The EM Educator Series: Ectopic Pregnancy

Author: Alex Koyfman, MD (@EMHighAK) // Reviewed by: Brit Long, MD (@long_brit) and Manpreet Singh, MD (@MprizzleER)

Welcome back to the EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed.

This week has another downloadable PDF document with questions, links and answers you can share with learners as educators in #MedEd. Please message us over Twitter and let us know if you have any feedback on ways to improve this for you. Enjoy!

Case 1:

A 25-year-old G1P0 female at 5 weeks presents with right lower quadrant pain. She has a history of previously treated Chlamydia.

Case 2:

A 37-year-old female who recently underwent “fertility treatment” presents with abdominal pain.

 Case 3:

A 22-year-old female with her first pregnancy was asked to return “for repeat blood testing”. She has abdominal pain and mild tachycardia.



  • What risk factors are associated with ectopic pregnancy? How frequently do these occur?
  • How can ectopic pregnancy present?
  • What are pitfalls with laboratory and imaging tests?
  • What is the ED management of ectopic pregnancy?
  • Who is appropriate for discharge? What do we need to discuss with these patients?


From Dr. Katy Hanson at Hanson’s Anatomy:

Suggested Resources:


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