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Case 45 

Case 45
Case 45

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

Page of

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date: 25 October 2020

A 47-year-old woman presented with a 2-week history of abdominal distension. She had an 18-year history of type 2 diabetes, now controlled with insulin. She also had peripheral vascular disease with a left, below-knee amputation. There was no history of myocardial infarction, neuropathy, or retinal disease. Current medications were enalapril, atenolol, aspirin, amlodipine, and insulin. She drank <10 units/week of alcohol and denied ever having been a heavy drinker.

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