Screening for vascular causes of pelvic pain

      briefly introduction

Chronic pelvic pain (CPP) is a serious problem affecting the lives of many women during their child bearing years. It is a recognised long term morbidity of sexually transmitted infections and pelvic inflammatory disease. The differential diagnosis of the underlying aetiology often involves both psychological and organic factors. The management of CPP constitutes a major challenge to the clinician mainly because of our lack of understanding of its natural history, aetiology, and pathogenesis.

The aim of this descriptive review is to identify the wide range of aetiological factors for CPP in order to illustrate the dilemma facing clinicians in investigating and managing this condition.

Pelvic congestion syndrome S/S ;

>Lower abdominal/pelvic pain.

>Unilateral or bilateral

>Varicose veins in the buttocks, thighs, or lower extremities.

>Acute appendictis, inflammatory bowel disease crohn's disease articulative, irritable bowel syndrom

in above picture bitterly summarize all circumstances of relevant topic.

Medical Definition of Referral

The recommendation of a medical or paramedical professional. If you get a referral to ophthalmology, for example, you are being sent to the eye doctor. In HMOs and other managed care schemes, a referral is usually necessary to see any practitioner or specialist other than your primary care physician (PCP), if you want the service to be covered. The referral is obtained from your PCP, who may require a telephone or office consultation first.

The term "referral" can refer both to the act of sending you to another doctor or therapist, and to the actual paper authorizing your visit.

you can get more help by calling your nearby doctor taking decisions what is the more best things to make you healthy 😊

Doctors love to see patients come and hate to see them go. Patient retention aside, there are many reasons it can be beneficial to offer a referral.

Times doctor should consider a patient referral

1. When they struggle to make a diagnosis

There will be times when, no matter how hard you try, you just won’t be able to determine how to best help a patient. Don’t stress, because there are other physicians out there that can help. This isn’t defeat, it is a mutual goal to diagnose a patient in the most efficient way. Consider referring your patient if you find yourself in this situation.

2. When they want a specialist's opinion

They say two heads can be better than one. Sometimes a specialist can have a different opinion that might benefit the patient.

According to the Archives of Internal Medicine, about one in 10 visits to a primary care doctor resulted in a referral to a specialist in 2009. If you see that your patient has risk factors, or if you simply want a second opinion, a referral to a specialist might be the way to go. This doesn’t necessarily hurt your patient retention, because you are still involved in the patient’s journey.

3. When some opinions need

They say two heads can be better than one. Sometimes a specialist can have a different opinion that might benefit the patient.

According to the Archives of Internal Medicine, about one in 10 visits to a primary care doctor resulted in a referral to a specialist in 2009. If you see that your patient has risk factors, or if you simply want a second opinion, a referral to a specialist might be the way to go. This doesn’t necessarily hurt your patient retention, because you are still involved in the patient’s journey.

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