Question

A 26-year-old woman presents with 8 weeks of amenorrhoea, lower abdominal pain, and light vaginal bleeding. Her β-hCG is 1500 IU/L, and a transvaginal ultrasound does not show an intrauterine pregnancy. Vital signs are stable. What is the most appropriate next step?

Accepted Answer

Consider ectopic pregnancy and arrange close follow-up with serial β-hCG and repeat ultrasound, with gynaecology consultation

Answer

Discharge and repeat β-hCG in 1 year

Answer

Assume this is a threatened miscarriage and no further workup

Answer

Perform immediate dilation and curettage

Answer

Ignore findings because β-hCG is below discriminatory zone

Practice question

A 26-year-old woman presents with 8 weeks of amenorrhoea, lower abdominal pain, and light vaginal bleeding. Her β-hCG is 1500 IU/L, and a transvaginal ultrasound does not show an intrauterine pregnancy. Vital signs are stable. What is the most appropriate next step?