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?
a. Immediate laparotomy
b. Laparoscopy
c. Salpingotomy
d. Salpingectomy
e. MTX
Q. 1. What is the key?
Q. 2. What is the diagnosis?
Q. 3. Justify the key.
Ans. 1. The key is A. Immediate laparotomy.
Ans. 2. The diagnosis is ruptured ectopic pregnancy . Ans. 3. In ruptured ectopic pregnancy if there is shock we should go for immediate laparotomy.