Gastroparesis in a patient with diabetic ketoacidosis

[摘要] A 40-year-old man with type 1 diabetesmellitus and recurrent renal calculi presented to the emergency department with nausea, vomiting, and abdominal pain for the pastday. He had been checking his blood glucoselevel regularly, and it had usually been withinthe normal range until 2 or 3 days previously,when he stopped taking his insulin because heran out and could not afford to buy more. He said he initially vomited clear mucusbut then had 2 episodes of black vomit. Hisabdominal pain was diffuse but more intensein his fl anks. He said he had never had nauseaor vomiting before this episode.

[学科分类] 卫生学