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Nausea and Vomiting in a Diabetic Patient with Delayed Gastric Emptying: Do not Delay Diagnosis

  • Rishabh GulatiEmail author
  • Sameen Khalid
  • Marissa Ashley Tafoya
  • Denis McCarthy
UNM CLINICAL CASE CONFERENCES
  • 39 Downloads

Case Report

A 54-year-old male with a history of diabetes mellitus, hypertension, compensated hepatitis C cirrhosis, opiate use disorder, and medication noncompliance was admitted to the hospital for an elective orthopedic surgery for correction of a malunion of the left tibial plateau. The patient was diagnosed with type 2 diabetes mellitus 15 years ago with poor control; his most recent hemoglobin A1c was 10%. His diabetes was complicated by peripheral neuropathy and vasculopathy that had led to a below-knee amputation of his right leg. Compliance with prescribed glargine and lispro insulins was questionable. During his hospital stay, a successful arthrodesis of his left knee was performed, with intramedullary nailing.

On his first postoperative day, he had an episode of 300 ml of brown-colored emesis mixed with food. On questioning, he denied any abdominal pain or black- or red-colored stools. He, however, admitted to a longstanding, intermittent history of nausea and non-bilious,...

Keywords

Gastritis Sarcina ventricularis Gastroparesis 

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Rishabh Gulati
    • 1
    Email author
  • Sameen Khalid
    • 1
  • Marissa Ashley Tafoya
    • 2
  • Denis McCarthy
    • 1
  1. 1.Division of Gastroenterology and HepatologyUniversity of New MexicoAlbuquerqueUSA
  2. 2.Department of PathologyUniversity of New Mexico School of MedicineAlbuquerqueUSA

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