Ectopic pregnancy within 1st MTP

Hi All interesting case a couple of days ago healthy 30 yo female insidious onset 1st MTP pain, denied recollection of a traumatic event or prior foot surgery. No pattern to pain but tends to be worsened with increased activity, improved with rest no prior workup VAS (visual analogue pain scale range 0-10) VAS (visual analogue pain scale range 0-10) 1 to VAS 10: worst pain possible and necessitates occasional bedrest noting feeling of “something kicking within affected joint” no relevant co-morbidity reported being unable to exercise because of foot pain (usually runs 30 minutes 4x per week P/E no signs of swelling, erythema, heat or skin lesions other than slight dorsal MTP prominence pain with passive dorsiflexion of 1st MTP and to palpation of dorsal joint line. US showing joint effusion with inhomogeneous hyperechoic debris and here’s the kicker .

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Ectopic pregnancy within 1st MTP

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