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A 32-year-old woman presents to the emergency department with abdominal pain. She states it started last night and has been getting worse during this time frame. She states she is otherwise healthy, does not use drugs, and has never had sexual intercourse. Her temperature is 99.0°F (37.2°C), blood pressure is 120/83 mmHg, pulse is 85/min, respirations are 12/min, and oxygen saturation is 98% on room air. A rectal exam is performed and the patient is subsequently disimpacted. Five kilograms of stool are removed from the patient and she subsequently states her symptoms have resolved. Initial laboratory tests are ordered as seen below.Urine:Color: YellowProtein: NegativeRed blood cells: NegativehCG: PositiveA serum hCG is 1,000 mIU/mL. A transvaginal ultrasound does not demonstrate a gestational sac within the uterus. Which of the following is the best next step in management?
Ultrasound and serum hCG in 48 hours
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