A 22 year old female comes into your clinic and she's complaining of lower

abdominal pain that started yesterday. She has no past medical history. She has no

vomiting, no fever. No other complaints other than this pain, which she says is sharp but sometimes dull.

She's not particularly tender when you press on her abdomen and when you ask her when

her last period was she says six weeks ago.

What's one of the first things was, she says, six weeks ago.

What's one of the first things that should pop into your head

as to what's going on with this patient?

Well, that's what we're going to talk about on today's episode,

discussing ectopic pregnancy. Hey hey hey everybody it's Eric Gordon again we are back for another episode of the

med geeks podcast I appreciate you listening we have more

questions that have been sent in that I'm excited to answer at the end of the day's

episode please keep sending them in I love the interaction we're getting from

y'all but first we're going to talk about ectopic pregnancy so let's jump right in.

Ectopic pregnancy is a pregnancy that has implanted outside of the endometrium of the uterus. 95% of the time it's going to be in the fallopian tubes or what we call a tubal pregnancy.

Other locations such as cervical, ovarian, intra-abdominal, or even within a C-section scar are also possible. This accounts for 1 to 2 percent of all pregnancies.

That's kind of a lot. It is very likely, regardless of what setting you work in, that you will come across a patient with

an ectopic pregnancy so you should be on high alert for it.

Ecopic pregnancy is the leading cause of first trimester maternal death and

let's talk about risk factors. The risk factors are this.

Previous ectopic pregnancy, a history of gonorrhea or chlamydia,

especially if it was PID, history of intrauterine device, history of infertility treatment, or prior fallopian tube

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