Ovarian hyperstimulation syndrome: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Ectopic | *[[Ectopic Pregnancy]] | ||
*Molar Pregnancy | |||
*[[Sepsis]] | |||
*[[PE]] | |||
==Workup== | ==Workup== | ||
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==See Also== | ==See Also== | ||
[[Ectopic Pregnancy]] | |||
[[Shock]] | |||
==Sources== | ==Sources== | ||
Revision as of 01:32, 26 March 2014
Background
- Fertility treatments causing development of multiple follicles at once
- Fluid shifts out of vasculature
Clinical Features
- Ovarian enlargement
- Movement of fluid out of vasculature
- Ascites
- Pleural effusions
- Pericardial effusion
- Hypotension
- Electrolyte imbalances
- DIC
- Thromboembolism
- Both venous and arterial
Differential Diagnosis
- Ectopic Pregnancy
- Molar Pregnancy
- Sepsis
- PE
Workup
- Urine pregnancy
- Pelvic ultrasound
- CBC
- Chem 10
- CXR
- Progesterone level
- Estradiol level
- PT/PTT
- Fibrinogen
Management
- Fluid resuscitation
- Therapeutic paracentesis if necessary
- Self limited, resolved in 10-14 days
- Urgent GYN consultation
Disposition
- May require ICU admission for third spacing
- Admit all but most mild cases to monitored setting
See Also
Sources
Up to Date William's Gynecology