Monthly Recurrence of Pelvic Pain, Nausea, Vomiting, and Diarrhea

Published:September 20, 2021DOI:https://doi.org/10.1016/j.nurpra.2021.08.025

      Highlights

      • Recurring nausea, vomiting, and diarrhea associated with pelvic pain could be associated with endometriosis.
      • Endometriosis is often misdiagnosed, resulting in a delay of true diagnosis and treatment.
      • Diagnostic imaging may include transvaginal ultrasound.
      • Medical management often includes nonsteroidal anti-inflammatory drugs, hormonal contraceptives, and, if necessary, surgical removal of lesions.

      Abstract

      This is a case study describing a young woman with a chief complaint of intermittent nausea, vomiting, diarrhea, and fluctuating pelvic pain. She was initially evaluated in the emergency department and treated for a viral illness after a “negative” workup. Her symptoms worsened and were recurrent. Knowledge of the vast variable symptomatology in the presentation of endometriosis is essential to identify, diagnose, and treat patients who are often misdiagnosed.

      Keywords

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      Biography

      Catherine Nadeau, DNP, FNP-BC, CCRN, CNE, is an assistant professor at the University of South Florida in Tampa and can be contacted at [email protected] .

      Biography

      Stephen McGhee, DNP, MSc, PGCE, RNT, VR, FAAN, is an assistant professor of clinical at Ohio State University in Columbus.

      Biography

      Juan M. Gonzalez DNP, AGACNP-BC, ENP-C, FNP-BC, CEN, CNE, is an associate professor of clinical at the University of Miami in Coral Gables, FL.