title: Molar pregnancy in the emergency department.
abstract: A 15-year-old female presented to the emergency department with complaints of vaginal bleeding. She was pale, anxious, cool and clammy with tachycardic, thready peripheral pulses and hemoglobin of 2.4g/dL. Her abdomen was gravid appearing, approximately early to mid-second trimester in size. Pelvic examination revealed 2 cm open cervical os with spontaneous discharge of blood, clots and a copious amount of champagne-colored grapelike spongy material. After 2L boluses of normal saline and two units of crossmatched blood, patient was transported to the operating room. Surgical pathology confirmed a complete hydatidiform mole.
authors.affiliation: Emergency Medicine Residency Program, Resurrection Medical Center, Chicago, Illinois.
authors.forename: Lori
authors.initials: L
authors.lastname: Masterson
authors.forename: Shu B
authors.initials: SB
authors.lastname: Chan
authors.forename: Bryan
authors.initials: B
authors.lastname: Bluhm