Case Presentation: A 55-year-old female with alcohol use disorder and untreated hyperthyroidism was admitted to an outside hospital for abdominal pain, atrial fibrillation with heart rate in the 190’s, and hypotension requiring vasopressors and ICU care. Work up revealed low TSH (< 0.010 [range: 0.450 - 5.330]) and elevated free T4 (FT4) (4.74 [range: 0.60 [...]

Case Presentation: A 23-year-old man without prior medical history was brought to the ED from his home for profound somnolence which had progressed over two days. EMTs at the scene noted that the patient was sluggishly responsive to painful stimuli. Initial vital signs were within normal limits, and a point-of-care glucose check was 28 mg/dL. [...]