A 37-year-old female presented with increasing abdominal pain over a six-day period. She reported poor oral intake and several episodes of nausea with blood-tinged emesis. History History of presenting illness: She was treated 6 weeks earlier for Clostridium difficile colitis and completed a full course of antibiotics with resolution of symptoms. However, about a week prior to the current admission, her diarrhea recurred.
She denied any history of tobacco or alcohol use. Medical history: Significant for type I diabetes mellitus for >20 years, Addison disease, and systemic lupus erythematosus. She was taking hydrocortisone 20 mg, twice daily for Addison disease, insulin lispro 5 units with meals, and insulin glargine 10 units at night. Examination Temperature- 97.1° F Blood pressure- 130/102 mmHg Heart rate- 140 beats/minute Respiratory rate- 26 breaths/minute Abdominal guarding…
