Question

A 28-year-old with suspected ectopic pregnancy presents with lower abdominal pain and vaginal bleeding. β-hCG 1,800 IU/L, transvaginal scan shows no intrauterine pregnancy. Haemodynamically stable. Next step?

Accepted Answer

Repeat serum hCG in 48 hours and rescan

Answer

Discharge with reassurance

Answer

Schedule routine antenatal booking

Answer

Immediate methotrexate

Answer

Diagnostic laparoscopy now

Practice question

A 28-year-old with suspected ectopic pregnancy presents with lower abdominal pain and vaginal bleeding. β-hCG 1,800 IU/L, transvaginal scan shows no intrauterine pregnancy. Haemodynamically stable. Next step?