A third gravida is admitted with complaint of sudden onset right sided lower abdominal pain after a period of 5-week amenorrhea. Her PR is 130 and BP is 80/50 mmHg. TVS reveals large amount of free fluid in the pelvis and empty uterine cavity. What is the next step?

Question

Accepted Answer

Perform laparoscopy

Answer

Treat with IM methotrexate

Answer

Perform urgent laparotomy

Answer

Do serum Beta HCG to confirm diagnosis

A third gravida is admitted with complaint of sudden onset right sided lower abdominal pain after a period of 5-week amenorrhea. Her PR is 130 and BP is 80/50 mmHg. TVS reveals large amount of free fluid in the pelvis and empty uterine cavity. What is the next step?

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