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Ovarian Hyperstimulation Syndrome

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Ovarian Hyperstimulation Syndrome Presented by AHMED WALID ANWAR,M.D Lecturer of Obstetrics and Gynecology Benha Faculty of Medicine Egypt 2008
Definition: ,[object Object],[object Object]
* It occurs : ,[object Object],[object Object],[object Object],[object Object]
Risk factors: ,[object Object],[object Object],[object Object],[object Object],[object Object]
3) Ovarian stimulation drugs : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3) Ovarian stimulation drugs : ,[object Object],[object Object],[object Object]
Risk factors: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The suggested mediators for increased capillary permeability are: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis: ,[object Object],[object Object],[object Object]
Benefits of mild OHSS: ,[object Object],[object Object],[object Object],[object Object]
Recent classification of OHSS ( Jenkins&Mathur,1998 ) ,[object Object],[object Object],[object Object],[object Object]
Lab. Blood Clinical Ovary Grade - HCV < 45 - TLC < 15.000/cc - Normal renal function -Abdominal Distension -GIT upset 5-I0cc 1)Mild - HCV < 45 - TLC < 15.000/cc - Normal renal function -Moderate ascites -Body wt T 2 kg/c'ay 10-12 cc 2) Moderate
Lab. Blood Clinical Ovary Grade - HCV > 45 - TLC > 15.999/cc - Impaired renal function - -Marked ascites -Dyspnea -Hypovolemia - Mild Thromboembolism > 12cc 3)Sever - HCV (55%), - TLC > 25000/mm3, - serum creatinine> 1.6 mg%^, -creatinine clearance < 50ml/min . -Tense ascites, -Hydrothorax. - Sever Thrombocmbolism . -Adult respiratory distress syndrome - Life threatening MARKED 4) Critical
Complications of OHSS:
Complications of OHSS: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of OHSS: ,[object Object],[object Object],[object Object]
Complications of OHSS: ,[object Object],[object Object]
Prevention of OHSS : ,[object Object],HOW???
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object]
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object],[object Object]
(2) Modified Stimulation Protocols: ,[object Object],[object Object],[object Object],[object Object]
(2) Modified Stimulation Protocols: ,[object Object],[object Object],[object Object],[object Object],[object Object]
(2) Modified Stimulation Protocols: ,[object Object],[object Object],[object Object],[object Object],[object Object]
(3) Modified techniques: ,[object Object],[object Object],[object Object],[object Object]
4) Adjuvant: ,[object Object],[object Object],[object Object]
4) Adjuvant: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of OHSS HOW ? ? ?
*DIAGNOSIS: ,[object Object],[object Object],[object Object],[object Object]
U/S for diagnosis of ovarian Hyperstimulation Syndrome
*Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
2- Medical treatment : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2- Medical treatment : ,[object Object],[object Object],[object Object],[object Object],[object Object]
2- Medical treatment : ,[object Object],[object Object],[object Object]
AVOID: ,[object Object],[object Object],[object Object],[object Object]
3) Aspiration of ascetic fluid or pleural effusion: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3) Aspiration of ascetic fluid or pleural effusion: ,[object Object],[object Object],[object Object],[object Object],[object Object]
4)Surgical treatment: ,[object Object],[object Object],[object Object],[object Object]
4)Surgical treatment: ,[object Object],[object Object],[object Object]
Thank you E.MAIL :: [email_address]

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Ovarian Hyperstimulation Syndrome

  • 1. Ovarian Hyperstimulation Syndrome Presented by AHMED WALID ANWAR,M.D Lecturer of Obstetrics and Gynecology Benha Faculty of Medicine Egypt 2008
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  • 13. Lab. Blood Clinical Ovary Grade - HCV < 45 - TLC < 15.000/cc - Normal renal function -Abdominal Distension -GIT upset 5-I0cc 1)Mild - HCV < 45 - TLC < 15.000/cc - Normal renal function -Moderate ascites -Body wt T 2 kg/c'ay 10-12 cc 2) Moderate
  • 14. Lab. Blood Clinical Ovary Grade - HCV > 45 - TLC > 15.999/cc - Impaired renal function - -Marked ascites -Dyspnea -Hypovolemia - Mild Thromboembolism > 12cc 3)Sever - HCV (55%), - TLC > 25000/mm3, - serum creatinine> 1.6 mg%^, -creatinine clearance < 50ml/min . -Tense ascites, -Hydrothorax. - Sever Thrombocmbolism . -Adult respiratory distress syndrome - Life threatening MARKED 4) Critical
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  • 30. Management of OHSS HOW ? ? ?
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  • 32. U/S for diagnosis of ovarian Hyperstimulation Syndrome
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  • 43. Thank you E.MAIL :: [email_address]