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MediumObstetrics and GynaecologyRuptured Ectopic Pregnancymrcem sbamrcp part 1ukmlapane

A 28-year-old woman presents to A&E with sudden onset severe left iliac fossa pain and dizziness. She is 7 weeks pregnant according to her last menstrual period. On examination, she is pale, tachycardic (115 bpm), and hypotensive (85/55 mmHg). There is guarding and rebound tenderness in the lower abdomen. What is the most appropriate immediate management?

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