Molar Pregnancy on Transabdominal Pelvic Ultrasound "20 yo F presents with suprapubic abd tenderness and mild vaginal bleeding. Urine HCG is NEGATIVE. Explanation: HCG Quant > 1,000,000. The Hook Effect: When the HCG is so extremely large, the qualitative urine HCG assay becomes overwhelmed and it reads as negative." - Dr. Christopher Kumetz @ChrisKumetz #Molar #Pregnancy #Clinical #POCUS #Pelvic #Transabdominal #Ultrasound #Obstetrics #OBGyn