A patient presents with excessive nausea and vomiting (hyper…
A patient presents with excessive nausea and vomiting (hyperemesis gravidarum) with heavy vaginal bleeding with the expulsion of grape-like clusters. Her vitals are normal, except that her blood pressure is 160/110 mm Hg. She has a negative history for hypertension. She says that she did a home pregnancy test a few weeks ago and the results were positive. Her current gestational age is 8 weeks 2 days. You collect a serum B-hCG and the results are extremely high, (well over 100,000). Urine dipstick shows positive protein. From this information alone, your most likely diagnosis is: