Module 14: Women Health Problems (Assessment)
A 15-year-old girl is brought in by her mother for recurrent lower abdominal pain that lasts for a few days and occurs every few weeks since the last 2 years. The pain is progressively worse. She has not got any periods yet. On examination her BMI is 20kg/m2. Secondary sexual features are present. Her abdomen is distended with a tender suprapubic mass that appears to be rising from the pelvis. She refuses vaginal or rectal examination. What is the most appropriate next step of management?
A. Order an abdominal X-ray
B. Prescribe mefenamic acid
C. Prescribe evening primrose oil
D. Order pelvic ultrasound
E. Prescribe antispasmodics
A 15-year-old girl is brought in by her mother for recurrent lower abdominal pain that lasts for a few days and occurs every few weeks since the last 2 years. The pain is progressively worse. She has not got any periods yet. On examination her BMI is 20kg/m2. Secondary sexual features are present. Her abdomen is distended with a tender suprapubic mass that appears to be rising from the pelvis. She refuses vaginal or rectal examination. What is the most appropriate next step of management?
A. Order an abdominal X-ray
B. Prescribe mefenamic acid
C. Prescribe evening primrose oil
D. Order pelvic ultrasound
E. Prescribe antispasmodics