A 15-year-old girl presents to your regional ED with lower abdominal pain. She is usually well, immunized and has no chronic medical conditions.

1. List (4) serious diagnoses you will consider and for each, give (2) key clinical features on history. 8 marks

After a thorough history, examination, bloods and ultrasound, you have excluded sinister causes and suspect endometriosis. Her pain is controlled and you feel she is safe for discharge.

2. What discharge advice will you provide? 4 marks