What is Chandelier sign indicative of in a medical examination?

What is Chandelier sign indicative of in a medical examination?

• A. Ovarian cysts
• B. Cervical cancer
• C. PID, ruptured tubal pregnancy, and endometriosis
• D. Ectopic pregnancy only

Answer: (C)

The Chandelier sign, characterized by a significant amount of pain upon the examination of the cervix, is indicative of conditions involving pelvic inflammatory disease (PID), ruptured ectopic pregnancy, and endometriosis. This sign is emerging from the idea that the pain is so intense that the patient may reflexively rise from the examining table, similar to how one might react to swinging from a chandelier. In the context of PID, the inflammation and infection can lead to severe tenderness in the pelvic area and cervical motion tenderness is commonly seen during examinations. For a ruptured tubal pregnancy, the acute pain and potential peritoneal irritation can lead to similar tenderness. Endometriosis can also present with extreme pain due to abnormal endometrial tissue growth, causing discomfort and pain on examination. While other conditions like ovarian cysts and cervical cancer may also cause discomfort or pain, they are not typically associated with the Chandelier sign specifically. Furthermore, framing the sign as indicative of only ectopic pregnancy would be too narrow, as it encompasses a range of serious pelvic conditions. Thus, the broader interpretation of the Chandelier sign highlights its significance in the context of multiple pelvic pathologies.

The Chandelier sign, characterized by a significant amount of pain upon the examination of the cervix, is indicative of conditions involving pelvic inflammatory disease (PID), ruptured ectopic pregnancy, and endometriosis. This sign is emerging from the idea that the pain is so intense that the patient may reflexively rise from the examining table, similar to how one might react to swinging from a chandelier.

In the context of PID, the inflammation and infection can lead to severe tenderness in the pelvic area and cervical motion tenderness is commonly seen during examinations. For a ruptured tubal pregnancy, the acute pain and potential peritoneal irritation can lead to similar tenderness. Endometriosis can also present with extreme pain due to abnormal endometrial tissue growth, causing discomfort and pain on examination.

While other conditions like ovarian cysts and cervical cancer may also cause discomfort or pain, they are not typically associated with the Chandelier sign specifically. Furthermore, framing the sign as indicative of only ectopic pregnancy would be too narrow, as it encompasses a range of serious pelvic conditions. Thus, the broader interpretation of the Chandelier sign highlights its significance in the context of multiple pelvic pathologies.