HISTORY OF PRESENT ILLNESS:,  The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. 
HISTORY OF PRESENT ILLNESS : , The patient is a 26 - year - old gravida 2 , para 1 - 0 - 0 - 1 , at 28 - 1/7 weeks who presents to the emergency room with left lower quadrant pain , reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so .