You are here

Article Text

Article menu
Download PDFPDF
Image challenge
Refractory vomiting in woman with diabetes
  1. Chia-Yu Chiu,
  2. Marwa Saleem
  1. Department of Medicine, Lincoln Medical Center, New York, NY, USA
  1. Correspondence to Dr Chia-Yu Chiu, Internal Medicine, Lincoln Medical Center, Bronx, NY 10451, USA; chiuc2{at}nychhc.org

https://doi.org/10.1136/emermed-2019-208538

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    A 68-year-old woman with diabetes mellitus presented to the ED with non-bilious, non-bloody vomiting for 2 days. The patient had chronic low back pain and had been taking ibuprofen for 1 month. She was discharged with the diagnosis of ibuprofen-induced gastritis and prescribed famotidine. The patient returned next day because of worsening vomiting. She denied abdominal pain except for a feeling of stomach distension. There was no fever or tenderness on exam. She was hospitalised for 2 days and treated with intravenous fluid, metoclopramide and ondansetron. Two days after discharge, the patient returned to the ED with the same complaint. The white blood …

    View Full Text

    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.