Instructions
You are an intern in the emergency department. Elisa Romano, 31, is 6 weeks pregnant with left-sided pain and spotting. Her observations are stable. The gynaecology registrar says she is suitable for either methotrexate or laparoscopic surgery.
Explain the results to Ms Romano and agree a plan
- You do not need to take a history or examine the patient
Ultrasound
Empty uterus. 2 cm left adnexal mass with a gestational sac, no fetal heart. No free fluid.
Bloods
Beta-hCG 1400. Hb 132. Blood group A positive. Creatinine and LFTs normal.