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Case 45 

Case 45
Chapter:
Case 45
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.45
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date: 22 October 2019

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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