute blast. |
| 0:53.1 | And we continue to grow each and every week. And that's because of you and because you're sharing the show, because you're sharing where you are doing well, the resources that are helping you. So I'm going to just throw in there on top of that. If you could, if you're getting something from the show, please share it out to your cohort, share it out to your classmates, share it out to your faculty or wherever you share resources and content, there's people in your class who are struggling, |
| 1:14.9 | who are struggling, who are absolutely struggling, they're not mentioning it. They're not talking about it. They're scared to talk about it. But maybe we might be able to change how they do some things and help them get through PA school. You know, I hear so much from students, and not to be a downer, but students who are getting, |
| 1:32.5 | they're at risk for expulsion, they're at risk for being decelerated, they're on their third or fourth pants attempt. And I just think we get out in front |
| 1:36.6 | of this better if we talked more about the skills involved, rather than just the content, the content, |
| 1:40.6 | as you know, content is king. it's the most important piece but I see |
| 1:46.3 | students every day who do not have content gaps and cannot pass the pants because they don't |
| 1:50.3 | have the skills anyway today's episode is going to be all about endometriosis uterine fibroids |
| 1:57.5 | ovarian cysts and ovarian torsion we're going to walk through those four conditions |
| 2:00.6 | we're going to talk about how they compare to each other how you you treat them, how they are similar, how they're different, because that's the way that you study when it sticks. Our priming questions for it today, let's go ahead and jump right into those. What's the definitive diagnostic procedure for endometriosis? The definitive diagnostic procedure. Oh, if you haven't listened to the show before, the priming questions, you're not supposed to know the answers to these. If you do, you are a rock star. If you don't know them, don't worry about it, but don't ignore them. Your job is to think and process the material even if you don't know it. I promise you won't remember it wrong. You'll build out the scaffolding the neural networks that will hold the information better if you try. |
| 2:37.1 | So what is the definitive diagnostic procedure for endometriosis? |
| 2:41.6 | What's the first line imaging for suspected uterine fibroids? |
| 2:46.1 | Does normal Doppler flow rule out ovarian torsion? |
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