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Cervical motion tenderness

MedGen UID:
1863811
•Concept ID:
C0238953
•
Sign or Symptom
Synonym: Chandelier sign
 
HPO: HP:6000107

Definition

Pain that is elicited by moving the uterine cervix. This finding can be ascertained by pelvic exam. Cervical motion tenderness is a gynecological exam finding that could be indicative of peritoneal infection. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCervical motion tenderness

Professional guidelines

PubMed

A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador.
Cueva F, Caicedo A, Hidalgo P
Infect Dis Obstet Gynecol 2020;2020:5423080. Epub 2020 May 9 doi: 10.1155/2020/5423080. PMID: 32454581Free PMC Article
Diagnosis and treatment of ectopic pregnancy.
Epee-Bekima M, Overton C
Practitioner 2013 Mar;257(1759):15-7, 2. PMID: 23634634
Differential diagnosis of appendicitis and pelvic inflammatory disease. A prospective analysis.
Bongard F, Landers DV, Lewis F
Am J Surg 1985 Jul;150(1):90-6. doi: 10.1016/0002-9610(85)90015-7. PMID: 3160252

Recent clinical studies

Etiology

Clinical features of isolated Fallopian tube torsion: evidence from a large series.
Meyer R, Meller N, Mohr-Sasson A, Toussia-Cohen S, Machtinger R, Bart Y, Mashiach R, Levin G
Hum Fertil (Camb) 2023 Dec;26(5):971-977. Epub 2022 Feb 4 doi: 10.1080/14647273.2022.2034056. PMID: 35114880
Complex clinical management of group A Streptococcal pelvic inflammatory disease after bilateral tubal ligation in a small community hospital.
Wolfenden E, Mittal M, Sussman R
BMJ Case Rep 2020 Oct 27;13(10) doi: 10.1136/bcr-2020-236326. PMID: 33109694Free PMC Article
The challenge of pelvic inflammatory disease.
Crossman SH
Am Fam Physician 2006 Mar 1;73(5):859-64. PMID: 16529095
Pelvic inflammatory disease in adolescents.
Banikarim C, Chacko MR
Semin Pediatr Infect Dis 2005 Jul;16(3):175-80. doi: 10.1053/j.spid.2005.04.006. PMID: 16044391
Diagnosing PID--getting the balance right.
Marks C, Tideman RL, Estcourt CS, Smart S, Page J, Wagner K, Mindel A
Int J STD AIDS 2000 Aug;11(8):545-7. doi: 10.1258/0956462001916290. PMID: 10990340

Diagnosis

Tubo-Ovarian ectopic pregnancy: A rare twin ectopic pregnancy.
Khan N, Farooq N, Khan M
J Pak Med Assoc 2024 Jun;74(6):1172-1174. doi: 10.47391/JPMA.9355. PMID: 38948993
Complex clinical management of group A Streptococcal pelvic inflammatory disease after bilateral tubal ligation in a small community hospital.
Wolfenden E, Mittal M, Sussman R
BMJ Case Rep 2020 Oct 27;13(10) doi: 10.1136/bcr-2020-236326. PMID: 33109694Free PMC Article
Does this woman have an ectopic pregnancy?: the rational clinical examination systematic review.
Crochet JR, Bastian LA, Chireau MV
JAMA 2013 Apr 24;309(16):1722-9. doi: 10.1001/jama.2013.3914. PMID: 23613077
The challenge of pelvic inflammatory disease.
Crossman SH
Am Fam Physician 2006 Mar 1;73(5):859-64. PMID: 16529095
Pelvic inflammatory disease in adolescents.
Banikarim C, Chacko MR
Semin Pediatr Infect Dis 2005 Jul;16(3):175-80. doi: 10.1053/j.spid.2005.04.006. PMID: 16044391

