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Case Study 26: Nausea and Vomiting.

1- Determine the grade of vomiting during the last 24 hours.

2- How does Amlodipine work to relieve hypertension?

3- How does Glyburide work to control blood sugar in type 2 diabetes mellitus?

4- What are the two major contributing factors for nausea and vomiting in this patient?

5- List 12 clinical manifestations in this patient that are consistent with a diagnosis of dehydration?

6- Has the patient developed hypokalemia?

7- Why can acute pancreatitis be ruled out as a cause of nausea and vomiting in this patient?

8- Perforation of the cecum often occurs when cecal diameter is greater than 10 cm. Severe abdominal pain, fever, and leukocytosis are clinical manifestations of perforation. Has the cecum perforated in this patient?

9- What is believed to be the pathophysiologic mechanismthat underlies acute colonic pseudo-obstruction?

10- Are respiratory and reflex signs consistent or inconsistent with metabolic alkalosis?

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