Case Presentation: A 58 year-old undomiciled man with no known medical history presented with three days of anorexia, malaise, abdominal pain, nausea and decreased urine output. His exam was notable for scleral icterus. Initial lab work was remarkable for sodium 133 mEq/L, BUN 132mg/dL, creatinine 8.82 mg/dL, platelet 64 K/uL, total bilirubin 6.4 mg/dL, and […]