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Number of people. A year-old gravida 1, para 0 Asian female at approximately 16 weeks' gestation presented to the office with a fever and a small amount of painless vaginal bleeding of one day's duration.

She had received no prenatal care.

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Her uterus was mildly tender on palpation and was determined to be approximately 18 weeks in size. Sterile speculum examination revealed approximately 10 mL of non-clotted blood in the vaginal vault and a closed internal os.

A transabdominal ultrasound examination was performed, and the result is shown in Figure 1. Which one of the following is the correct diagnosis, based on the patient's history, physical examination and ultrasound examination? The answer is D: hydatidiform mole.

The patient had a human chorionic gonadotropin HCG level greater than , further supporting the clinical diagnosis.

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The fever was presumed to be due to intrauterine infection of the mole. The patient was given intravenous antibiotics and a dilation and evacuation was performed. Figure 2 shows the gross specimen from the procedure. Note the hydropic swelling and typical grape-like appearance of the chorionic villi. Molar pregnancies are reported to occur in approximately one in 1, pregnancies. Results from an Indonesian study 2 determined that the incidence in that population is one in pregnancies.

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images of bleeding pussy pornstar nina mercedez and tera patrick A year-old gravida 1, para 0 Asian female at approximately 16 weeks' gestation presented to the office with a fever and a small amount of painless vaginal bleeding of one day's duration. She had received no prenatal care. Her uterus was mildly tender on palpation and was determined to be approximately 18 weeks in size. Sterile speculum examination revealed approximately 10 mL of non-clotted blood in the vaginal vault and a closed internal os. A transabdominal ultrasound examination was performed, and the result is shown in Figure 1.
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images of bleeding pussy exibitionist tube Blood coagulation is generally. Description: When to Call the Doctor Every woman has been there: You think your period is over, so you ditch the panty liners and grab the white pants. And then, when you least expect it, you see red. Most women experience spotting between their periods at some point. A number of things can cause it to happen. So please either register or login.
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