A 28-year-old woman presents to A&E with sudden onset severe left iliac fossa pain and dizziness. She is 7 weeks pregnant according to her last menstr...

Question

A 28-year-old woman presents to A&E with sudden onset severe left iliac fossa pain and dizziness. She is 7 weeks pregnant according to her last menstrual period. On examination, she is pale, tachycardic (115 bpm), and hypotensive (85/55 mmHg). There is guarding and rebound tenderness in the lower abdomen. What is the most appropriate immediate management?

Accepted Answer

IV fluid resuscitation and urgent senior surgical/gynaecology review

Answer

Urgent transvaginal ultrasound scan

Answer

Group and save blood sample

Answer

High-dose intravenous antibiotics

Answer

Analgesia with intravenous morphine

mrcem sba MCQ (SBA): Ruptured Ectopic Pregnancy