O&G: Molar pregnancy with hyperthyroidism
Actually I wrote about this case when I was on my flight back to Sibu from Penang, but I did not save it so everything just gone when I touched down at Sibu Airport. Nevertheless this is still an interesting case so I rewrite everything to share with you guys. This case is a 20+ years old lady, G3P1+1A upon admitted in March, LMP on mid December, presented with prolonged PV bleed since January and fever on the day of admission. Patient noted to have passed out some POC-like structure prior to admission, and from scan we noted thickened ET, so the provisional diagnosis in PAC was incomplete or maybe septic miscarriage. The initial HCG level taken is around 1500k, which is insanely high. But interestingly, patient also found to have enlarged thyroid swelling and tachycardia during her admission. Therefore we referred medical team to rule out thyroid storm. But medical team didn't seem to think she was having thyroid storm, because she still looked quite comfortable despite having fev