A 27-year-old presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7 weeks ago. On examination, abdominal tenderness, BP is 90/6

[Kathryn]

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A 27-year-old presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7 weeks ago. On examination, abdominal tenderness, BP is 90/60mmHg. What is the next appropriate management?
(A) Immediate laparotomy
(B) Laparoscopy
(C) Salpingotomy
(D) Salpingectomy
(E) MTX