Classroom to Clinic

We at SAMSA believe that in order to truly help others, it is essential that we ourselves are not only knowledgeable but also are able to correlate all the textual knowledge in our clinical practices.

Thus Classroom to Clinics program was born.

Under the expert guidance of a panel of faculty members, we have high hopes for this program to give rise to skilled doctors in the days to come.

Case of the Week

Case Brief

Case Brief

An 18 year old female presented with amenorrhea for 7 weeks with a few episodes of spotting, abdominal pain and morning sickness. General examination was unremarkable except for mild pallor. Systemic examination revealed a distended abdomen corresponding to 24 weeks of gestation with a doughy feel and no fetal heart sounds. The initial blood work revealed anaemia and beta-hCG of 2,50,000 mIU/ml. On the second day of admission she developed heavy vaginal bleeding with expulsion of grape like vesicles requiring emergent suction and evacuation after administration of oxytocin.

What is the most likely diagnosis?
How will you confirm it?
What will be the follow up test and/or treatment?

An 18 year old female presented with amenorrhea for 7 weeks with a few episodes of spotting, abdominal pain and morning sickness. General examination was unremarkable except for mild pallor. Systemic examination revealed a distended abdomen corresponding to 24 weeks of gestation with a doughy feel and no fetal heart sounds. The initial blood work revealed anaemia and beta-hCG of 2,50,000 mIU/ml. On the second day of admission she developed heavy vaginal bleeding with expulsion of grape like vesicles requiring emergent suction and evacuation after administration of oxytocin.

What is the most likely diagnosis?
How will you confirm it?
What will be the follow up test and/or treatment?

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