MSFinals-1892

MSFinals-1892

A 28-year-old woman at 16 week gestation presents to the early pregnancy assessment unit with complaints of light vaginal bleeding, fevers for 2 days, and increasing abdominal pain for 6 hours. On examination, she has diffuse abdominal tenderness and foul-smelling vaginal discharge. Her temperature is 39.2ºC and blood pressure is 112/78 mmHg. Her full blood count shows Hb of 107 g/L, platelets of 189 * 109/L, and WBC of 13.2 * 109/L. An ultrasound confirms miscarriage. What is the most appropriate management?