HISTORY OF PRESENT ILLNESS: , She is a 28-year-old G1 at approximately 8 plus weeks presented after intractable nausea and vomiting with blood-tinged vomit starting approximately worse over the past couple of days. 
HISTORY OF PRESENT ILLNESS : , She is a 28 - year - old G1 at approximately 8 plus weeks presented after intractable nausea and vomiting with blood - tinged vomit starting approximately worse over the past couple of days .