2 min reading · 10 min station · reminders at 2 min
2 min reading · 10 min station · reminders at 2 min
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.
1
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.
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