PHRM4011 Lecture Notes - Lecture 10: Estrogen, Pelvic Inflammatory Disease, Sciatica
Document Summary
Experienced by 70% of women: loss of productivity from work/school, onset at 12, the earlier the onset the higher chance of pain, lasts 3-7 days. Risk factors are early onset of menstrual cycle, smoking, alcohol, obesity. Differentiate between primary/secondary: age (primary for 20s, secondary for 30s, cramping vs constant dull, primary pain fades when bleeding, secondary more painful when period starts, primary pain 6hr before menses, secondary a week beforehand. Diagnose by location/severity/duration/nature/if it restricts movement or prevents sleep: stiffness by inflammation/damaged tissue in area, tender and sore when touched, bruising after some time. Alarm/referral: weakness/numbness, previous trauma, sciatica where pain down leg from pinched sciatic nerve (l4-5, l5-s1) by herniated disc, arthritis/psoriasis, fever, unexpected weight loss, trouble going to toilet. Other treatments like arnica/massage/heat: should rest no longer than 2 days, stay active. Alarm/referral points: strong pain/bruising straight away, younger than 12, elderly, cannot put weight on it, cannot move much or move too (cid:373)u(cid:272)h has(cid:374)"t gotte(cid:374) a(cid:374)y (cid:271)etter.
