Practice Interactive case report

A patient with suspected miscarriage is found to have hypertension, renal failure, and thrombocytopenia: case presentation

BMJ 2007; 334 doi: (Published 28 June 2007) Cite this as: BMJ 2007;334:1372
  1. Chris M Laing, specialist registrar in nephrology1,
  2. Rhys Roberts, senior house officer in medicine2,
  3. Liz Lightstone, consultant nephrologist3,
  4. Alison Graham, consultant radiologist4,
  5. Terry H Cook, professor of renal pathology5,
  6. Shaun Summers, specalist registrar in nephrology and internal medicine3,
  7. Charles D Pusey, professor of medicine6
  1. 1Critical Care and Internal Medicine, Department of Medicine, University College London Hospital, London NW1 2BU
  2. 2Department of Medicine, Hammersmith Hospital, London W12 0HS
  3. 3West London Renal and Transplant Centre, Hammersmith Hospital
  4. 4Department of Radiology, Hammersmith Hospital
  5. 5Division of Investigative Science, Imperial College London, Hammersmith Hospital Campus, London W12 0NN
  6. 6Division of Medicine, Imperial College London, Hammersmith Hospital Campus
  1. Correspondence to: Chris M Laing christopher.laing{at}
  • Accepted 2 April 2007

A 46 year old white woman presented to her local casualty department. She had been experiencing vaginal bleeding for 10 days, and the bleeding had become particularly heavy in the past three days. She had also felt generally unwell for around a week with malaise, fatigue, headaches, anorexia, and vomiting.

She and her partner had been trying to conceive. Her last menstrual period had been 10 weeks ago and she had recently tested positive with a urinary (β human chorionic gonadotrophin) pregnancy testing kit. She had three children from a previous partner. Two of these …

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