Case Presentation: A 57-year-old Hispanic male presented with an episode of syncope while at his workplace. He is a Pest Control Technician and had a 7-year history of exposure to organophosphates. He had a history of frequent falls over past six months and had no exposure to other toxic substances, alcohol or drugs. Physical exam [...]

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 [...]

Case Presentation: A 79 year-old female with a history of congestive heart failure (CHF) and poorly controlled type two diabetes mellitus (T2DM) presented from sub-acute rehab (SAR) with shortness of breath and bilateral lower extremity edema. In the ED, her vitals were stable except for mild hypoxia requiring 2L of oxygen. Labs revealed elevated B-type [...]