ABSTRACT

A 92-year-old woman was admitted to hospital with diarrhoea and vomiting. She had been vomiting for the preceding 48 hours and was now unable to tolerate any oral intake. She lived with her daughter’s family, who were concerned that she was becoming dehydrated. Other members of the family had experienced similar symptoms over the last week. Her medical history includes hypertension and diet-controlled type 2 diabetes mellitus. Her drug history includes ramipril 2.5 mg once daily and bendroflumethiazide 2.5 mg once daily. She does not drink alcohol and has never smoked.