Important genitourinary symptoms include Vaginal bleeding: Ectopic pregnancy or abortion Syncope or near syncope: Ectopic pregnancy Urinary frequency, urgency, or dysuria: Urinary tract infection Vaginal discharge and history of unprotected intercourse: Pelvic inflammatory disease Important gastrointestinal symptoms include Diarrhea: Gastroenteritis, inflammatory bowel disease, or irritable bowel syndrome Vomiting: Due to many disorders, including gastroenteritis and bowel obstruction Obstipation: Bowel obstruction, irritable bowel, or a functional disorder Past medical history should seek disorders known to cause pelvic pain (eg, inflammatory bowel disease, irritable bowel syndrome, nephrolithiasis, ectopic pregnancy, spontaneous abortion).