Clinical Case Database / Category: Patient Management

Metformin intolerance

Publication details

Abigail Perini MBBCh, Salman Danish Jafri MRCP (UK), C L Ch'ng MB BCh BAO , FRCP,
Foundation Years Journal, volume 5, issue 8, p.52 (123Doc Education, London, September 2011)

Abstract

This case-based discussion looks at an elderly patient with metformin intolerance presenting with nausea and vomiting shortly after eating. It will focus on the key points to look out for when taking a history and performing an examination, potential differential diagnoses and the management of the patient.

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Authors

Abigail Perini MBBCh

Foundation Year 2 doctor in Paediatrics at Withybush General Hospital
aperini@doctors.org.uk

Salman Danish Jafri MRCP (UK)

ST6 Gastroenterology (Wales Deanery) at Singleton hospital

C L Ch'ng MB BCh BAO , FRCP,

Consultant Gastroenterologist at Singleton Hospital

References

1. Huw Llewelyn, Hock Aun Ang et al (2009) Chapter 7 'Gastrointestinal symptoms and signs'. Oxford Handbook of Clinical Diagnosis, second edition. Oxford University Press.
2. Steven Edmundowicz (2002) Chapter 2 'Nausea and Vomiting' 20 common problems in gastroenterology. McGraw-Hill Professional.
3. Elliott Joslin, C Ronald Kahn (2005) Chapter 41 'Oral antihyperglycemic agents for type 2 diabetes'. Joslin's diabetes mellitus. Lippincott Williams & Wilkins.
4. Tim Holt, Sudesh Kumar (2009) Chapter 5 'Cardiovascular disease'ABC of diabetes. John Wiley and Sons.
5. Peter McNally (2006) 'Achalasia' GI/liver Secrets, third edition. Elsevier Health Sciences, pp: 19-21.
6. BNF 60, (2010) BMJ Group and RPS Publishing.

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Conflict Of Interest

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.