A 21yo woman without PMH, G2P1, ~15 weeks pregnant presented with abdominal pain and mild vaginal bleeding. One week prior she had presented for abdominal pain and per her report had a “confirmed IUP” at another ER.
Afebrile, HR: 75, BP: 105/60, RR: 18, POx: 100%
Abd: Moderate RLQ TTP, no peritoneal signs
GYN: mild vaginal bleeding in vault, os closed, right adnexal TTP
What does this patient need now? What is the disposition?