Re: Bladder Pain Syndrome Treated With Triple Therapy With Gabapentin, Amitriptyline, and a Nonsteroidal Anti-Inflammatory Drug
J. W. Lee, D. Y. Han and H. J. Jeong Department of Urology and Institute of Wonkwang Medical Sciences, Wonkwang University School of Medicine, Iksan, Korea (Source: The Journal of Urology)

Metformin-associated Lactic Acidosis Masquerading as Ischemic Bowel
A 69-year-old male inpatient on the psychiatric ward developed abdominal pain, nausea, non-bloody emesis, and diaphoresis shortly after eating. His medical history included depression, coronary artery disease, diabetes mellitus, and dyslipidemia. His medications included clopidogrel, gabapentin, glipizide, lisinopril, metformin, metoprolol, omeprazole, rosuvastatin, and sertraline. He denied overdosing on any medications. His vital signs were a heart rate of 74 beats/min, temperature of 36.2°C, respiratory rate of 24 breaths/min, and blood pressure of 82/52 mm Hg. The examination revealed decreased bowel sounds, voluntary guarding, and tenderness to palpation in the lower abdomen, which appeared out of proportion to the physical examination. A rectal examination revealed impacted stool an...