Ovarian hyperstimulation syndrome: Difference between revisions

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*[[Sepsis]]
*[[Sepsis]]
*[[PE]]
*[[PE]]
{{Pelvic pain DDX}}


==Diagnosis==
==Diagnosis==

Revision as of 03:30, 28 September 2015

Background

  • Fertility treatments causing development of multiple follicles at once
  • Fluid shifts out of vasculature

Clinical Features

Differential Diagnosis

Acute Pelvic Pain

Differential diagnosis of acute pelvic pain

Gynecologic/Obstetric

Genitourinary

Gastrointestinal

Musculoskeletal

Vascular

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

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
  1. Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.