Therapy

Complex clinical management of group A Streptococcal pelvic inflammatory disease after bilateral tubal ligation in a small community hospital.
Wolfenden E, Mittal M, Sussman R
BMJ Case Rep 2020 Oct 27;13(10) doi: 10.1136/bcr-2020-236326. PMID: 33109694Free PMC Article
A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador.
Cueva F, Caicedo A, Hidalgo P
Infect Dis Obstet Gynecol 2020;2020:5423080. Epub 2020 May 9 doi: 10.1155/2020/5423080. PMID: 32454581Free PMC Article
The challenge of pelvic inflammatory disease.
Crossman SH
Am Fam Physician 2006 Mar 1;73(5):859-64. PMID: 16529095
Pelvic inflammatory disease in adolescents.
Banikarim C, Chacko MR
Semin Pediatr Infect Dis 2005 Jul;16(3):175-80. doi: 10.1053/j.spid.2005.04.006. PMID: 16044391
Diagnosing PID--getting the balance right.
Marks C, Tideman RL, Estcourt CS, Smart S, Page J, Wagner K, Mindel A
Int J STD AIDS 2000 Aug;11(8):545-7. doi: 10.1258/0956462001916290. PMID: 10990340

Prognosis

If pelvic inflammatory disease is suspected empiric treatment should be initiated.
Abatangelo L, Okereke L, Parham-Foster C, Parrish C, Scaglione L, Zotte D, Taub LF
J Am Acad Nurse Pract 2010 Feb;22(2):117-22. doi: 10.1111/j.1745-7599.2009.00478.x. PMID: 20132370
History and physical examination to estimate the risk of ectopic pregnancy: validation of a clinical prediction model.
Buckley RG, King KJ, Disney JD, Gorman JD, Klausen JH
Ann Emerg Med 1999 Nov;34(5):589-94. doi: 10.1016/s0196-0644(99)70160-5. PMID: 10533005
Predictive value of history and physical examination in patients with suspected ectopic pregnancy.
Dart RG, Kaplan B, Varaklis K
Ann Emerg Med 1999 Mar;33(3):283-90. doi: 10.1016/s0196-0644(99)70364-1. PMID: 10036342
Derivation of a clinical prediction model for the emergency department diagnosis of ectopic pregnancy.
Buckley RG, King KJ, Disney JD, Ambroz PK, Gorman JD, Klausen JH
Acad Emerg Med 1998 Oct;5(10):951-60. doi: 10.1111/j.1553-2712.1998.tb02770.x. PMID: 9862584
An evaluation of clinical variables in determining the need for pelvic examination in the emergency department.
Levitt MA
Ann Emerg Med 1991 Apr;20(4):351-4. doi: 10.1016/s0196-0644(05)81653-1. PMID: 1900679

Clinical prediction guides

Prevalence of Infections After In-Office Hysteroscopy in Premenopausal and Postmenopausal Women.
Florio P, Nappi L, Mannini L, Pontrelli G, Fimiani R, Casadio P, Mazzon I, Gonzales G, Villani V, Franchini M, Gubbini G, Mereu L, Santangelo F, Di Spiezio Sardo A
J Minim Invasive Gynecol 2019 May-Jun;26(4):733-739. Epub 2018 Aug 21 doi: 10.1016/j.jmig.2018.06.021. PMID: 30138739
Prospective comparative trial of endovaginal sonographic bimanual examination versus traditional digital bimanual examination in nonpregnant women with lower abdominal pain with regard to body mass index classification.
Tayal VS, Crean CA, Norton HJ, Schulz CJ, Bacalis KN, Bliss S
J Ultrasound Med 2008 Aug;27(8):1171-7. doi: 10.7863/jum.2008.27.8.1171. PMID: 18645075
Reliability of bimanual pelvic examinations performed in emergency departments.
Close RJ, Sachs CJ, Dyne PL
West J Med 2001 Oct;175(4):240-4; discussion 244-5. doi: 10.1136/ewjm.175.4.240-a. PMID: 11577050Free PMC Article
History and physical examination to estimate the risk of ectopic pregnancy: validation of a clinical prediction model.
Buckley RG, King KJ, Disney JD, Gorman JD, Klausen JH
Ann Emerg Med 1999 Nov;34(5):589-94. doi: 10.1016/s0196-0644(99)70160-5. PMID: 10533005
Derivation of a clinical prediction model for the emergency department diagnosis of ectopic pregnancy.
Buckley RG, King KJ, Disney JD, Ambroz PK, Gorman JD, Klausen JH
Acad Emerg Med 1998 Oct;5(10):951-60. doi: 10.1111/j.1553-2712.1998.tb02770.x. PMID: 9862584

Recent systematic reviews

Does this woman have an ectopic pregnancy?: the rational clinical examination systematic review.
Crochet JR, Bastian LA, Chireau MV
JAMA 2013 Apr 24;309(16):1722-9. doi: 10.1001/jama.2013.3914. PMID: 23613077

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