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Q1 OHSS
A Lady was admitted with severe Ovarian Hyperstimulation Syndrome. Her urine output is 15 mL/ hour for the last 12 hours. She is getting an adequate fluid replacement. On examination, there is a tense ascites. What is the next most appropriate step?
Oliguria despite adequate fluid replacement may in some cases respond to paracentesis. Indications for paracentesis include the following:
1. severe abdominal distension and abdominal pain secondary to ascites;
2. shortness of breath and respiratory compromise secondary to ascites and increased intra-abdominal pressure;
3. oliguria despite adequate volume replacement, secondary to increased abdominal pressure causing reduced renal perfusion
Super! ??
Oliguria despite adequate fluid replacement may in some cases respond to paracentesis. Indications for paracentesis include the following:
1. severe abdominal distension and abdominal pain secondary to ascites;
2. shortness of breath and respiratory compromise secondary to ascites and increased intra-abdominal pressure;
3. oliguria despite adequate volume replacement, secondary to increased abdominal pressure causing reduced renal perfusion
