How should ovarian inflammation be diagnosed?

Patient's question:

These past few days, I've been feeling unwell, but I'm not sure what's wrong. Could you please ask: How can one diagnose ovarian inflammation?

Doctor's answer:

1. Acute appendicitis: Lower abdominal pain, decreased body temperature, increased white blood cells. Sometimes it is difficult to distinguish from acute oophoritis, but the pain characteristics of acute appendicitis are initially upper abdominal or periumbilical pain, later localized to the right lower abdomen, McBurney's point. It is often accompanied by nausea and vomiting. Although accompanied by fever, it generally does not exceed 38°C. A careful abdominal examination shows tense abdominal muscles.
2. Ruptured ectopic pregnancy: Lower abdominal pain, rectal fullness. On examination, there is tenderness and rebound tenderness throughout the abdomen, especially when the female pregnancy test is negative and vaginal bleeding is minimal, it is easily confused with acute oophoritis. However, this condition has a history of amenorrhea, and the pain is sudden and severe, like a knife-cut. In addition to symptomatic treatment, it is also necessary to pay attention to self-care training, such as paying attention to hygiene during treatment and keeping the private parts clean. Finally, it is advised that female patients must undergo regular follow-up examinations!

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