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Author: Sahan Fernando / Editor: Sarah Edwards / Codes: ACCS LO 1, ACCS LO 2, GP9, NeuC2, NeuP2, SLO1 / Published: 11/07/2024

A 16-year-old girl attends her GP surgery with new onset of headache and vomiting. There is no history of recent travel or diarrhoea.

She has a past medical history of dysmenorrhea.

The patient is on combined oral contraceptive pill, which was started 14 days ago for dysmenorrhea.

Physical examination and observations are normal.