Hypertriglyceridaemia and abdominal pain

A woman in her 60s presented with a two day history of abdominal pain and nausea. She did not report any vomiting or diarrhoea. Her history included hypertension and type 2 diabetes. She reported a high carbohydrate intake as well as low adherence to her insulin regimen. She also took—and reported adherence to—amlodipine, clonidine, and pravastatin as prescribed. The patient did not consume alcohol and had no relevant family history. On examination she was afebrile and had a raised blood pressure of 141/68 mm Hg, normal pulse, and normal respiratory rate. On palpation she had central abdominal tenderness without any rebound. Table 1 shows the results of initial laboratory investigations.bmj;384/mar21_4/e077441/TBL1T1tbl1Table 1Relevant laboratory test resultsTestResultNormal rangeSodium (mmol/L)121136-145Blood glucose (mmol/L)26.42<6.0Calcium (mmol/L)2.32.2-2.6Lipase (U/L)259<60Alkaline phosphatase (U/L)14035-104Total bilirubin (µmol/L)5.13<21Aspartate aminotransferase (U/L)25≤32Alanine transaminase (U/L)24≤33Haemoglobin A1C (%)13.6≥5.6Cholesterol (mmol/L)23.88<5High density lipoprotein cholesterol (mmol/L)0.3>1.2Triglycerides (mmol/L)60.2≤1.7Plasma osmolality (mOsm/kg)306275-295QuestionsWhat do the laboratory investigations show?What is the most likely diagnosis?How would you…
Read Original Article: Hypertriglyceridaemia and abdominal pain »