Ovarian hyperstimulation syndrome: Difference between revisions
(Created page with "==Background== *Fertility treatments causing development of multiple follicles at once *Fluid shifts out of vasculature ==Clinical Features== *Ovarian enlargement *Movement o...") |
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*DIC | *DIC | ||
*Thromboembolism | *Thromboembolism | ||
**Both venous and arterial | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*Progesterone level | *Progesterone level | ||
*Estradiol level | *Estradiol level | ||
*PT/PTT | |||
*Fibrinogen | |||
==Management== | ==Management== | ||
*Fluid resuscitation | |||
*Therapeutic paracentesis if necessary | |||
*Self limited, resolved in 10-14 days | |||
*Urgent GYN consultation | |||
==Disposition== | ==Disposition== | ||
*May require ICU admission for third spacing | |||
*Admit all but most mild cases to monitored setting | |||
==See Also== | ==See Also== | ||
Revision as of 00:45, 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
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