*Note: I originally put up a different case for today but decided to change it to a pregnancy-related case since, of course, it's labor day.
A 33 year old woman is BIBA (brought in by ambulance) for hypovolemic shock. You note a significant ascites, hyponatremia, hyperkalemia, and pleural effusion. She says, "I've been trying to get pregnant." You get an ultrasound:
It might look like PCOS (polycystic ovarian syndrome) but your attending suggests it is something more serious.
Challenge: What does your attending think?
1. How does wanting to get pregnant fit into this picture?
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