Female Medical Emergency

Medgeeks with Andrew Reid

Medgeeks

Education, Medicine, Health & Fitness

4.8 • 997 Ratings

🗓️ 18 September 2017

⏱️ 5 minutes

🔗️ Recording | iTunes | RSS

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Summary

A 26 year old female patient presents with a sudden onset of pelvic pain while at the gym. She has a history of PCOS and her pregnancy test is negative. What diagnosis do you NOT want to miss? Listen and find out!
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Transcript

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0:00.0	What's up guys? So if you've been listening to the podcast or watching the YouTube videos, you've probably heard my latest lecture on testicular torsion.
0:06.5	Well, I thought it'd be pretty sexist of me to only lecture on how to save a testicle.
0:10.5	So today we're going to talk about ovarian torsion.
0:13.0	But before we do, I just want to take a quick second to reintroduce myself to our new
0:17.1	listeners out there.
0:18.1	My name is Gray Phelps and on an emergency medicine physician assistant practicing in
0:22.0	South Carolina.
0:23.0	I've recently partnered with the founder of PA boards, Andrew Reed,
0:26.0	and we're both extremely dedicated to bringing you guys as much free content as possible
0:30.0	via the YouTube and podcast.
0:32.0	So if you aren't already subscribed, go ahead and do
0:34.7	that now for weekly lectures. Briefly, let's talk about the normal female anatomy so that
0:39.6	we can fully understand the mechanism behind this gynecological emergency.
0:43.0	Here you can see that the ovary is naturally suspended by the infundibial pelvic ligament,
0:47.5	also known as the suspensory ligament of the ovary.
0:50.5	Other supporting structures to the ovary include the utero ovarian ligament, which you can see attaches the ovary to the uterus and the broad ligament.
0:58.0	The ovarian blood vessels then travel through the suspensary ligament so you can start to appreciate how
1:03.3	torsion in this region can predispose to cessation of blood flow.
1:06.7	ovarian torsion can be defined as complete or partial rotation of the ovary
1:10.9	on its surrounding ligaments cutting off the blood supply to the ovary.
1:14.8	The fallopian tube oftentimes will also twist along with the ovary.
1:19.0	When this happens, it's more commonly referred to as at anexal torsion. If ovarian torsion is not recognized
	...

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