MEDizzy
MEDizzy
USMLE
Comprehensive Questions
A 63-year-old man with long-standing, poorly controlled diabetes is admitted for yet another episode of ketoacidosis. Now that he is out of the intensive care unit and beginning to eat, he complains of regurgitation of food following even small meals. You suspect the development of diabetic gastropathy, a consequence of his autonomic neuropathy. Which of the following might help his condition?
Explanation
ExplanationPoor gastric emptying is a manifestation of the neuropathy that accompanies long-standing diabetes. Metoclopramide is a prokinetic agent used in the treatment of diabetic gastroparesis. Sucralfate, scopolamine, and misoprostol are used to treat gastric ulcers. Pepto Bismol is added in the case of peptic ulcers due to Helicobacter pylori.
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