Your director has asked for your review of a recent missed diagnosis of an ovarian torsion within the Emergency Department.

1. List (3) patient factors and (3) systems factors that contribute to delayed diagnosis of ovarian torsion. (6 marks) 6 marks

2. List (3) potential advantages and (3) disadvantages of having a clinical guideline for the management of ovarian torsion. (6 marks) 6 marks