Ovarian HyperStimulation Syndrome

Authors: Andy Neill, Charlotte Davies / Codes: ObC19, ObP1, SLO1, SLO2, SLO3 / Published: 16/02/2017

Warning

The content you’re about to read or listen to is at least two years old, which means evidence and guidelines may have changed since it was originally published. This content item won’t be edited but there will be a newer version published if warranted. Check the new publications and curriculum map for updates

In this podcast we cover something fairly rare that if all goes well shouldn’t even present to the ED. Though we all know that no matter how good systems are things don’t always go according to plan and it may well end up in the ED. Rumours have it that this has appeared on a certain emergency medicine examination at some point and complications of pregnancy certainly fits within the curriculum.

The case

• taken from the NUEM blog of northwestern university
• Ultrasound images below also from the NUEM Blog.

Some other FOAMed

• EMDOCS

The Guidelines

• UK: Green top guideline No.5
• Ireland
• ANZAC Guideline

Some further papers

• Ovarian hyperstimulation syndrome and thrombotic events
• Ovarian hyperstimulation syndrome: a clinical report on 4894 consecutive ART treatment cycles
• Ovarian hyperstimulation syndrome on the acute medical unit: a problem-based review.
• Ovarian hyperstimulation syndrome, the master of disguise? [probably the most important paper as the first author here is Ironside…]
• Nice review article
• OHSS and ectopics
• Bilateral ectopic with OHSS (you’re definitely having a bad day if you get this)