Ectopic pregnancy practice

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Obstetrics and Gynaecologycommon

A 25-year-old woman had a levonorgestrel-releasing intrauterine device inserted six months ago. She now has a missed period, lower abdominal pain worse on the right and a positive urine pregnancy test; the threads are not seen on speculum examination. She is pale but has a blood pressure of 108/68 mmHg. Which one of the following is the most appropriate next step?