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A 32-year-old woman presents with bloating, lower abdominal pain and dyspnoea on minimal exertion. She is undergoing IVF, with egg retrieval 13 days ago and embryo transfer 7 days ago. She is referred with concern for ovarian hyperstimulation syndrome.

Ovarian hyperstimulation syndrome

1. List two features of ovarian hyperstimulation syndrome demonstrated on the ultrasound images. 2 marks

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2. List five important complications of critical ovarian hyperstimulation syndrome and state how they may be managed or prevented. 10 marks

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