OHSS Extra Questions

Option List: 
A. Mild
B. OHSS
C. Moderate
D. NVP
E. VTE
F. Severe
G. Hematocrit > 40%
H. Ovarian size > 9 cm
I. Inpatient and symptomatic management
J. Outpatient management

1. A woman undergoes an IVF cycle and subsequently gets a positive pregnancy test result. She develops abdominal pain, nausea, vomiting and mild shortness of breath. What is your provisional diagnosis?

2. Further evaluation reveals normal lung sounds, palpable ascites and a pulse oximetry of 97% on room air. A chest x-ray is normal, the haematocrit is 40% and an ultrasound shows ovaries of 9 cm with evident ascites. What is the severity grade of your diagnosis?

3. Which of the features is most consistent with your grading?

4. How will you manage the case?