Q:

A 27yo presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7wks ago. Exam: abdominal tenderness, BP=90/60mmHg. What is the next appropriate management?

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A 27yo presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was

7wks ago. Exam: abdominal tenderness, BP=90/60mmHg. What is the next

appropriate management?


  1. Immediate laparotomy
  2. Laparoscopy
  3. Salpingotomy
  4. Salpingectomy
  5. MTX

All Answers

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The key is A. Immediate laparotomy. [Though BP is its lower limit it is impending shock and abdominal tenderness warns us about probable rupture].

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