LMP 7 weeks ago, pain, bleeding, hypotension (301/1700)

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





























answer: A
ruptured ectopic pregnancy