Question

A 34-year-old woman presents with acute unilateral lower abdominal pain and positive pregnancy test. She is haemodynamically stable; last menstrual period 6 weeks ago; mild shoulder tip pain. What is the correct action?

Accepted Answer

Urgent same-day assessment in early pregnancy unit

Answer

Give oral analgesia and review in 48 hours

Answer

Arrange routine ultrasound in 2 weeks

Answer

Start methotrexate in primary care

Answer

Discharge with safety-netting only

Practice question

A 34-year-old woman presents with acute unilateral lower abdominal pain and positive pregnancy test. She is haemodynamically stable; last menstrual period 6 weeks ago; mild shoulder tip pain. What is the correct action?