Case Presentation: A 33 year‐old otherwise healthy man presented with severe muscle pain and inability to ambulate, associated with dark urine for four days. He reported social alcohol use in the days prior, along with his usual exercise routine of 45 minutes on a stationary bike. Physical exam was significant for severe lower extremity muscle […]

Case Presentation: A 65 year old male with no significant medical history presented to an outside facility complaining of fatigue, weakness, nausea and vomiting. He had moderate alcohol history and significant weight loss over the past 6 months. Initial lab workup was notable for elevated liver transaminases with a hepatocellular pattern, Maddrey score of 53.6 […]

Case Presentation: 53-year-old man with history of alcohol abuse, cirrhosis (with preserved liver function) presented with complaints of bilateral hand tremors and hallucinations for one day. He was unable to provide history due to confusion. Computed tomography scan of the brain revealed microvascular ischemic changes and an old lacunar infarct. Patient was delirious and actively […]