Ovarian hyperstimulation syndrome: Difference between revisions
m (Rossdonaldson1 moved page Ovarian Hyperstimulation Syndrome to Ovarian hyperstimulation syndrome) |
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**Both venous and arterial | **Both venous and arterial | ||
*Hypervolemic [[hyponatremia]] | *Hypervolemic [[hyponatremia]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*[[PE]] | *[[PE]] | ||
== | ==Diagnosis== | ||
*Urine pregnancy | *Urine pregnancy | ||
*Pelvic ultrasound | *Pelvic ultrasound | ||
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*PT/PTT | *PT/PTT | ||
*Fibrinogen | *Fibrinogen | ||
*'''[[Beta-HCG]] may be positive if [[beta-HCG]] injection given as part of fertility treatment''' | |||
==Management== | ==Management== | ||
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*[[Shock]] | *[[Shock]] | ||
== | ==References== | ||
Up to Date | *Up to Date | ||
William's Gynecology | *William's Gynecology | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revision as of 03:28, 28 September 2015
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
- Hypervolemic hyponatremia
Differential Diagnosis
- Ectopic Pregnancy
- Molar Pregnancy
- Sepsis
- PE
Diagnosis
- Urine pregnancy
- Pelvic ultrasound
- CBC
- Chem 10
- CXR
- Progesterone level
- Estradiol level
- PT/PTT
- Fibrinogen
- Beta-HCG may be positive if beta-HCG injection given as part of fertility treatment
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
References
- Up to Date
- William's Gynecology