A 24-year-old G1P0 female presents to the ED with pelvic cramping and spotting. Her vitals are stable 
and she is afebrile. The patient states she has had some lower pelvic pain for 36 hours and has bleed less than 2 pads in the last 12 hours. Her quantitative hCG is 3,680. You perform a focused bedside ultrasound and note the following…
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