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Interactive diabetes case 13: Deterioration of glycemia in a 59-year-old patient with type 2 diabetes complicated by retinopathy, nephropathy, and neuropathy – B2

Interactive diabetes case 13: Deterioration of glycemia in a 59-year-old patient with type 2 diabetes complicated by retinopathy, nephropathy, and neuropathy – B2
Author:
Lloyd Axelrod, MD
Literature review current through: Apr 2025. | This topic last updated: Apr 24, 2025.

ANSWER — 

Incorrect.

The abdominal computed tomography (CT) shows stool in the large intestine but is otherwise unremarkable.

The patient received intravenous contrast dye for the CT. He develops contrast-induced acute kidney injury in the setting of diabetic nephropathy, for which he is hospitalized. The serum creatinine reaches a peak value of 4.7 mg/dL on the fourth hospital day and then falls to 3.1 mg/dL.

Return to the previous choice to try again. (See "Interactive diabetes case 13: Deterioration of glycemia in a 59-year-old patient with type 2 diabetes complicated by retinopathy, nephropathy, and neuropathy – A2".)

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