Hello, students. My name is Mike Estefan, and I thank you for joining me today on this month's deep dive episode on the EM Clerkship podcast.

Today's episode is going to be a quick deep dive into the ED management of ectopic pregnancy and a few other pregnancy-related topics.

Before we begin, just a quick word from our

sponsors over at Pearson Rabbit's. Pearson Rabbit's insurance is my personal disability insurance broker.

I cannot emphasize the importance of getting own occupation disability insurance while you are a resident. It is so important.

There are so many discounts to be had compared to obtaining this while you're in attending.

The underwriting process can take some time, so please don't wait until it's too late.

Get this done while you are young and healthy before significant coverage restrictions

get added to your policy. Check out Pearson Rabbits at www.personravitz.com and schedule an

appointment for consultation. Don't forget to mention EM Clerkship. Now, back to the episode.

Last week we had our first OB case. There was a lot to

unpack. Let's start by talking about ectopic pregnancy, and in doing so, we will cover a couple

other pregnancy-related pearls as well. So about 2% of all pregnancies in the U.S. are

ectopic pregnancies, and ectopic pregnancy

is the leading cause of first trimester mortality in pregnant individuals.

The biggest risk factor for an ectopic pregnancy is history of prior ectopic pregnancies.

However, previous GYN surgery, history of a sexually transmitted infection or pelvic

inflammatory disease, cigarette smoking, and use of assisted reproductive technologies such

as IVF or hormonal therapy also increase the risk of developing an ectopic pregnancy.

So patients who have an ectopic pregnancy can present in many different ways.

On one end of the spectrum, patients can present totally asymptomatic.

Maybe they just missed their period and is only in the ED for a pregnancy test.

...