Background: Alcohol use disorder (AUD) has a lifetime prevalence of 29% in the United States and prevalence is higher among military veterans. Discontinuation of alcohol use in patients with AUD presents a risk for alcohol withdrawal syndrome (AWS). A recent retrospective analysis of Veterans Health Administration (VHA) data estimated AWS occurred in 5.8% of inpatient [...]

Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and [...]

Case Presentation: A 30 year old woman with a history of alcoholic cirrhosis, episodes of alcoholic hepatitis and pancreatitis, was transferred to a tertiary care hospital from a community hospital for a liver transplant evaluation. On admission, she had a MELD score of 33. The patient was not a candidate for liver transplant due to [...]

Case Presentation: A 44 year old man with a history of alcohol abuse presented with one week of right upper quadrant (RUQ) pain, nausea, jaundice, fevers, lethargy and anorexia in the summer time after two weeks of binge drinking. Physical examination was notable for tachycardia, scleral icterus and RUQ tenderness. Pertinent labs included elevated AST:ALT [...]