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What is the approximate sensitivity of urine B-HCG for ectopic pregnancy?
Analgesia is provided leading to an improvement in pain. Bloods are performed and IV access obtained. Serum B-HCG is positive at 124 IU/L and a referral is made to gynaecology. Full blood count and renal function are normal. What is the most appropriate next step in order to investigate for a possible ectopic pregnancy?
This lady has a tubal pregnancy measuring 22mm seen on transvaginal US. There is no visible heartbeat. She is pain free after simple analgesia with normal observations of HR 74, BP 124/82, RR 17, SO2 98%, T 36.5. The gynaecology team offer her expectant management.
Which of the following factors might contraindicate expectant management? (Select all that apply)