Adnexal Mass?

[Tedebear]

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When you see this on an NBME/USMLE exam can you assume that it is the ovary? Physical diagnosis stuff was not emphasized at my school. Also, is there some diseases that I should automatically consider if it says bilateral adnexal mass as opposed to unilateral mass in a woman.

Thanks for any input.

 

[doc05]

adnexa=ovary+tube.

when you can palpate a mass, it is not normal. Think up a differential.

 

[bigfrank]

young = PID/TOA
old = CA

usually 🙂

Seems like I recall from OB that 25% of ovarian CA is Bilateral