A 20 years old woman has been brought to casualty with BP 70/40 mm Hg, pulse rate 120/min. and a positive urine pregnancy test. She should be managed by:
Immediate laparotomy
Laparoscopy
Culdocentesis
Resuscitation and Medical management
Patient is being brought to the casualty with - BP = 70/40mm, P/R = 120/min (i.e. she is in shock).
Her urine pregnancy test is positive i.e. she is a case of ruptured ectopic.