,HISTORY OF PRESENT ILLNESS:  ,The patient is a pleasant 48-year-old female with an approximately 24-hour history of right lower quadrant pain, which she describes as being stabbed with a knife, radiating around her side to her right flank. 
,HISTORY OF PRESENT ILLNESS : , The patient is a pleasant 48 - year - old female with an approximately 24 - hour history of right lower quadrant pain , which she describes as being stabbed with a knife , radiating around her side to her right flank .