Nausea and Vomiting in a Diabetic Patient with Delayed Gastric Emptying: Do not Delay Diagnosis
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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.
KeywordsGastritis Sarcina ventricularis Gastroparesis
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