A 35-year-old woman at 8 weeks' gestation complains of crampy lower abdominal pain and vaginal bleeding. She states that the pain was intense last night, and that something that looked like liver passed per vagina. After that, the pain subsided tremendously as did the vaginal bleeding. On examination, her blood pressure is 130/80, heart rate 90 bpm, and temperature 98°F. Abdominal examination is unremarkable. Pelvic examination reveals normal external female genitalia. The cervix is closed and nontender, and no adnexal masses are appreciated.
^ What is the most likely diagnosis?
^ What is the your next step in management?
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