This week I'm working w/ Wendy, a first year Ob/Gyn resident, in Patologías del Embarazo. Most of the patients we receive are women who complain of bleeding early in their pregnancy and end up having miscarriages. We occasionally get a patient with placenta previa. This week we had a 15 year old girl (G1P0 - for those of you who speak the same language as me) who was sent from a town called Sonsonate...
This was the ultrasound that accompanied her...
This ultrasound shows what we learned as "snowstorm" appearance, indicative of a molar pregnancy (hydatidiform mole).
Since the Hospital Nacional San Juan de Dios does not have the equipment to suction out this molar pregancy, we had to send her to the capital, San Salvador. There they will also determine if the molar pregnancy was complete or incomplete. So between yesterday and today, we got her beta-hCG quant and a chest x-ray (to make sure no metastasis occurred) before sending her on her way. Her quant was in the 400, 000 level. CXR was normal. After a phone call and a signature from the attending, our patient left for San Salvador.
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