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A. Acute abdomenB. Acute appendicitisC. Acute pelvic inflammatory diseaseD. Acute renal failureE. Acute torsion of ovaryF. Bowel injury at egg collectionG. Critical OHSSH. Intra-peritoneal bleedingI. Mild OHSSJ. Moderate OHSSK. Pulmonary embolismL. Ruptured ectopicM. Severe OHSS
1. A 28-yr old woman, with a BMI of 34, is a known case of polycystic ovarian syndrome. She is being treated with clomiphene citrate regimen of 50mg dose. She is complaining of a bloated abdomen and feels uncomfortable as a result.
2.A 34-yr old woman, with a BMI 32, underwent an embryo transfer 5 days ago. She has now been admitted to the acute medical ward with nausea, vomiting, and moderate abdominal pain.
3. A 24-yr old woman, with a BMI 24, has a high AMH and had embryo transfer 3 days ago. She has been admitted to the acute gynaecology ward with clinical ascites and reduced renal output.
4. A 35-yr old woman who had an embryo transfer 8 days ago is now complaining of bloated feeling and increase in weight of 2kg. She had a pelvic USS scan reporting an ovarian size >12 cm2.
5. A 22-yr old woman who is a known case of polycystic ovarian syndrome with a history of OHSS is in her first IVF cycle, recently undergoing her second treatment cycle. She is day 12 post-embryo transfer. She is complaining of nausea and sudden onset of right-sided abdominal pain following intercourse.
A. Benign intracranial hypertensionB. Cerebral venous thrombosisC. Cluster-type headacheD. EpilepsyE. Menstrual-related migraineF. Migraine with auraG. Migraine without auraH. PEI. Pseudo-seizureJ. SAHK. Tension headacheL. Thrombocytopenic purpura
6. A 24-yr old primigravid woman who is 24 weeks pregnant complains of a pulsating, right- sided headache for 48hrs. This is associated with nausea and vomiting. She also complaints of seeing ‘flickering lights’.
7. A tension headache is usually bilateral, pressing (non-pulsatile), and lasts for 30 mins (continuous). It may be episodic (occurring fewer than 15 times per month) or chronic (occurring more than 15 times per month, for at least 3 months).
8. A 20-yr old primigravid woman who is 18 weeks pregnant complains of sharp, left-sided headache, particularly around the eye. This is associated with a red eye and runny nose.
9. A 17-yr old woman has a history of heavy menstrual bleeding since menarche. She complains of a left-sided headache, particularly 2-3 days before her periods.
10. A 38-yr old multiparous woman at 36 weeks of pregnant presents with history of headaches, vomiting, and photophobia. Her examination had signs of raised ICP.
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