Question

A 23-year-old woman presents with lower abdominal pain, vaginal spotting, and a history of 7 weeks of amenorrhoea. Her urine pregnancy test is positive. She is haemodynamically stable. What is the most appropriate next investigation?

Accepted Answer

Transvaginal pelvic ultrasound

Answer

Serum beta-hCG only and review in 1 week

Answer

Abdominal radiograph

Answer

CT scan of the abdomen and pelvis with contrast

Answer

Immediate diagnostic laparoscopy without imaging

Practice question

A 23-year-old woman presents with lower abdominal pain, vaginal spotting, and a history of 7 weeks of amenorrhoea. Her urine pregnancy test is positive. She is haemodynamically stable. What is the most appropriate next investigation?