Hypertriglyceridaemia and abdominal pain

A woman in her 60s presented with a two day history of abdominal pain and nausea. She did not report any vomiting or diarrhoea. Her history included hypertension and type 2 diabetes. She reported a high carbohydrate intake as well as low adherence to her insulin regimen. She also took—and reported adherence to—amlodipine, clonidine, and pravastatin as prescribed. The patient did not consume alcohol and had no relevant family history. On examination she was afebrile and had a raised blood pressure of 141/68 mm Hg, normal pulse, and normal respiratory rate. On palpation she had central abdominal tenderness without any rebound. Table 1 shows the results of initial …