Case Presentation: An 82 year old usually high functioning male with a history of hypothyroidism, hypertension and depression presented with failure to thrive and confusion for 6 weeks. EMS was called when the patient began having suicidal thoughts. The patient was seen in the ER two weeks prior for depression, where a TSH was noted […]

Case Presentation: A 79-year-old male with type 2 diabetes mellitus presented after being found down by a neighbor. Patient reported generalized fatigue. On exam, he was not alert or oriented, but otherwise had a non-focal neurological exam. Glucose was 742 mg/dL, bicarb 15 mmol/L, anion gap 22.8 mmol/L, and beta-hydroxybutyrate 3.92 mmol/L. CT head was […]