Case Presentation: A 40-year-old male with no medical history presented to the ED for confusion. His partner revealed that the patient had been drinking his own urine with salt, part of a home detoxification regimen. His partner denied any prior episodes of confusion and denied any known family history or genetic disorders. He was afebrile [...]

Case Presentation: A 69-year-old male with a history of type 2 diabetes mellitus and hypertension presented with acute-onset encephalopathy in the setting of subacute progressive cough and worsening diffuse pain. Labs revealed corrected calcium 15.1 mg/dl, Hgb 6.8 g/dl, Cr 1.2 mg/dl, total protein 11.9 g/dl, and albumin 2.5 g/dl. Radiological studies showed a large [...]

Case Presentation: A 32-year-old man with alcohol use disorder complicated by delirium tremens, who initially presented with left ankle pain, was later found to have septic arthritis. He was admitted to the ICU for alcohol withdrawal, altered mental status (AMS), and sepsis in the setting of septic arthritis, with gram-positive cocci identified on ankle aspiration. [...]