February 2021
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879 Reads
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1 Citation
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February 2021
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879 Reads
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1 Citation
... During the physical examination, observation of the suprapubic, vulvar, inguinal region and pelvic limbs must be considered, looking for: genital varicose veins (present in 60% of patients); varicose veins in pelvic leakage points, considering these: the clitoral, obturator, pudendal, inguinal, gluteus maximus and minimum (present in 90%); atypical varicose veins, not tributary to saphenous trunks or perforating veins (present in 70%); and deformity of external genitalia such as an increase in the size of the labia majora or minora (present in 20%). 8 The combination of clinical signs and symptoms has a sensitivity of 96% and a specificity of 77%. 9 Adequate exclusion of other diagnoses of chronic pelvic pain must be made, such as cancer, endometriosis, fibroids, fibromyalgia, orthopedic pathologies, polycystic ovary, pelvic inflammatory disease, among others. 10 ...
February 2021