Ectopic Pregnancy: Ectopic pregnancy may be suspected if a woman has abdominal pain with peritoneal (surgical) signs indicating a surgical consultation is immediately needed, especially if she is hemodynamically unstable. If a woman has milder pain, +HCG >1500, transvaginal ultrasound is very useful but not 100%. If fetal heart tones seen and gestational sac seen with +HCG can rule out, if not seen serial HCGs/ D&C.
Answered 4/14/2016
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