GESTATIONAL TROPHOBLASTIC

NEOPLASIA

A   24-year-old Filipino    nurse   is  14  weeks   pregnant    by  dates.  She complains

of  vaginal bleeding    as  well    as  severe  nausea  and vomiting.   Her uterus

extends to  her umbilicus   but no  fetal   heart   tones   can be  heard.  Her blood

pressure    is  150/95  mm  Hg. A   dipstick    urine   shows   2+  proteinuria.