Case challenge · Obstetrics & gynecology / Emergency · teaching

Ectopic Pregnancy — Diagnosis & Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ACOG / RCOG

Case #1Obstetrics & gynecology / Emergency

📋 Case data

Hemodynamic assessmentStable
Eligible for MTX?Eligible for MTX

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Hemodynamic assessment

Reproductive-age woman, hCG-positive + abdominal pain/vaginal bleeding — hemodynamics?

💡 Transvaginal ultrasound + serum β-hCG. Confirming an intrauterine pregnancy largely excludes ectopic (beware heterotopic pregnancy after assisted reproduction). β-hCG discriminatory zone ~1500–2000 (up to 3500) mIU/mL: above this an intrauterine sac should be seen; its absence with an adnexal mass suggests ectopic (rupture can occur at low β-hCG too). Check blood type/Rh, CBC.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.