A 17-year-old college-going girl comes to your clinic with a complaint of excruciating abdominal pain. She tells you that she has been experiencing fatigue, headache, nausea, and cramping abdominal pain since yesterday. Physical attributes        A quick chat with the girl reveals that the girl is currently menstruating, does not have any chronic conditions, is sexually inactive, and has no allergies. You also understand that the girl is under the stress of examinations, and she has been studying hard for her entrance examinations.

Social life          The girl lives away from home in the hostel along with other girls of her age. The girl also agrees that she has recently started smoking as it relieves some of her stress and tension and helps her relax. Medication history      The girl informs you that she previously used to take ibuprofen for these symptoms. However, taking ibuprofen…