ABSTRACT
A 57-year-old woman was admitted to hospital with nausea and vomiting. She described a 2-day history of frequent episodes of vomiting with several episodes of watery brown diarrhoea. She was initially vomiting food matter but had since been vomiting bilious fluid up to twice per hour; there had been no blood in her vomitus or stool. Her past medical history included type 2 diabetes mellitus, hypertension and osteoarthritis of the left hip. Her regular medications are listed below. She worked as a recruitment supervisor, had never smoked and did not drink alcohol.
